RESEARCH PAPER
Mental health screening and increased risk for anxiety and depression among treatment-seeking smokers
Nilufer Emre 1
,  
Kenan Topal 1  
,  
 
 
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1
Department of Family Medicine, Pamukkale University Faculty of Medicine, Kinikli, Turkey
2
Denizli State Hospital, Chest Diseases Clinic, Denizli, Turkey
CORRESPONDING AUTHOR
Kenan Topal   

Department of Family Medicine, Pamukkale University Faculty of Medicine, C103, 20070, Kinikli, Denizli, Turkey
Publish date: 2016-11-04
 
Tobacco Induced Diseases 2014;12(November):20
KEYWORDS
ABSTRACT
Background:
The aim of this study was to compare the risk for mental health disorders between smokers and non-smokers and to assess the risk for depression and anxiety according to addiction severity.

Methods:
This cross-sectional study assesses the mental health status and relationship with the severity of nicotine addiction in a sample of smokers admitted to Pamukkale University Hospital Smoking Cessation Clinic (n = 101) from 1 June 2012 to 31 August 2012 compared to a group of non-smokers from the general population (n = 101). We conducted semi-structured face-to-face interviews to collect sociodemographic data; we assessed the participants’ mental health status with the General Health Questionnaire-12 (GHQ-12) and the Hospital Anxiety and Depression Scale (HADS), and we measured nicotine addiction severity with the Fagerström Test.

Results:
The risk for mental illness reported by smokers based on the GHQ-12 was significantly higher than that for non-smokers (p = 0.001). The anxiety and depression scores according to HADS were higher among smokers (16.8% and 22.8%, respectively) than non-smokers (4.0% and 5.0%, respectively) (p = 0.006 and p = 0.001, respectively). The nicotine addiction severity was higher in smokers with higher anxiety and depression scores (p = 0.008).

Conclusions:
We found high scores for mental illness in treatment-seeking smokers compared with non-smokers. The risk for anxiety and depression was higher among smokers. Increased nicotine addiction severity was associated with increased risk for mental illness and increased scores of anxiety and depression.

 
REFERENCES (32)
1.
World Health Organization: WHO Report on the Global Tobacco Epidemic, 2008, The MPOWER Package. 2008, Geneva: WHO,http://www.who.int/tobacco/mpo....
 
2.
World Health Organization: Global Status Report on Noncommunicable Diseases 2010, Description of the global burden of NCDs, their risk factors and determinants. 2011, Geneva: WHO,http://whqlibdoc.who.int/publi....
 
3.
Bartecchi CE, MacKenzie TD, Schrier RW: The human costs of tobacco use. N Engl J Med. 1994, 331: 618.
 
4.
Breslau N, Kilbey MM, Andreski P: Nicotine dependence and major depression. New evidence from a prospective investigation. Arch Gen Psychiatry. 1993, 50: 31-35. 10.1001/archpsyc.1993.01820130033006.
 
5.
American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders. 2000, Washington, DC: American Psychiatric Association, 4.
 
6.
Uneri O, Tural U, Memik CN: Smoking and schizophrenia: where is the biological connection?. Turk Psikyiatri Derg. 2006, 17: 55-64.
 
7.
Karlıkaya C, Öztuna F, Solak ZA, Özkan M, Örsel O: Tobacco control. Turk Toraks Derg. 2006, 7: 51-64.
 
8.
Lam TH, Stewart SM, Ho SY, Lai MK, Mak KH, Chau KV, Rao U, Salili F: Depressive symptoms and smoking among Hong Kong Chinese adolescents. Addiction. 2005, 100: 1003-1011. 10.1111/j.1360-0443.2005.01092.x.
 
9.
McManus S, Howard Meltzer H, Campion J: Cigarette Smoking and Mental Health in England, Data from the Adult Psychiatric Morbidity Survey 2007. 2010, London: National Center for Soocial Research,http://www.natcen.ac.uk/media/....
 
10.
Breslau N, Kilbey M, Andreski P: Nicotine dependence, major depression, and anxiety in young adults. Arch Gen Psychiatry. 1991, 48: 1069-1074. 10.1001/archpsyc.1991.01810360033005.
 
11.
Black DW, Zimmerman M, Coryell WH: Cigarette smoking and psychiatric disorder in a community sample. Ann Clin Psychiatry. 1999, 11: 129-136. 10.3109/10401239909147061.
 
12.
Fagerström KO, Kunze M, Schoberberger R, Breslau N, Hughes JR, Hurt RD, Puska P, Ramström L, Zatoński W: Nicotine dependence versus smoking prevalence: comparisons among countries and categories of smokers. Tob Control. 1996, 5: 52-56. 10.1136/tc.5.1.52.
 
13.
Uysal MA, Kadakal F, Karşıdağ Ç, Bayram NG, Uysal Ö, Yılmaz V: Fagerstrom test for nicotine dependance: reliability in a Turkish sample and factor analysis. Tuberk Toraks. 2004, 52: 115-121.
 
14.
Goldberg DP: The Detection of Psychiatric Illness by Questionnaire. 1972, London: Oxford University Press.
 
15.
Özdemir H, Rezaki M: General Health Questionnaire-12 for the detection of depression. Turk Psikyiatri Derg. 2007, 18: 13-21.
 
16.
Kılıç C: The reliability and validity study of General Health Questionnaire. Turk Psikyiatri Derg. 1996, 7: 3-9.
 
17.
Kılıç C, Rezaki M, Rezaki B, Kaplan I, Ozgen G, Sağduyu A, Oztürk MO: General Health Questionnaire (GHQ-12 & GHQ-28): psychometric properties and factor structure of the scales in a Turkish primary care sample. Soc Psychiatry Psychiatr Epidemiol. 1997, 32: 327-331. 10.1007/BF00805437.
 
18.
Zigmond AS, Snaith PR: The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983, 67: 361-370. 10.1111/j.1600-0447.1983.tb09716.x.
 
19.
Aydemir Ö, Güvenir T, Küey L, Kültür S: Validity and reliability of Turkish version of Hospital Anxiety and Depression Scale. Turk Psikyiatri Derg. 1977, 8: 280-287.
 
20.
Drobes DJ: Concurrent alcohol and tobacco dependence: mechanisms and treatment. Alcohol Res Health. 2002, 26: 136-142.
 
21.
Breslau N: Psychiatric comorbidity of smoking and nicotine dependence. Behav Genet. 1995, 25: 95-101. 10.1007/BF02196920.
 
22.
Room R: Smoking and drinking as complementary behaviours. Biomed Pharmacother. 2004, 58: 111-115. 10.1016/j.biopha.2003.12.003.
 
23.
Grant BF, Hasin DS, Chou SP, Stinson FS, Dawson DA: Nicotine dependence and psychiatric disorders in the United States: results from the national epidemiologic survey on alcohol and related conditions. Arch Gen Psychiatry. 2004, 61: 1107-1115. 10.1001/archpsyc.61.11.1107.
 
24.
Anthony JC, Warner L, Kessler R: Comparative epidemiology of dependence on tobacco, alcohol, controlled substances and inhalants. Basic findings from the National Comorbidity Survey. Exp Clin Psychopharmacol. 1994, 2: 244-268.
 
25.
Fiore MC, Bailey WC, Cohen SJ, Dorfman SF, Goldstein MG, Gritz ER, Heyman RB, Jaén CR, Kottke TE, Lando HA, Mecklenburg RE, Mullen PD, Nett LM, Robinson L, Stitzer ML, Tommasello AC, Villejo L, Wewers ME: Treating Tobacco Use and Dependence. Quick Reference Guide for Clinicians. 2000, Rockville: U.S. Department of Health and Human Services,https://health.state.tn.us/Dow....
 
26.
Horn K, Dino G, Kalsekar I, Massey CJ, Tennant KM, McGloin T: Exploring the relationship between mental health and smoking cessation: a study of rural teens. Prev Sci. 2004, 5: 113-126.
 
27.
Berlin I, Chen H, Covey LS: Depressive mood, suicide ideation and anxiety in smokers who do and smokers who do not manage to stop smoking after a target quit day. Addiction. 2010, 105: 2209-2216. 10.1111/j.1360-0443.2010.03109.x.
 
28.
Moylan S, Jacka FN, Pasco JA, Berk M: Cigarette smoking, nicotine dependence and anxiety disorders: a systematic review of population-based, epidemiological studies. BMC Med. 2012, 10: 123-10.1186/1741-7015-10-123.
 
29.
Degenhardt L, Hall W: The relationship between tobacco use, substance-use disorders and mental health: results from the National Survey of Mental Health and Well-being. Nicotine Tob Res. 2001, 3: 225-234. 10.1080/14622200110050457.
 
30.
Cosci F, Schruers KR, Pistelli F, Griez EJ: Negative affectivity in smokers applying to smoking cessation clinics: a case–control study. Depress Anxiety. 2009, 26 (9): 824-830. 10.1002/da.20473.
 
31.
Jamal M, Van der Does AJW, Cuijpers P, Penninx BWJH: Association of smoking and nicotine dependence with severity and course of symptoms in patients with depressive or anxiety disorder. Drug Alcohol Depend. 2012, 126: 138-146. 10.1016/j.drugalcdep.2012.05.001.
 
32.
Anczak JD, Nogler RA: Tobacco cessation in primary care: maximizing intervention strategies. Clin Med Res. 2003, 1: 201-216. 10.3121/cmr.1.3.201.
 
 
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