Evidence map›Paper›PMID 40018351›Full record

SynthesisFrontiers in medicine2025

Association between cigarette smoking and the risk of major psychiatric disorders: a systematic review and meta-analysis in depression, schizophrenia, and bipolar disorder.

Zhonghou Hu, Enxiu Cui, Bo Chen, Mi Zhang

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  8. Comment on: Can depression, anxiety, and stress predict smoking?Journal of family medicine and primary care · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Zhonghou HuThird Department of Psychiatry, Yancheng Fourth People's Hospital, Yancheng, China.
Enxiu CuiThird Department of Psychiatry, Yancheng Fourth People's Hospital, Yancheng, China.
Bo ChenThird Department of Psychiatry, Yancheng Fourth People's Hospital, Yancheng, China.
Mi ZhangThird Department of Psychiatry, Yancheng Fourth People's Hospital, Yancheng, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The prevalence of cigarette smoking among patients with major psychiatric conditions is significantly higher than that in the general population. However, whether there is a causal association between cigarette smoking and major psychiatric disorders remains unclear. Therefore, we conducted a systematic review and meta-analysis of cohort studies to elucidate the association between cigarette smoking and the risk of major psychiatric disorders, including depression, schizophrenia, and bipolar disorder. Methods: We systematically searched PubMed, Embase, and the Cochrane Library for potentially eligible studies from their inception until March 2, 2024. All pooled analyses were performed using a random-effects model, and exploratory sensitivity and subgroup analyses were conducted. Results: Twenty-five cohort studies involving 2,917,030 individuals were included in the meta-analysis. The summary results indicated that both current smoking (relative risk [RR], 1.30; 95% confidence interval [CI], 1.18-1.43; Conclusion: Current smoking is significantly associated with an elevated risk of major psychiatric disorders, including major depression, schizophrenia, and bipolar disorder. Former smokers also have an elevated risk of major depression. However, it should be noted that, despite these significant associations, due to the nature of the cohort studies included, this study cannot establish a causal relationship between cigarette smoking and major psychiatric disorders. Systematic review registration: https://inplasy.com/inplasy-2024-3-0093/, identifier INPLASY202430093.

Indexed as

bipolar disordercigarette smokingdepressionmeta-analysispsychiatric disordersschizophrenia

Identifiers

PMID40018351
PMCPMC11865063

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.