Heavy Smoking is Associated with Low Depression and Stress: a Smokers' Paradox in Cardiovascular Disease?

作者: Athanassios Papazisis , Alexandra Koreli , Evdokia Misouridou

DOI: 10.5455/MSM.2019.31.268-272

关键词: ConfoundingCoronary artery diseaseDiseaseSocial supportDepression (differential diagnoses)MedicineNicotineClinical psychologyPopulation studyAnxiety

摘要: Introduction Smoking, anxiety and depression constitute predisposing factors of coronary artery disease. Aim The aim this study was to investigate the degree nicotine dependence in patients its relationship depression. Methods population consisted 208 patients, 131 men 77 women, who were hospitalized a hospital Attica all smokers. measured by Fagerstrom scale, while intensity assessed with Zung SDS SAS scales respectively. Results 158 participants (75.9%) moderately highly dependent on nicotine, 108 (51.9%) reported moderate severe levels 91 (43.8%) levels. negatively related experienced patients. Additionally, dependence, associated various sociodemographic clinical such as educational level, social support, information their condition treatment. Conclusion Overall, findings point an inverse anxiety. However, paradoxical association could be product shared risk or confounding. Nonetheless, development individualized supportive interventions quit smoking should primarily focus assessment stress.

参考文章(7)
M Kadoglou, G Bouhos, A Giantzelidou, K Tsolaki, M Livaditis, M Samakouri, [Standardization of the Greek version of Zung's Self-rating Anxiety Scale (SAS)]. Psychiatrike = Psychiatriki. ,vol. 23, pp. 212- 220 ,(2012)
Diann E. Gaalema, Alexander Y. Cutler, Stephen T. Higgins, Philip A. Ades, Smoking and cardiac rehabilitation participation: Associations with referral, attendance and adherence. Preventive Medicine. ,vol. 80, pp. 67- 74 ,(2015) , 10.1016/J.YPMED.2015.04.009
Konstantinos N Fountoulakis, Apostolos lacovides, Stavros Samolis, Soula Kleanthous, Stergios G Kaprinis, George St Kaprinis, Per Bech, Reliability, validity and psychometric properties of the Greek translation of the zung depression rating scale BMC Psychiatry. ,vol. 1, pp. 6- 6 ,(2001) , 10.1186/1471-244X-1-6
Hayden Riley, Samuel Headley, Christa Winter, Sara Mazur, Diann E. Gaalema, Sarah Goff, Peter K. Lindenauer, Quinn R. Pack, Effect of Smoking Status on Exercise Perception and Intentions for Cardiac Rehabilitation Enrollment Among Patients Hospitalized With an Acute Cardiac Condition. Journal of Cardiopulmonary Rehabilitation and Prevention. ,vol. 38, pp. 286- 290 ,(2017) , 10.1097/HCR.0000000000000288
Norazlin Ab Manap, , Siti Khuzaimah Ahmad Sharoni, Padma A Rahman, Hayati Adilin Mohd Abdul Majid, , , , Effect of an Education Programme on Cardiovascular Health Index among Patients with Myocardial Infarction: A Preliminary Study. The Malaysian journal of medical sciences. ,vol. 25, pp. 105- 115 ,(2018) , 10.21315/MJMS2018.25.2.11
Catherine M. Stoney, Peter G. Kaufmann, Susan M. Czajkowski, Cardiovascular disease: Psychological, social, and behavioral influences: Introduction to the special issue. American Psychologist. ,vol. 73, pp. 949- 954 ,(2018) , 10.1037/AMP0000359
H. Allabadi, A. Alkaiyat, A. Alkhayyat, A. Hammoudi, H. Odeh, J. Shtayeh, M. Taha, C. Schindler, E. Zemp, S. Haj-Yahia, N. Probst-Hensch, Depression and anxiety symptoms in cardiac patients: a cross-sectional hospital-based study in a Palestinian population. BMC Public Health. ,vol. 19, pp. 232- ,(2019) , 10.1186/S12889-019-6561-3