Effects of tobacco exposure on perinatal suicidal ideation, depression, and anxiety

Weng, Shu Chuan; Huang, Jian; Huang, Ya; Lee, Tony Szu Hsien; Chen, Yi Hua

doi:10.1186/s12889-016-3254-z

Cited by 40 publications

(50 citation statements)

References 70 publications

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“…Durante a progressão da gravidez, a placenta produz e libera exponencialmente o hormônio liberador de corticotrofina (CRH), que altera o eixo hipotálamo-hipófise-adrenal e está totalmente relacionado com a resposta ao estresse 12 . A nicotina afeta vários neurotransmissores que têm influência na fisiopatologia da depressão através da ativação ou dessensibilização dos receptores nicotínicos.…”

Section: Fatores De Riscounclassified

“…A nicotina afeta vários neurotransmissores que têm influência na fisiopatologia da depressão através da ativação ou dessensibilização dos receptores nicotínicos. Esses receptores interferem no sistema neuroendócrino e estão envolvidos na depressão e no eixo hipotálamo-hipófise-adrenal 12 . A nicotina pode aumentar a quantidade de CRH e de hormônio adrenocorticotrófico, resultando em aumento dos níveis de cortisol e, consequentemente, afetando o humor, a cognição e o comportamento.…”

Section: Fatores De Riscounclassified

“…A nicotina pode aumentar a quantidade de CRH e de hormônio adrenocorticotrófico, resultando em aumento dos níveis de cortisol e, consequentemente, afetando o humor, a cognição e o comportamento. Estudos sugerem que pessoas expostas ao fumo passivo têm menores níveis de dopamina e ácido gama-aminobutírico (GABA) 12 . Weng et al 12 determinaram que gestantes expostas ao fumo passivo têm maior chance de terem depressão perinatal e ideação suicida.…”

Section: Fatores De Riscounclassified

“…Estudos sugerem que pessoas expostas ao fumo passivo têm menores níveis de dopamina e ácido gama-aminobutírico (GABA) 12 . Weng et al 12 determinaram que gestantes expostas ao fumo passivo têm maior chance de terem depressão perinatal e ideação suicida.…”

Section: Fatores De Riscounclassified

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Tabagismo e gravidez

Cavalsan¹,

Rennó²,

Rocha³

et al. 2017

Debates em Psiquiatria

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-revista debates em psiquiatria ResumoOs dados da literatura são unânimes em confirmar os malefícios do fumo na população geral e, sobretudo, em gestantes. Fumo na gestação é preditor para resultados adversos no nascimento, como nascimento prematuro e baixo peso ao nascer, bem como para maior mortalidade fetal e infantil. A abstinência do cigarro sempre deve ser estimulada em gestantes. Para maior sucesso do tratamento, devem-se considerar as vulnerabilidades sociais, as doenças associadas (principalmente depressão e ansiedade), o nível de maturidade emocional, o desejo pela gestação e as incertezas sobre o futuro. O objetivo deste artigo é identificar as gestantes que estão mais propensas a permanecer fumando durante a gestação, orientar sobre a abordagem médica, avaliando se há tratamentos seguros durante a gravidez e qual a melhor modalidade terapêutica a ser oferecida. Atualmente, a terapia comportamental, em especial a terapia cognitiva comportamental, é o melhor tratamento para a abstinência do cigarro, para pacientes gestantes ou não. Em caso de dependência grave de nicotina, é necessária a introdução de medicações. A medicação mais usada é a bupropiona, apesar de os estudos ainda não garantirem a sua segurança em relação ao feto. Na prática, não se observam complicações nas gestantes e nos fetos.Palavras-chave: Gestação, fumo, tratamento. AbstractThe literature is consistent in confirming the harmful effects of smoking in the general population and especially in pregnant women. Smoking during pregnancy is a predictor of adverse birth outcomes, such as preterm birth and low birth weight, as well as of increased fetal and infant mortality. Smoking cessation should always be stimulated in pregnant women. To increase treatment success, it is important to consider social vulnerabilities, associated diseases (especially depression and anxiety), emotional maturity, whether or not the pregnancy was desired, and uncertainties about the future. The objectives of this article were to identify the pregnant women who are more vulnerable to continue smoking during pregnancy, to provide guidance on the management of these cases, evaluating the availability of treatments that can be used safely during pregnancy, and to identify the best treatment to offer to these women. Currently, behavioral therapy, especially cognitive behavioral therapy, is the best treatment available for smoking cessation, both for pregnant women and in general. Severe nicotine dependence may require pharmacotherapy. In these cases, the medication most commonly used is bupropion, despite the lack of evidence regarding its safety for the fetus. In clinical practice, no complications for the fetus or for the pregnant women have been reported.

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Tabagismo e gravidez

Cavalsan¹,

Rennó²,

Rocha³

et al. 2017

Debates em Psiquiatria

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“…Psychological factors can likewise play an important role in the development of psycho-social problems such as smoking and substance abuse in adolescents (9,10). Accordingly, one of the psychological factors affecting smoking tendency is known as perceived stress, which can provide conditions for different mental and social problems (11).…”

Section: Introductionmentioning

confidence: 99%

The Mediating Role of Emotion Regulation in Relationship Between Criticism and Cigarette Smoking Among Male Adolescents

Nosratabadi¹,

Halvaiepour²

2018

Int J High Risk Behav Addict

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Background: Tobacco use is one of the major preventable causes of death in the world and is one of the most prevalent public health problems in Iran. Cigarette cravings are influenced by various psycho-social factors. Objectives: This study aimed to investigate craving a cigarette based on perceived criticism by parents, dose of usage, and emotional self-regulation in adolescents. Methods: This study was performed as a cross-sectional self-reported questionnaire and structural equation modeling. A sample of 350 male students were randomly selected from different high schools in Isfahan. Three questionnaires including Hooked on nicotine checklist, emotion regulation inventory, and perceived criticism scale were employed. Data were analyzed using the Chisquare, correlation coefficient, and structural modeling tests. In this regard, SPSS and AMOS software were used. Results:The results of this study showed that 34.4% of students had experienced smoking more than 20 cigarettes throughout their lifetime. There was a significant correlation between emotional reappraisal (r =-0.48), expressive suppression (r = -0.58), and perceived criticism (r = 0.56) with cigarette cravings (P < 0.001). In addition to direct effect, perceived criticism through the emotional self-regulation and dose of usage had indirect effects on nicotine cravings. A total of 61% of variance in cravings towards nicotine was explained by the variables. Discussion and Conclusion: In total, the results of this study revealed that high levels of smoking tendency in students is a crucial issue; therefore, students' psychological problems such as negative experiences is associated with criticism by parents, adaptive emotion-regulation strategies, and prevention of smoking. Cautions regarding adverse health and social consequences of smoking to students should be taken into consideration by authorities and families.

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Experiential avoidance, thought suppression, meta‐cognition, and body‐checking among women during pregnancy and postpartum: Buffering effect of self‐compassion

Ilyas,

Tariq,

Asim

et al. 2024

Intl J Gynecology & Obste

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ObjectiveThe present study attempted to explore the psychological experiences of experiential avoidance, thought suppression, meta‐cognition, self‐compassion and body‐checking during two stages of maternity (pregnancy and postpartum) among women embracing maternity for the first time.MethodsThe study used a cross sectional correlational design and enrolled 306 women participants who were in their third trimester of pregnancy or of postpartum (pregnant = 154 [50.3%]; postpartum = 152 [49.7%]) with ages ranging between 20 and 35 years (M = 26.62; SD = 2.19). The data was collected using the Brief Experiential Avoidance Questionnaire (BEAQ); Thought Control Questionnaire (TCQ); Metacognitions Questionnaire (MCQ); Self‐Compassion Scale (SCS), and Body‐checking Questionnaire (BCQ). Data was subjected to statistical analysis using SPSS version 21.ResultsA significant positive association was observed between experiential avoidance, thought suppression, meta‐cognition, and body‐checking while self‐compassion showed reverse association with these variables. The body‐checking outcome was significantly negatively predicted by self‐compassionate attitude and positively by thought suppression in both groups (i.e., pregnant and postpartum). The experiential avoidance positively predicted body‐checking among women in post‐partum group only. Moreover, a mediating association of experiential avoidance and a moderating effect of self‐compassion (self‐kindness and common humanity) and meta‐cognition (positive beliefs about worry and need to control thought) were also observed to moderate between thought suppression and body‐checking outcomes.ConclusionThe study concluded that experiential avoidance and thought suppression contribute in developing body‐checking behaviors among women who are pregnant or at postpartum stage of maternity. In addition, self‐compassion and meta‐cognition moderate this association with self‐compassion playing potential buffer.

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Effects of tobacco exposure on perinatal suicidal ideation, depression, and anxiety

Cited by 40 publications

References 70 publications

Tabagismo e gravidez

Tabagismo e gravidez

The Mediating Role of Emotion Regulation in Relationship Between Criticism and Cigarette Smoking Among Male Adolescents

Experiential avoidance, thought suppression, meta‐cognition, and body‐checking among women during pregnancy and postpartum: Buffering effect of self‐compassion

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