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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Format: | Article |
Language: | English |
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Wiley
2022-03-01
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Series: | Health Science Reports |
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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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format | Article |
id | doaj.art-c41254bf11764b53b244720f01b9703c |
institution | Directory Open Access Journal |
issn | 2398-8835 |
language | English |
last_indexed | 2024-04-24T14:01:31Z |
publishDate | 2022-03-01 |
publisher | Wiley |
record_format | Article |
series | Health Science Reports |
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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