Depression and Smoking Cessation: Evidence from a Smoking Cessation Clinic with 1-Year Follow-Up

Štěpánková, Lenka; Králíková, Eva; Zvolská, Kamila; Pánková, Alexandra; Ovesná, Petra; Bláha, M.; Brose, Leonie S.

doi:10.1007/s12160-016-9869-6

Cited by 67 publications

(49 citation statements)

References 37 publications

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“…35,36 A study reported that smoking cessation led to depression, 37 suggesting that it might be better to let depressed patients smoke, thereby discouraging the smoking cessation recommendation to these patients. However, given mounting evidence on how to treat smoking patients with mental disorders, 38 and the latest empirical evidence suggesting that smoking cessation actually decreases depression, 39,40 it is worth focusing more on smoking cessation among patients with conditions such as depression.…”

Section: Discussionmentioning

confidence: 99%

Health behaviors in major chronic diseases patients: Trends and regional variations analysis, 2008–2017, Korea

Jeon

Pyo

Park

et al. 2020

Preprint

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Background: Improving the health behaviors of those with chronic diseases such as hypertension and diabetes is important for disease management. Few in-depth studies have been conducted in Korea on the health behaviors of chronic disease patients. This study examined the health behaviors of chronic disease patients over time and compared them with those of the general population.Methods: Data obtained from the Korea Community Health Survey from 2008 to 2017 were analyzed. Thirteen diseases were included in this analysis, namely, hypertension, diabetes, dyslipidemia, stroke, myocardial infarction, angina, osteoarthritis, osteoporosis, asthma, allergic rhinitis, atopic dermatitis, cataract, and depression. The current smoking rate, drinking rate, and the walking rate, which are leading health behaviors necessary for preventing chronic diseases, were analyzed by disease type. We compared patients’ health behaviors with those of the general population and identified regional variations.Results: Although the current overall smoking rate was seemingly declining, the overall monthly drinking and high-risk drinking rates were increasing. In 2017, patients experiencing depression symptoms had a higher smoking rate than did the general population; hypertension and diabetes patients had a higher risk-drinking rate than did the latter. The general population’s walking rate was highest. There were considerable variations by region among chronic disease patients.Conclusions: Chronic disease patients displayed worse health behaviors than those of the general population, in some instances. Rather than focusing only on chronic disease patients’ medication adherence, strategies must be devised to improve their smoking cessation rate, decrease their drinking rate, and increase their walking rate.

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Section: Discussionmentioning

confidence: 99%

Health behaviors in major chronic diseases patients: Trends and regional variations analysis, 2008–2017, Korea

Jeon

Pyo

Park

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Health behaviors in major chronic diseases patients: Trends and regional variations analysis, 2008–2017, Korea

Jeon

Pyo

Park

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Improving the health behaviors of those with chronic diseases such as hypertension and diabetes is important for disease management. Few in-depth studies have been conducted in Korea on the health behaviors of chronic disease patients. This study examined the health behaviors of chronic disease patients over time and compared them with those of the general population.Methods: Cross-sectional time-series data obtained from the Korea Community Health Survey from 2008 to 2017 were analyzed. Thirteen diseases were included in this analysis, namely, hypertension, diabetes, dyslipidemia, stroke, myocardial infarction, angina, osteoarthritis, osteoporosis, asthma, allergic rhinitis, atopic dermatitis, cataract, and depression. The current smoking rate, drinking rate, and the walking rate, which are leading health behaviors necessary for preventing chronic diseases, were analyzed by disease type. We compared patients’ health behaviors with those of the general population and identified regional variations.Results: Although the current overall smoking rate was seemingly declining, the overall monthly drinking and high-risk drinking rates were increasing. In 2017, patients experiencing depression symptoms had a higher smoking rate than did the general population; hypertension and diabetes patients had a higher risk-drinking rate than did the latter. The general population’s walking rate was highest. There were considerable variations by region among chronic disease patients.Conclusions: Chronic disease patients displayed worse health behaviors than those of the general population, in some instances. Rather than focusing only on chronic disease patients’ medication adherence, strategies must be devised to increase their smoking cessation rate, decrease their drinking rate, and increase their walking rate.

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“…distress in patients with [36] and without [37] clinical levels of depression and anxiety. Similarly, reductions in smoking can also lead to reductions in psychological distress [38], but as depression severity is related to the likelihood of cessation success [38], there may be a need to treat the psychological distress in parallel with smoking cessation. The addition of psychosocial support to smoking cessation interventions has been shown to increase long-term cessation rates in smokers with depression in contrast to smoking cessation alone [39].…”

Section: Level Of Copd Riskmentioning

confidence: 99%

Psychological distress is related to poor health behaviours in COPD and non-COPD patients: Evidence from the CanCOLD study

Paine

Bacon

Bourbeau

et al. 2019

Respiratory Medicine

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Background: Patients with psychiatric disorders (depression, anxiety) are more likely to have poor health behaviours, including higher smoking and lower physical activity (PA) levels. Smoking is a major risk factor for Chronic Obstructive Pulmonary Disease (COPD), and PA is critical for COPD management. However, no studies have assessed associations between psychological distress and these behaviours among patients with vs without COPD. This is a sub-analysis of the CanCOLD study that assessed the relationships between psychological disorders (depression, anxiety) and poor health behaviours (smoking, PA). Methods: 717 COPD and 797 matched non-COPD individuals from the CanCOLD study, completed the Hospital Anxiety Depression Scale (HADS) to assess anxiety and depression. Smoking behaviour was self-reported packyears smoking. The CHAMPS PA questionnaire determined calorific expenditure as a PA measure. Regressions determined relationships between anxiety/depression and health behaviours, adjusting for age, sex, BMI, GOLD stage and COPD status. Results: Across the whole sample, we observed relationships between depression (β = 1.107 ± 0.197; 95%CI = 0.691-1.462; p < .001) and anxiety (β = 0.780 ± 0.170; 95%CI = 0.446-1.114; p < .001) and pack years. Higher depression (β = −0.220 ± 0.028; 95%CI = −0.275 to −0.165; p < .001) and anxiety (β = −0.091 ± 0.025; 95%CI = −0.139 to −0.043; p < .001) scores were related to lower PA. These associations were comparable across COPD and non-COPD patients. Conclusions: Results showed that higher levels of anxiety and depression were related to higher cumulative smoking and lower levels of PA in patients with and without COPD, suggesting symptoms of psychological T distress is similarly associated with poorer health behaviours in COPD and non-COPD individuals. Future studies need to determine if treating symptoms of psychological distress can improve health behaviours and outcomes in this population. Other disclosuresThere are no conflicts of interest relevant to the submitted work.

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Depression and Smoking Cessation: Evidence from a Smoking Cessation Clinic with 1-Year Follow-Up

Cited by 67 publications

References 37 publications

Health behaviors in major chronic diseases patients: Trends and regional variations analysis, 2008–2017, Korea

Health behaviors in major chronic diseases patients: Trends and regional variations analysis, 2008–2017, Korea

Health behaviors in major chronic diseases patients: Trends and regional variations analysis, 2008–2017, Korea

Psychological distress is related to poor health behaviours in COPD and non-COPD patients: Evidence from the CanCOLD study

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