Fakhfakh R, Aouina H, Gharbi L, Hsairi H, Achour N, Lagrue G, Bouacha H
Institut National de Santé Publique, Le Belvédère, Tunis, Tunisie.
Rev Mal Respir. 2003 Dec;20(6 Pt 1):850-7.
The aim of this study was to describe the incidence of depression and anxiety, and their relationship with smoking dependence, in patients attending a Tunisian smoking cessation clinic.
We studied 72 Tunisian smokers attending the smoking-cessation clinic at the Charle Nicolle Hospital in Tunis. Nicotine dependence was assessed by the Fageström Test for Nicotine Dependence. Anxiety and depression symptoms were measured using the HAD (Hospital Anxiety Depression) Scale.
The prevalence of anxiety and depression was 22.9% (16 patients) and 20% (14 patients) respectively with four patients (7.1%) exhibiting symptoms of both. Overall, 50% of the group had emotional morbidity with high HAD scores for depression or anxiety, or both. Smokers with symptoms of anxiety and/or depression had higher physical and psychological dependence, smoked more at times of stress, had a reduced quitting rate and endured more withdrawal symptoms than those smokers without anxiety or depression.
The data of this survey from Tunisia, a country that has just put in place a tobacco control strategy, underline the high rates of anxiety and depression that exist in patients attending a smoking cessation clinic. It confirms the association between anxio-depressive disorders and a high level of smoking dependence.
本研究旨在描述在突尼斯一家戒烟诊所就诊的患者中抑郁症和焦虑症的发病率，以及它们与吸烟依赖的关系。
我们研究了在突尼斯查尔斯·尼科勒医院戒烟诊所就诊的72名突尼斯吸烟者。通过尼古丁依赖的法格斯特伦测试评估尼古丁依赖程度。使用医院焦虑抑郁量表（HAD）测量焦虑和抑郁症状。
焦虑症和抑郁症的患病率分别为22.9%（16例患者）和20%（14例患者），4例患者（7.1%）同时出现两种症状。总体而言，该组中有50%的人存在情绪问题，抑郁或焦虑的HAD得分较高，或两者皆高。有焦虑和/或抑郁症状的吸烟者在身体和心理上的依赖程度更高，在压力大的时候吸烟更多，戒烟率更低，并且比没有焦虑或抑郁的吸烟者忍受更多的戒断症状。
这项来自突尼斯（一个刚刚实施烟草控制策略的国家）的调查数据突显了在戒烟诊所就诊的患者中存在的高焦虑和抑郁率。它证实了焦虑抑郁障碍与高度吸烟依赖之间的关联。
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