The Relationship Between Desire to Smoke and Smoking Cessation Fatigue in Patients Applying to the Smoking Cessation Outpatient Clinic
DOI:
https://doi.org/10.5281/zenodo.18107309%20Keywords:
Smoking cessation, nicotine dependence, ssmoking cessation fatigue., anxiety, depressionAbstract
Objective: Smoking is one of the most important causes of preventable morbidity and mortality all over the world. This study aimed to examine the relationship between smoking cessation fatigue and desire to smoke in patients admitted to the smoking cessation outpatient clinic, to evaluate the scales that can guide treatment in this process, and to determine the sociodemographic characteristics and smoking habits of the patients.
Methods: A total of 605 patients, 302 males and 303 females, who applied to Istanbul Medeniyet University Goztepe Training and Research Hospital, Family Medicine Department, Smoking Cessation Polyclinic between May and November 2019, were included in the study. Sociodemographic data, smoking, Fagerstrom Nicotine Dependence Test (FNDT), Hospital Anxiety Depression Scale (HADS), Desire to Smoke and Smoking Cessation Fatigue Scales were recorded from the patients' files.
Results: The mean age of the patients was 39.1 ± 11.8 years, the mean age of starting smoking was 17.9 ± 4.7 years, and the daily cigarette consumption was 24.5 ± 10.3 cigarettes (median = 20). 33.1% of the participants had a chronic disease. The mean Beck Anxiety Inventory score was 7.59 ± 4.11, the mean Beck Depression Inventory score was 6.32 ± 3.79, the FNDT mean score was 6.44 ± 2.42, the Desire to Smoke mean score was 39.2 ± 15.6, and among the Smoking Cessation Fatigue sub-dimensions, emotional exhaustion mean score was 16.8 ± 6.2, pessimism was 8.3 ± 3.2, and devaluation was 18.1 ± 3.8.
Conclusion: The high level of nicotine dependence complicates the smoking cessation process. Regular use of scales and tests used in smoking cessation treatments can increase patient compliance and cessation success by guiding the treatment process.
References
1. Shibuya K, et al. Who Framework Convention on Tobacco Control: development of an evidence-based global public health treaty. *BMJ*. 2003; 327 (7407):154-157.
2. Bilir N. Where in the world is Turkey in terms of tobacco control? *Turkish Journal of Thorax *. 2009; 10(1).
3. Ozturk O, Yalcin B, Unal M. The quality of life difference between smoker and non-smoker rheumatoid arthritis and ankylosing spondylitis patients. *J Addiction Res Ther*. 2014; 5:1-6.
4. World Health Organization. *WHO report on the global tobacco epidemic 2019: Offer help to quit tobacco use.* Geneva: WHO; 2019.
5. Turkish Statistical Institute (TurkStat) *Turkiye Health Survey 2016.* Ankara: TurkStat; 2016.
6. National Tobacco Control Program. *T.R. Ministry of Health Publication.* Ankara: Ministry of Health; 2008.
7. Turkish Thoracic Society. *Lung Cancer Diagnosis and Treatment Guide.*Journal of Thorax. 2006; 7.
8. Edis EC, Karlikaya C. The cost of lung cancer in Turkiye. * Journal of Tubercular Thorax *. 2007; 55 (1):51-58.
9. Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. *PLoS Med*. 2006; 3(11):e442.
10. American Psychiatric Association. *Diagnostic and Statistical Manual of Mental Disorders (DSM-5).* 5th ed. Ankara: Physicians Publication Association. 2013.
11. T.R. Ministry of Health. *Global Adult Tobacco Research Turkiye 2012.* Ankara: Ministry of Health Publications; 2014.
12. Anderson JE, et al. Treating tobacco use and dependence: an evidence-based clinical practice guideline for tobacco cessation. *Chest*. 2002; 121 (3): 932-941.
13. Uzaslan E. The role of the physician in smoking cessation and the approach to the patient who applies to the smoking cessation outpatient clinic. *Turkiye Clinics Arch Lung*. 2003; 4 (4):225-234.
14. Prochaska JO, Redding CA, Evers KE. The transtheoretical model and stages of change. *Health Behavior: Theory, Research, and Practice.* 2015:125-148.
15. Ozge C. *Smoking Cessation Diagnosis and Treatment Consensus Report.* Turkish Thoracic Society Publication. 2014; 76.
16. Covey LS, et al. Advances in non nicotine pharmacotherapy for smoking cessation. *Drugs*. 2000; 59(1):17-31.
17. Dogan YH. The role of antidepressants in smoking cessation. *Turkish Journal of Family Practice *. 2007; 9(1):32-36.
18. Gonzales D, et al. Varenicline, an α4β2 nicotinic acetylcholine receptor partial agonist, vs sustained-release bupropion and placebo for smoking cessation: a randomized controlled trial. *JAMA*. 2006; 296 (1):47-55.
19. Yasar Z, et al. One-year smoking cessation outpatient clinic results: factors affecting smoking cessation. *Eurasian J Pulmonol*. 2014;16:99–104.
20. Sahbaz S, et al. The effects of smoking and demographic characteristics on the outcomes of smoking cessation treatments. *Journal of Thorax.* 2007; 8(2):110-114.
21. Gercek CG, et al. The frequency of smoking, alcohol and substance use in Duzce University, Faculty of Forestry students and the reasons for starting to use them. *Duzce Medical Faculty Journal*. 2010; 12(3):7-14.
22. Kilic O, et al. Determination of the factors affecting students' smoking: The case of Ondokuz Mayis University. *Turkish Journal of Agricultural Research *. 2018; 5(3):274-279.
23. Isiktas S, et al. Comparison of smokers and non-smokers in terms of their attitudes towards coping with stress. * Turkish Cypriot Journal of Psychiatry and Psychology *. 2019; 1 (2):102-107.
24. Esen AD, Arica S. Evaluation of nicotine dependence level and sociodemographic characteristics in those applying to quit smoking. *Ankara Med J*. 2018; 18(3):328-336.
25. Fidan F, et al. Factors affecting smoking cessation and success rates of the treatments applied. *Kocatepe Medical Journal*. 2005; 6(3):27-34.
26. Lok N, Bademli K. Determination of the relationship between physical activity and depression in adult individuals. *Mustafa Kemal University Journal of Social Sciences Institute *. 2017; 14(40):101-110.
27. Celik FH, Hocaoglu C. Major depressive disorder: definition, etiology, and epidemiology. * Journal of Contemporary Medicine *. 2016; 6(1):51-66.
28. Kutlu R, et al. Evaluation of depression and quality of life in patients hospitalized in the thoracic surgery service with short form 36. *Turkish Journal of Thoracic and Cardiovascular Surgery *. 2015; 23(3): 524-531.
29. Demirezen M, Kurcer MA. Effect of smoking cessation on anxiety and urge for smoking. *Zonguldak Medical Journal*. 2005.
30. Liu X, et al. Understanding the role of cessation fatigue in the smoking cessation process. *Drug Alcohol Depend*. 2013; 133 (2): 548-555.
31. Heckman BW, et al. Does cessation fatigue predict smoking-cessation milestones? A longitudinal study of current and former smokers. *J Consult Clin Psychol*. 2018; 86 (11): 903-910.
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