Risk of Psychiatric Morbidity in Patients with Tobacco Habits: A Cross-Sectional Study
Introduction: Tobacco cessation is a challenging arena for healthcare professionals. Many patients seem to be unable to quit tobacco despite of knowing its ill-effects and several efforts. It has been speculated that patients’ psychosocial status may be associated with his/her dependence on toba...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2017-07-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/10172/26824_CE[Ra1]_F(GH)_PF1(SY_SS)_PFA(RU_SY).pdf |
| Summary: | Introduction: Tobacco cessation is a challenging arena for
healthcare professionals. Many patients seem to be unable to
quit tobacco despite of knowing its ill-effects and several efforts.
It has been speculated that patients’ psychosocial status may
be associated with his/her dependence on tobacco and there
could be some amount of psychiatric morbidity associated with
chronic and compulsive use of tobacco. However, very few
studies have been conducted to explore this aspect of tobacco
dependence.
Aim: To assess psychiatric morbidity in tobacco users as
compared to non-users of tobacco.
Materials and Methods: This cross-sectional study included
200 patients reporting to a Dental College who consented to
participate in the study. The study consisted of two groups;
first consisting 100 tobacco users and another age and gender
matched group of 100 non-users of tobacco. Dependence to
tobacco products amongst the study group was assessed
using International classification of Diseases-10 (ICD-10)
criteria. General Health Questionnaire – 28 (GHQ-28) was
used to assess the psychological morbidity amongst both the
groups. Statistical analysis was done using SPSS 21.0 version.
Chi square test and Pearson’s correlation coefficient were used
to assess the difference in proportion and correlation between
variables respectively.
Results: A 79% of tobacco users showed dependence on
tobacco according to ICD-10 criteria. GHQ-28 scores analysis
revealed that 61% of tobacco users with a score of 24 or above
in contrast to only 17% of non-tobacco users. Tobacco users
were observed to be 7.63 folds at a higher risk of developing
psychiatric morbidity than non-users of tobacco (p-value<
0.001).
Conclusion: There appears to be a significant risk of
psychiatric morbidity prevalent amongst tobacco users. Hence,
psychosocial counselling must be considered as a part of
tobacco cessation strategy. |
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| ISSN: | 2249-782X 0973-709X |