Mental health screening and increased risk for anxiety and depression among treatment-seeking smokers
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Department of Family Medicine, Pamukkale University Faculty of Medicine, Kinikli, Turkey
Denizli State Hospital, Chest Diseases Clinic, Denizli, Turkey
Submission date: 2014-06-13
Acceptance date: 2014-10-27
Publication date: 2016-11-04
Corresponding author
Kenan Topal   

Department of Family Medicine, Pamukkale University Faculty of Medicine, C103, 20070, Kinikli, Denizli, Turkey
Tobacco Induced Diseases 2014;12(November):20
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.

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.

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).

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.

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