Ghali Héla, Rejeb Oussama Ben, Fredj Sihem Ben, Khéfacha Salwa, Dhidah Lamine, Rejeb Mohamed Ben, Latiri Houyem Said
Department of Prevention and Security of Care, Hospital of Sahloul, Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia.
Department of Cardiology, Hospital of Farhat Hached, Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia.
J Egypt Public Health Assoc. 2019 Feb 20;94(1):9. doi: 10.1186/s42506-019-0012-y.
Smokers with comorbid anxio-depressive disorders are more prone to progress to a more severe level of dependence and to experience more severe nicotine withdrawal symptoms than smokers without anxio-depressive disorders.
To determine the relationship between tobacco dependence and anxio-depressive disorders as well as assessing their impact on the withdrawal.
We conducted a cross-sectional study among attendees of the smoking cessation clinic of Sahloul University Hospital, Sousse, Tunisia, from December 2009 to May 2015. The monitoring of the attendees was performed through retrieving the records until May 2016 in order to verify their smoking cessation status at 1 year.
Overall, 534 smokers were included. We identified 315 smokers (59%) presenting an anxio-depressive disorder. Based on the HAD scale, we found 231 patients (43.4%) with anxiety disorders, 200 (37.6%) patients with depressive disorders, and 116 (21.8%) patients with anxio-depressive disorder. In multivariate analysis, only a high number of consultation was associated with a better rate of tobacco cessation at 6 months. However, no factor was found linked to the relapse at 1 year.
According to our results, only a high number of consultation was revealed as an independent factor of withdrawal for anxio-depressed smokers. It is necessary to simultaneously use the nicotinic substitutions and anxio-depressive treatment to ensure the tobacco cessation.
与无焦虑抑郁障碍的吸烟者相比，患有共病焦虑抑郁障碍的吸烟者更易发展为更严重的依赖水平，并经历更严重的尼古丁戒断症状。
确定烟草依赖与焦虑抑郁障碍之间的关系，并评估它们对戒断的影响。
2009年12月至2015年5月，我们在突尼斯苏塞市萨赫卢勒大学医院戒烟门诊的就诊者中进行了一项横断面研究。通过检索记录对就诊者进行监测，直至2016年5月，以核实他们1年后的戒烟状态。
总共纳入了534名吸烟者。我们确定了315名（59%）患有焦虑抑郁障碍的吸烟者。根据医院焦虑抑郁量表（HAD），我们发现231名（43.4%）患者患有焦虑症，200名（37.6%）患者患有抑郁症，116名（21.8%）患者患有焦虑抑郁障碍。在多变量分析中，只有大量的咨询与6个月时较好的戒烟率相关。然而，未发现有因素与1年时的复吸有关。
根据我们的结果，只有大量咨询被揭示为焦虑抑郁吸烟者戒断的独立因素。有必要同时使用尼古丁替代疗法和焦虑抑郁治疗来确保戒烟。
