Suppr超能文献

印度一家三级护理医院中寻求治疗的慢性阻塞性肺疾病患者,其共病精神障碍与确诊后持续吸烟之间的关联。

Association Between Comorbid Psychiatric Disorders and Persistent Smoking After a Diagnosis of Chronic Obstructive Pulmonary Disease Among Patients Seeking Treatment at a Tertiary Care Hospital in India.

作者信息

Uikey Mahendra S, Dayal Prabhoo

机构信息

Psychiatry, All India Institute of Medical Sciences, New Delhi, IND.

National Drug Dependence Treatment Centre, All India Institute of Medical Sciences, New Delhi, IND.

出版信息

Cureus. 2023 Apr 17;15(4):e37688. doi: 10.7759/cureus.37688. eCollection 2023 Apr.

Abstract

Introduction Smoking cessation is the most effective approach to slowing down the progression of chronic obstructive pulmonary disease (COPD). Despite this, almost half of COPD patients continue to smoke after diagnosis. COPD patients with current smoking status are more likely to have concurrent psychiatric comorbidities, for instance, depression and anxiety. These psychiatric disorders can contribute to the persistence of smoking in individuals with COPD. This study aimed to investigate predictors of smoking persistence in COPD patients. Materials and methods A cross-sectional study was conducted in the Outpatient Department (OPD) of the Department of Pulmonary Medicine in a tertiary care hospital from August 2018 to July 2019. Patients with COPD were screened for their smoking status. All subjects were then personally assessed for any psychiatric comorbidity using the Mini International Neuropsychiatric Interview (MINI), the Patient Health Questionnaire-9 (PHQ-9), and the Anxiety Inventory for Respiratory (AIR) Disease. Logistic regression was performed to compute the odds ratio (OR).  Results The study included a total of 87 COPD patients. Of the 87 COPD patients, 50 were current smokers, and 37 were past smokers. COPD patients with psychiatric disorders were four times more likely to continue smoking than those without psychiatric comorbidities (OR: 4.62, 95% CI: 1.46-14.54). The results showed that increasing PHQ-9 scores by one unit in COPD patients increased the likelihood of continuing to smoke by 27 percent. Conclusion In our multivariate analysis, current depression was found as a significant predictor of continued smoking in COPD patients. The present results are consistent with reports from previous research that depressive symptoms are associated with continued smoking in patients with COPD. COPD patients who are currently smoking should be examined for psychiatric disorders and treated concurrently to achieve effective smoking cessation.

摘要

引言

戒烟是减缓慢性阻塞性肺疾病(COPD)进展的最有效方法。尽管如此,几乎一半的COPD患者在确诊后仍继续吸烟。目前仍在吸烟的COPD患者更有可能同时患有精神疾病合并症,例如抑郁症和焦虑症。这些精神障碍会导致COPD患者持续吸烟。本研究旨在调查COPD患者持续吸烟的预测因素。

材料与方法

2018年8月至2019年7月,在一家三级护理医院的呼吸内科门诊进行了一项横断面研究。对COPD患者进行吸烟状况筛查。然后使用迷你国际神经精神访谈(MINI)、患者健康问卷9(PHQ-9)和呼吸系统疾病焦虑量表(AIR)对所有受试者进行个人精神疾病合并症评估。进行逻辑回归以计算比值比(OR)。

结果

该研究共纳入87例COPD患者。在这87例COPD患者中,50例为当前吸烟者,37例为既往吸烟者。患有精神疾病的COPD患者继续吸烟的可能性是没有精神疾病合并症患者的四倍(OR:4.62,95%CI:1.46-14.54)。结果表明,COPD患者的PHQ-9评分每增加一个单位,继续吸烟的可能性就增加27%。

结论

在我们的多变量分析中,发现当前的抑郁症是COPD患者持续吸烟的一个重要预测因素。目前的结果与先前研究报告一致,即抑郁症状与COPD患者持续吸烟有关。目前仍在吸烟的COPD患者应接受精神疾病检查并同时进行治疗,以实现有效的戒烟。

相似文献

2
Prevalence of psychiatric comorbidities in chronic obstructive pulmonary disease patients.
Lung India. 2016 Mar-Apr;33(2):174-8. doi: 10.4103/0970-2113.177441.
5
What are the Barriers of Chronic Obstructive Pulmonary Disease (COPD) Patients in Smoking Cessation?
Sisli Etfal Hastan Tip Bul. 2024 Jun 28;58(2):179-188. doi: 10.14744/SEMB.2024.42709. eCollection 2024.
6
Sex Differences in Veterans Admitted to the Hospital for Chronic Obstructive Pulmonary Disease Exacerbation.
Ann Am Thorac Soc. 2019 Jun;16(6):707-714. doi: 10.1513/AnnalsATS.201809-615OC.
8
An analysis of the relationship between chronic obstructive pulmonary disease, smoking and depression in an integrated healthcare system.
Gen Hosp Psychiatry. 2020 May-Jun;64:72-79. doi: 10.1016/j.genhosppsych.2020.03.007. Epub 2020 Apr 4.
10
Depression Is Associated with Readmission for Acute Exacerbation of Chronic Obstructive Pulmonary Disease.
Ann Am Thorac Soc. 2016 Feb;13(2):197-203. doi: 10.1513/AnnalsATS.201507-439OC.

引用本文的文献

1
Unveiling the Long-Term Lung Consequences of Smoking and Tobacco Consumption: A Narrative Review.
Cureus. 2024 Aug 8;16(8):e66415. doi: 10.7759/cureus.66415. eCollection 2024 Aug.

本文引用的文献

1
Diagnosis and Outpatient Management of Chronic Obstructive Pulmonary Disease: A Review.
JAMA. 2019 Feb 26;321(8):786-797. doi: 10.1001/jama.2019.0131.
2
Comparative analysis of COPD associated with tobacco smoking, biomass smoke exposure or both.
Respir Res. 2018 Jan 18;19(1):13. doi: 10.1186/s12931-018-0718-y.
3
Cigarette smoking and depression comorbidity: systematic review and proposed theoretical model.
Addiction. 2017 Mar;112(3):401-412. doi: 10.1111/add.13604. Epub 2016 Oct 26.
4
The Association of Cigarette Smoking With Depression and Anxiety: A Systematic Review.
Nicotine Tob Res. 2017 Jan;19(1):3-13. doi: 10.1093/ntr/ntw140. Epub 2016 May 19.
6
Prevalence of psychiatric comorbidities in chronic obstructive pulmonary disease patients.
Lung India. 2016 Mar-Apr;33(2):174-8. doi: 10.4103/0970-2113.177441.
8
Association of anxiety disorders with the risk of smoking behaviors: a meta-analysis of prospective observational studies.
Drug Alcohol Depend. 2014 Dec 1;145:69-76. doi: 10.1016/j.drugalcdep.2014.10.022. Epub 2014 Nov 4.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验