Impact of Polysubstance Use on Major Depression, Serious Psychological Distress, and Mental Illness among US Adults.

To assess the association between common polysubstance use patterns and their incremental odds for health outcomes: i) major depressive episode (MDE), ii) serious psychological distress (SPD), and iii) any mental illness (AMI). This study used data from 47,100 US adults participating in the 2022 Nat...

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Publicado en:International Journal of Mental Health & Addiction Vol. 24; no. 3; pp. 2494 - 2510
Autores principales: Khan, Md Tareq Ferdous, Mazumder, Shrabanti, Rana, Md Sohel, Rahman, Md Mijanur
Formato: Artículo
Publicado: Springer Nature Jun2026
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2026
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        10.1007/s11469-025-01520-3
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        atl: Impact of Polysubstance Use on Major Depression, Serious Psychological Distress, and Mental Illness among US Adults.
      aug:
        au:
          Khan, Md Tareq Ferdous
          Mazumder, Shrabanti
          Rana, Md Sohel
          Rahman, Md Mijanur
        affil:
          https://ror.org/037s24f05 Department of Public Health Sciences, College of Behavioral, Social and Health Sciences, Clemson University, Clemson, SC, USA
          https://ror.org/037s24f05 School of Health Research, Clemson University, Clemson, SC, USA
          https://ror.org/01e3m7079 Department of Biostatistics, Health Informatics and Data Sciences, University of Cincinnati College of Medicine, Cincinnati, OH, USA
          https://ror.org/02bnddg69 Department of Statistics, Comilla University, Cumilla, Bangladesh
          https://ror.org/0384j8v12 The Daffodil Centre, The University of Sydney, A Joint Venture With Cancer Council NSW, Sydney, Australia
          https://ror.org/03y4rnb63 The Collaboration for Cancer Outcomes, Research and Evaluation (CCORE), Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia
          https://ror.org/03r8z3t63 South-West Sydney Clinical Campus, School of Clinical Medicine, UNSW Sydney, Liverpool, NSW, Australia
      su:
        United States
        Substance abuse
        Mental illness
        Alcohol drinking
        Tobacco use
        Mental depression
        Psychological distress
        Marijuana abuse
        Adults
      sug:
        subj:
          Substance abuse
          Mental illness
          Alcohol drinking
          Tobacco use
          Mental depression
          Psychological distress
          Marijuana abuse
          Adults
          United States
          Drinking Places (Alcoholic Beverages)
      keyword:
        Any mental illness
        Health outcomes
        Major depressive episode
        Medical and Health Sciences Public Health and Health Services
        Polysubstance use
        Serious psychological distress
        Any mental illness
        Health outcomes
        Major depressive episode
        Medical and Health Sciences Public Health and Health Services
        Polysubstance use
        Serious psychological distress
      ab: To assess the association between common polysubstance use patterns and their incremental odds for health outcomes: i) major depressive episode (MDE), ii) serious psychological distress (SPD), and iii) any mental illness (AMI). This study used data from 47,100 US adults participating in the 2022 National Survey on Drug Use and Health. Four target substance use groups: i) tobacco use only (T), ii) tobacco and alcohol (TA), iii) tobacco, alcohol, and marijuana (TAM), and iv) tobacco, alcohol, marijuana, and at least one other substance use (TAMO), were defined based on thirteen major substances to compare with no substance use. Covariate-adjusted logistic regression models were performed to assess the association with health outcomes. Tobacco use was significantly associated with a higher odds of MDE (adjusted odds ratio (aOR) = 1.32, CI = 1.04–1.66), SPD (aOR = 1.66, CI = 1.39–1.97), and AMI (aOR = 1.41, CI = 1.22–1.63). Although alcohol with tobacco does not increase the odds further, consuming marijuana as the third substance (TAM) increases the odds significantly (aORs, CIs: MDE: 2.25, 1.98–2.56, SPD: 2.28, 2.05–2.52, AMI: 2.41, 2.20–2.65). The worst outcome was observed for TAMO (aORs, CIs: MDE: 3.89, 3.40–4.46, SPD: 3.95, 3.52–4.44, AMI: 4.46, 4.00–4.99). This study showed the increased odds of MDE, SPD, and AMI for people using tobacco (T) and polysubstance, with the highest odds for the TAMO group. These findings underscore the need for targeted interventions to address tobacco and polysubstance use, as well as ongoing mental health conditions.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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