157 , 158 Lifestyle factors Lifestyle factors, including smoking status, alcohol intake, decreased physical activity, and diet have been associated with development of multimorbidity, 26 , 156 , 159 with smoking frequently found to be a highly significant factor. 160 The greater prevalence of tobacco smoking among those with mental health conditions 161 is posited to underlie increased medical multimorbidity in patients with psychiatric diagnoses. 162 Many mental illnesses involve changes in sleep, and associations have been found betwee
1
—
—