Factores asociados con consumo de tabaco en pacientes con depresión

  1. Luis Jiménez-Treviño 1
  2. Ángela Velasco 2
  3. Julia Rodríguez-Revuelta 1
  4. Icíar Abad 1
  5. Lorena de la Fuente-Tomás 2
  6. Leticia González-Blanco 1
  7. Leticia García-Álvarez 3
  8. Abel Fernández-Peláez 2
  9. Isabel Menéndez-Miranda 1
  10. Gerardo Flórez 4
  11. Paz García-Portilla 1
  12. Julio Bobes 1
  13. Pilar A. Sáiz 1
  1. 1 Servicio de Salud del Principado de Asturias (SESPA), Oviedo
  2. 2 Universidad de Oviedo
    info

    Universidad de Oviedo

    Oviedo, España

    ROR https://ror.org/006gksa02

  3. 3 Fundación para la Investigación e Innovación Biosanitaria del Principado de Asturias, Oviedo
  4. 4 Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Oviedo
Revista:
Adicciones: Revista de socidrogalcohol

ISSN: 0214-4840

Ano de publicación: 2019

Volume: 31

Número: 4

Páxinas: 298-308

Tipo: Artigo

DOI: 10.20882/ADICCIONES.1191 DIALNET GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: Adicciones: Revista de socidrogalcohol

Obxectivos de Desenvolvemento Sustentable

Resumo

Smoking and depression are related in a bidirectional way: smoking is the primary avoidable cause of illness and death in patients with depression, and depression is one of the most consistent risk factors for smoking. The main objective of this study is to investigate the relationship between smoking and depression, analyzing sociodemographic and clinical variables such as severity of symptoms, subtype of affective disorder, and its impact on suicidal behavior in the clinical population. A sample of 201 patients, over 18 years of age [mean age (SD) = 53.76 (10.36) years; women = 132 (65.7%)], with a history of depressive episode (unipolar or bipolar) or dysthymia (ICD 10 criteria) was studied. Current smoking prevalence was 43.2% and life-time prevalence 61.2%. No statistically significant differences in smoking prevalence between men and women were found (X2 = 3.896, p = 0.143). The average age of onset was 17.81 (5.60) years. There was a tendency towards a linear association between number of cigarettes/day consumed and severity of depression according to the Hamilton Depression Scale (HDRS) in current smokers (Pearson’s R = 0.298, p = 0.050). Multinomial logistic regression analysis showed that current tobacco consumption was associated with higher HDRS scores, with each additional point on the HDRS increasing the likelihood of smoking by 0.062 [p = 0.032; OR (95% CI) = 1.064 (1.005-1.125)]. Our results showed that depressed patients present higher prevalence of current smoking than the general population, also suggesting a relationship between severity of consumption and severity of depressive symptoms.

Información de financiamento

This study has been partially funded by the Spanish Ministry of Economy, Industry and Competitiveness through the Carlos III Health Institute (FIS PI14 / 02029) and the European Regional Development Funds (ERDF).

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