Associations among Depression Symptoms with Alcohol and Smoking Tobacco Use in Adult Patients with Congenital Heart Disease

Khan, Munziba; Monaghan, Maureen; Klein, Nancy; Ruiz, George; John, Anitha S.

doi:10.1111/chd.12282

Cited by 22 publications

(16 citation statements)

References 21 publications

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“…The observed difference in weekly alcohol intake was not statistically significant between the high and low level depression groups participants, and in fact was less in participants with depression. This finding differs from previous research which has identified an association between increased alcohol consumption and depressive symptoms [ 40 ]. It is difficult to explain this result, but it might be related to the multi-comorbid conditions of the participants in this study, which may require a restriction in alcohol intake.…”

Section: Discussioncontrasting

confidence: 99%

Factors associated with acute depressive symptoms in patients with comorbid depression attending cardiac rehabilitation

Sever

Golder

Doherty

2018

BMC Cardiovasc Disord

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BackgroundThe literature suggests that comorbid depression, defined in this paper as a history of depression prior to a cardiovascular event, has an impact on later onset depression as well as constituting increased risk of mortality and adverse cardiac events. However, which factors are associated with depression, specifically in patients with comorbid depression, is unclear. Therefore, this paper investigates the factors associated with depression in patients with comorbid depression attending cardiac rehabilitation (CR).MethodsThis observational study used routinely collected data from the British Heart Foundation National Audit of Cardiac Rehabilitation for the time period between April 2012 and March 2017. CR participants with comorbid depression were selected as the study population. An independent t-test and chi-square test were used to compare the association between acute depression symptoms and baseline characteristics in this population.ResultsA total of 2715 CR patients with comorbid depression were analysed. Characteristics associated with acute depressive symptoms in patients with comorbid depression were found to be: young age (MD: 2.71, 95% CI 1.91, 3.50), increased number of comorbidities (MD: -0.50, 95% CI -0.66, − 0.34), increased weight (MD: -1.94, 95% CI -3.35, − 0.52), high BMI (MD: -1.94, 95% CI -3.35, − 0.52), HADS anxiety (MD: -5.17, 95% CI -5.47, − 4.87), comorbid anxiety (52.4%, p < 0.001), physical inactivity (150 min moderate physical activity a week and 75 min vigorous exercise a week; 27.5%, p < 0.001; 5.6%, p < 0.001 respectively), smoking (12.7%, p < 0.001), and being less likely to be partnered (63.6%, p < 0.001).ConclusionThe study demonstrated the association between a variety of clinical and socio-demographic factors and depression. The findings of the research indicated that, at CR baseline assessment, caution must be taken with patients with comorbid depression, specifically those with higher level depressive symptoms at the start of rehabilitation. Furthermore, their multi-comorbid condition must also be taken into account. Patients with higher depression symptoms and comorbid depression scored five points higher on the HADS anxiety scale in comparison to patients with lower level depression symptoms at the start of CR, which demonstrated that anxiety and depression are interrelated and present together.

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Section: Discussioncontrasting

confidence: 99%

Factors associated with acute depressive symptoms in patients with comorbid depression attending cardiac rehabilitation

Sever

Golder

Doherty

2018

BMC Cardiovasc Disord

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“…In line with our findings, borderline personality disorder is stated to be associated with smoking or smoking continuation (28). Other studies have also considered relationship between borderline personality and smoking or substance use (29). Those in the borderline personality disorder are prone to significant emotional instability that may be considered as an explanation for the chance to experiment in smoking.…”

Section: Discussionmentioning

confidence: 99%

“…As an example, for regular smoking and for-ever use of cannabis, the correlation with borderline personality traits has been explained by common genetic factors (29). The cross-sectional nature of the study design may lead to selective survival bias and hinder drawing causal relationships.…”

Section: Limitations and Recommendations For Future Researchmentioning

confidence: 99%

Personality patterns and Smoking behavior among students in Tabriz, Iran

Fakharri¹,

Jahani²,

Sadeghi‐Bazargani³

et al. 2017

Electron physician

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IntroductionPsychological factors have always been considered for their role on risk taking behavior such as substance abuse, risky driving and smoking. The aim of this study was to determine the association between smoking behavior and potential personality patterns among high school students in Tabriz, Iran.MethodsThrough a multistage sampling in a cross-sectional study, 1000 students were enrolled to represent the final grade high school student population of Tabriz, Iran in 2013. The personality patterns along with smoking status and some background information were collected through standard questionnaires along with Millon Clinical Multiaxial Inventory-III (MCMI-III). Fourteen personality patterns and ten clinical syndromes. ANOVA and Kruskal Wallis tests were used to compare numeric scales among the study participants, with respect to their smoking status. Stata version 13 statistical software package was used to analyze the data. Multivariate logistic regression was used to predict likelihood of smoking by personality status.ResultsTwo logistic models were developed in both of whom male sex was identified as a determinant of regular smoking (1st model) and ever-smoking (2nd model). Depressive personality increased the likelihood of being a regular smoker by 2.8 times (OR=2.8, 95% CI: 1.3–6.1). The second personality disorder included in the model was sadistic personality with an odds ratio of 7.9 (96% CI: 1.2–53%). Histrionic personality increased the likelihood of experiencing smoking by 2.2 times (OR=2.2, 95% CI: 1.6–3.1) followed by borderline personality (OR=2.8, 95% CI: 0.97–8.1).ConclusionHistrionic and depressive personalities could be considered as strong associates of smoking, followed by borderline and sadistic personalities. A causal relationship couldn’t be assumed unless well controlled longitudinal studies reached the same findings using psychiatric interviews.

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“…Oral health is no exception, as such patients often present oral pathologies specific to their condition or to other external factors [8]. There also appears to be a positive association between depression and alcohol and tobacco use in the general population [9].…”

Section: Introductionmentioning

confidence: 99%

Influence of Depression and Use of Alcohol and / or Tobacco by Parents in the Oral Health of Children with Disabilities

Gárate

Cotrim

Brasil

et al. 2021

Pesqui. Bras. Odontopediatria Clín. Integr.

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Objective: To investigate the influence of parental depression and substance use in the oral health care of children with disabilities. Material and Methods: A cross-sectional study was conducted involving 151 children with disabilities and their parents/caregivers. To detect the presence of depression and alcohol or tobacco use, the parents/caregivers answered three questionnaires: two versions of the Patient Health Questionnaire (PHQ), AUDIT (Alcohol Use Disorders Identification Test), and the Fagerstrom Test for Nicotine Dependence (FTND). Then, the children with disabilities underwent oral examination to evaluate biofilm control, gingival condition and the dental carie index (decayed, missing, and filled teeth-dmft ̸ DMFT). Results: There was a statistically significant association between tobacco use and dental caries in deciduous teeth (p=0.046). The children of smokers had six times greater need for dental treatment than that of non-smokers (OR= 6.36; CI= 1.3-30.5). There was no statistically significant association between the oral health of the children with disabilities and parental alcohol consumption and depression (p>0.05). Children with medical condition had a higher need for dental treatment than children with intellectual disability (p=0.003). Conclusion: Parental smoking habits increase dental caries in the deciduous teeth of children with disabilities, but parental depression and alcohol use do not influence the oral health of children with disabilities. Children with medical condition have more treatment needs than children with intellectual disability.

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Associations among Depression Symptoms with Alcohol and Smoking Tobacco Use in Adult Patients with Congenital Heart Disease

Cited by 22 publications

References 21 publications

Factors associated with acute depressive symptoms in patients with comorbid depression attending cardiac rehabilitation

Factors associated with acute depressive symptoms in patients with comorbid depression attending cardiac rehabilitation

Personality patterns and Smoking behavior among students in Tabriz, Iran

Influence of Depression and Use of Alcohol and / or Tobacco by Parents in the Oral Health of Children with Disabilities

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