Systematic review and meta-analysis of the impact of depression on subsequent smoking cessation in patients with chronic respiratory conditions

Ho, Shu Ying; Alnashri, Nora Talal; Rohde, Daniela; Murphy, Paul; Doyle, Frank

doi:10.1016/j.genhosppsych.2015.05.002

Cited by 12 publications

(8 citation statements)

References 33 publications

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“…Ever-smoking in present study also had a most probable association with borderline personality. 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).…”

Section: Discussionsupporting

confidence: 91%

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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Section: Discussionsupporting

confidence: 91%

Personality patterns and Smoking behavior among students in Tabriz, Iran

Fakharri¹,

Jahani²,

Sadeghi‐Bazargani³

et al. 2017

Electron physician

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“…Additionally, we did not record the presence of other comorbid conditions in addition to the presenting problem, including psychiatric disorders. Given that depression is associated with less successful quit attempts in a number of health conditions such as respiratory conditions and chronic heart disease (Doyle et al, 2014;Ho, Alnashri, Rohde, Murphy, & Doyle), it is suggested for future research that access to medical chart information is essential to assess co-morbid conditions and smoking status (Mellon et al, 2015). A strength of the present study was the use of participant interview and iPad methodologies for data collection purposes, which allowed for clarification of participant misunderstandings of items in the survey, and ensured valid responses were provided to all questions.…”

Section: Discussionmentioning

confidence: 99%

Smoking, attitudes to smoking and provision of smoking cessation advice in two teaching hospitals in Ireland: do smoke-free policies matter?

Ohakim

Mellon

Jafar

et al. 2015

Health Psychology and Behavioral Medicine

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Brief cessation advice from health-care professionals in the hospital setting significantly increases the likelihood of patients quitting smoking, yet patients are not routinely provided with this advice. Smoke-free hospital policies aim to protect individuals from the adverse effects of smoking; however, it is unclear if such policies encourage systematic delivery of cessation advice by health-care professionals. The study's aim was to determine the prevalence of smoking and cessation advice received by in-patients in two teaching hospitals in Ireland which have implemented smoke-free hospital policies, and to examine patient attitudes towards smoking cessation. Change in smoking prevalence and delivery of smoking cessation advice prior to and post-policy implementation was also examined in one hospital. This study surveyed 466 in-patients across 2 hospital sites, over a 3-week and 5week period, respectively. Data were also compared to a survey completed prior to the implementation of the smoke-free policy in one of the hospital sites. Smoking prevalence was 17% in Beaumont Hospital and 28% in Connolly Hospital. Overall, nicotine dependence was low (Mean Fagerström Test for Nicotine Dependence = 4.21, ±2.9). Overall, 62% of smokers did not receive smoking cessation advice from a health professional, although 55% indicated a willingness to engage with this type of service. The before-and-after analysis of Beaumont Hospital showed a reduction in smoking prevalence (17% vs 21%) amongst hospital in-patients, and a 6% increase in reported cessation advice provided following the introduction of the hospital smoke-free policy. Smoke-free hospital policies play a role in decreasing the prevalence of in-patient smokers, but further intervention is needed to increase rates of cessation advice provided. Positive attitudes to smoking cessation, coupled with low average nicotine dependence, suggest that lowintensity interventions would be beneficial for most smokers. A systematic focus on provision of brief smoking cessation advice is needed in hospitals.

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“…Although the pathways associated with comorbidity of CHCs and MHCs are complex and bidirectional, 24 clients who have both CHCs and MHCs have a greater burden of symptoms, increased functional impairment, poorer health consequences, and lower smoking cessation outcomes compared with those who do not have an existing health condition. [25][26][27] Although CHCs and MHCs co-occur in smokers, few services address the needs of this high-risk population. Despite evidence that tobacco cessation can improve mental health, 28 smokers with MHCs face unique barriers to quitting, which is partly attributed to provider beliefs, attitudes, and misperceptions about quitting among people with MHCs (eg, interference with sobriety, inability to quit).…”

Section: Discussionmentioning

confidence: 99%