The Evaluation of The Nicotine Dependence in Psychiatric Disorders

Year 2018, , 48 - 54, 28.03.2018

Hulya Ertekin , Yusuf Haydar Ertekin

https://doi.org/10.18521/ktd.365477

Abstract

Objective: A relationship has been suggested between recurrent major depression and
high nicotine dependence. A similar relevance may establish a reference for
further investigations evaluating the role of nicotine dependence on various
psychiatric disorders. For this purpose, we assessed the frequency of smoking
and nicotine dependence, according to psychiatric diagnosis in psychiatric
outpatients.

Methods:  A total of 1036
psychiatric patients were included in this descriptive study. The participants
were evaluated according to DSM IV (Diagnostic
and Statistical Manual of Mental Disorders, 4th. Edition) for
psychiatric disorders and Fagerström Test for Nicotine Dependence
(FTND) that was applied to define smoking habits.

Results: The
overall smoking rate was 40.2% (n=1036), while the smoking rate of females and
males was 32.6% (n=229) and 56.0% (n=187) (p<0.001) respectively. The mean
age of onset of smoking, and the mean FTND score were significantly higher in
men than women [The mean age of onset of smoking was 19.6 ± 6.5 years in women,
and 16.8 ± 6.0 years in men (p<0.001). The mean FTND score in women and men was
3.9 ± 2.7 and 5.1 ± 2.6 (p<0.001)]. The
age of onset of smoking, the number of smoking cessation trials, FTND scores, and the smoking cessation request of patients with psychotic disorders
were significantly lower than patients with affective disorders and anxiety
disorders (respectively p=0.008, p=0.047, p<0.001,
p=0.015).

Conclusion: The lower
ratio of high nicotine dependence in psychotic disorder in comparison to
affective and anxiety disorders may give insight to the role of nicotine in the
pathogenesis of the psychiatric diseases.

Keywords

smoking, psychiatric patients, nicotine dependence, outpatients

Psikiyatrik Hastalıklarda Nikotin Bağımlılığının Değerlendirilmesi

Abstract

Amaç: Yüksek nikotin bağımlılığıyla
tekrarlayan major depresyon arasında ilişki olduğu bildirilmiştir. Benzer bir
ilişkinin diğer psikiyatrik hastalıklarda saptanmasında nikotin bağımlılık
düzeylerinin araştırılması ileriki çalışmalara yön verecektir. Bu amaçla ayaktan
psikiyatrik hastalarda, psikiyatrik tanılara göre sigara içme sıklığını ve
nikotin bağımlılık düzeyini diğer ilişkili faktörler ekseninde inceledik.

Gereç Ve Yöntem: Bu tanımlayıcı
çalışmaya toplam 1036 ayaktan psikiyatri hastası dâhil edildi. Hastaların
psikiyatrik tanıları DSM-IV’e göre ve nikotin bağımlılıkları Fagerström Nikotin Bağımlılık Testi (FNBT) ile ele alındı.

Bulgular: Genel sigara içme oranı
%40,2 (n = 416); kadınların sigara içme oranı %32,6 (n = 229) ve erkeklerin
%56,0 (n = 187) idi (p<0,001). Erkek hastaların sigaraya başlama yaşı ve
FNBT puanları kadınlardan istatistiksel olarak daha yüksekti (p<0,001). Psikotik
bozukluğu olan hastalarda sigara başlama yaşı, sigarayı bırakma deneme sayısı,
FNBT skoru ve sigarayı bırakma isteği, duygudurum bozukluğu ve anksiyete
bozukluğu olan hastalardan istatistiksel olarak daha düşüktü (sırasıyla
p=0,008, p=0,047, p<0,001, p=0,015).

Sonuç: Psikotik bozuklukta,
duygudurum ve anksiyete bozukluğuna göre yüksek nikotin bağımlılığı oranı daha
düşüktür.

Keywords

tütün kullanımı, psikiyatri hastaları, nikotin bağımlılığı, ayaktan hastalar

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