The effect psychological factors in smoke cessation
Kaya, E. (2005) The effect psychological factors in smoke cessation. Anatolian Journal of Psychiatry (Anadolu Psikiyatri Dergisi), 6 (4). pp. 245-250.
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Objective: The aim of the present study was to evaluate effects of psychological factors on success in quitting smoking in patients applying to a smoking cessation clinic for the purpose of quitting smoking. Methods: Study group was consisted of 76 volunteer patients applying to the Smoking Cessation Clinic of Celal Bayar University, Medical Faculty between October 2002 and December 2003 for the purpose of quitting smoking. After the socio-economic data had been collected, the psychiatric diagnosis, nicotine addiction and addiction duration of the patients were evaluated based on DSM-IV diagnostic criteria following SCID interview. A week before quitting smoking, Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), Hamilton Depression Rating Scale (Ham-D) and Hamilton Anxiety Rating Scale (HARS) scales were applied. Patients were evaluated three times during the 2 months after quitting smoking, and they were telephone interviewed at least 4 months following smoking cessation and asked their smoking status. Patients who were not smoking during these phone interviews held after 4 months were considered to have quit smoking. Results: Regarding gender, education, marital status, presence of an organic disorder, duration of smoking, age at initiation of cigarette smoking, amount of daily- consumed cigarettes and number of attempts to quit smoking, there were no significant differences between the groups that quit and did not quit smoking. The success in smoking cessation was significantly low in those who had mental illnesses. Compared to the group that quit smoking, the mean scores of the psychometric tests were found to be significantly high in those that did not quit smoking. Conclusion: A psychiatric examination should be held in the patients who will be enrolled in smoking cessation programs. Taking the necessary cautions for anxiety and depressive findings prior to smoking cessation may increase the success rate of quitting smoking.
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