{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T09:42:08Z","timestamp":1777714928814,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2012,2,1]],"date-time":"2012-02-01T00:00:00Z","timestamp":1328054400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Psychiatry Med"],"published-print":{"date-parts":[[2012,2]]},"abstract":"\n Background:<\/jats:title>\n Unlike schizophrenia, only a little attention has been paid to tobacco dependence in patients with bipolar disorder despite a similarly high prevalence and predisposition to health risks. The euthymic phase is especially suitable for tobacco screening by the treating psychiatrist. However, the validity of self-report for tobacco use in this patient population remains undetermined.<\/jats:p>\n <\/jats:sec>\n \n Aim:<\/jats:title>\n The current study aims to assess the validity of self-reported tobacco use in euthymic bipolar disorder.<\/jats:p>\n <\/jats:sec>\n \n Method:<\/jats:title>\n The psychiatric out-patients with DSM-IV TR diagnosis of bipolar type-I in remission who were males, \u2a7e 18 years, and euthymic as established by current scores of < 7 on HAM-D and < 4 on YMRS. Patients were specifically asked for the recent use of tobacco in any form. Ten ml urine sample was obtained after informed consent and subjected to a quantitative cotinine estimation by direct enzyme-linked immunosorbent assay.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n A total of 100 patients were screened, of which 79 were finally included. The self-report or recent tobacco use showed only a moderate concordance with urinary cotinine (k=0.518) and cotinine-creatinine ratio (k=0.492). Over 15% patients had denied the use of tobacco, but tested positive on urinary cotinine assessment. The sensitivity of self-report was 73.3% compared to urinary cotinine. The denial among users was 26.7% and denial among those with negative self-report was 30.8%.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Mental health professionals should be vigilant for detection of tobacco dependence among remitted bipolar patients, who may not be so forthcoming about their tobacco use.<\/jats:p>\n <\/jats:sec>","DOI":"10.2190\/pm.43.2.d","type":"journal-article","created":{"date-parts":[[2012,6,17]],"date-time":"2012-06-17T17:36:23Z","timestamp":1339954583000},"page":"153-163","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Reliability of Self-Reported Tobacco Use in Bipolar Disorder: An Exploratory Study of Euthymic Patients Visiting a Tertiary Care Hospital in India"],"prefix":"10.1177","volume":"43","author":[{"given":"Raman Deep","family":"Pattanayak","sequence":"first","affiliation":[{"name":"All India Institute of Medical Sciences, New Delhi"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raka","family":"Jain","sequence":"additional","affiliation":[{"name":"All India Institute of Medical Sciences, New Delhi"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajesh","family":"Sagar","sequence":"additional","affiliation":[{"name":"All India Institute of Medical Sciences, New Delhi"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2012,6,15]]},"reference":[{"key":"bibr1-PM.43.2.d","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2009.12.001"},{"key":"bibr2-PM.43.2.d","doi-asserted-by":"publisher","DOI":"10.1001\/jama.284.20.2606"},{"key":"bibr3-PM.43.2.d","doi-asserted-by":"crossref","first-page":"65","DOI":"10.20882\/adicciones.168","volume":"23","author":"L\u00f3pez-Ortiz 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