Perceived stress and willingness to quit smoking among patients with depressive and anxiety disorders seeking treatment

Abstract Rationale and objectives Little are known about nicotine dependence (ND), perceived stress, and willingness to quit smoking at different treatment stages in patient with affective disorders (AD). This study aimed to evaluate the association between ND and perceived stress among patients wit...

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Main Authors: Bayan Zaid Fatani, Huda Al‐Yahyawi, AbdulAziz Raggam, Mutaz Al‐Ahdal, Sukaina Alzyoud, Ahmed N. Hassan
Format: Article
Language:English
Published: Wiley 2022-03-01
Series:Health Science Reports
Subjects:
Online Access:https://doi.org/10.1002/hsr2.503
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author Bayan Zaid Fatani
Huda Al‐Yahyawi
AbdulAziz Raggam
Mutaz Al‐Ahdal
Sukaina Alzyoud
Ahmed N. Hassan
author_facet Bayan Zaid Fatani
Huda Al‐Yahyawi
AbdulAziz Raggam
Mutaz Al‐Ahdal
Sukaina Alzyoud
Ahmed N. Hassan
author_sort Bayan Zaid Fatani
collection DOAJ
description Abstract Rationale and objectives Little are known about nicotine dependence (ND), perceived stress, and willingness to quit smoking at different treatment stages in patient with affective disorders (AD). This study aimed to evaluate the association between ND and perceived stress among patients with AD presenting with psychiatric treatment at different clinical stages (first visit or follow‐up), and in different nicotine type users (cigarette and waterpipe smokers). We also aimed to evaluate the willingness to quit smoking and its association with barriers to quitting. Methods This cross‐sectional mixed‐method study collected quantitative and qualitative data from patients (n = 57) presenting for treatment with AD and ND at different sites in Saudi Arabia. Quantitative validated scales were used to assess the 70 of depression symptoms, anxiety symptoms, perceived stress, and ND. Qualitative questions assessed barriers to quit smoking. We used a linear regression modeling to estimate the association between ND and perceived stress as well as to estimate the association between barrier to quit and willingness to quit. Results ND had a statistically significant association with perceived stress (odds ratio [OR]: 2.09; 95% confidence interval [CI]: 1.20‐3.63). Participants in the follow‐up group had a higher ND score than those in the first‐visit group. One of the most commonly reported barriers to quitting was using nicotine as a stress management (33.3%), which predicted positive willingness to quit (OR: 2.23; 95% CI: 1.48‐3.37; P < .01). Boredom was reported as a barrier in the waterpipe group more than cigarette group. Conclusion ND has a significant association with perceived stress regardless of treatment status in patients with AD, indicating the need to evaluate smoking cessation during the early stages of treatment for patients with AD and ND. It will be critical for clinicians to offer patients with AD alternative coping mechanisms to manage stress and boredom.
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spelling doaj.art-c41254bf11764b53b244720f01b9703c2024-04-03T12:41:03ZengWileyHealth Science Reports2398-88352022-03-0152n/an/a10.1002/hsr2.503Perceived stress and willingness to quit smoking among patients with depressive and anxiety disorders seeking treatmentBayan Zaid Fatani0Huda Al‐Yahyawi1AbdulAziz Raggam2Mutaz Al‐Ahdal3Sukaina Alzyoud4Ahmed N. Hassan5Department of Psychiatry King AbdulAziz Medical City Jeddah Saudi ArabiaDepartment of Medicine, Psychiatry Division King AbdulAziz University Jeddah Saudi ArabiaFaculty of Medicine University of Jeddah Jeddah Saudi ArabiaDepartment of Medicine, Psychiatry Division King AbdulAziz University Jeddah Saudi ArabiaDepartment of Community and Mental Health Nursing The Hashemite University Zarqa JordanDepartment of Medicine, Psychiatry Division King AbdulAziz University Jeddah Saudi ArabiaAbstract Rationale and objectives Little are known about nicotine dependence (ND), perceived stress, and willingness to quit smoking at different treatment stages in patient with affective disorders (AD). This study aimed to evaluate the association between ND and perceived stress among patients with AD presenting with psychiatric treatment at different clinical stages (first visit or follow‐up), and in different nicotine type users (cigarette and waterpipe smokers). We also aimed to evaluate the willingness to quit smoking and its association with barriers to quitting. Methods This cross‐sectional mixed‐method study collected quantitative and qualitative data from patients (n = 57) presenting for treatment with AD and ND at different sites in Saudi Arabia. Quantitative validated scales were used to assess the 70 of depression symptoms, anxiety symptoms, perceived stress, and ND. Qualitative questions assessed barriers to quit smoking. We used a linear regression modeling to estimate the association between ND and perceived stress as well as to estimate the association between barrier to quit and willingness to quit. Results ND had a statistically significant association with perceived stress (odds ratio [OR]: 2.09; 95% confidence interval [CI]: 1.20‐3.63). Participants in the follow‐up group had a higher ND score than those in the first‐visit group. One of the most commonly reported barriers to quitting was using nicotine as a stress management (33.3%), which predicted positive willingness to quit (OR: 2.23; 95% CI: 1.48‐3.37; P < .01). Boredom was reported as a barrier in the waterpipe group more than cigarette group. Conclusion ND has a significant association with perceived stress regardless of treatment status in patients with AD, indicating the need to evaluate smoking cessation during the early stages of treatment for patients with AD and ND. It will be critical for clinicians to offer patients with AD alternative coping mechanisms to manage stress and boredom.https://doi.org/10.1002/hsr2.503anxietydepressionnicotine dependencesmokingstresswaterpipe
spellingShingle Bayan Zaid Fatani
Huda Al‐Yahyawi
AbdulAziz Raggam
Mutaz Al‐Ahdal
Sukaina Alzyoud
Ahmed N. Hassan
Perceived stress and willingness to quit smoking among patients with depressive and anxiety disorders seeking treatment
Health Science Reports
anxiety
depression
nicotine dependence
smoking
stress
waterpipe
title Perceived stress and willingness to quit smoking among patients with depressive and anxiety disorders seeking treatment
title_full Perceived stress and willingness to quit smoking among patients with depressive and anxiety disorders seeking treatment
title_fullStr Perceived stress and willingness to quit smoking among patients with depressive and anxiety disorders seeking treatment
title_full_unstemmed Perceived stress and willingness to quit smoking among patients with depressive and anxiety disorders seeking treatment
title_short Perceived stress and willingness to quit smoking among patients with depressive and anxiety disorders seeking treatment
title_sort perceived stress and willingness to quit smoking among patients with depressive and anxiety disorders seeking treatment
topic anxiety
depression
nicotine dependence
smoking
stress
waterpipe
url https://doi.org/10.1002/hsr2.503
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