@article {Fernandesp1791, author = {Frederico Fernandes and Gustavo Prado and Ubiratan Santos and Jo{\~a}o Paulo Lotufo and Mirian Fukuoka and Edinalva Souza}, title = {Anxiety and depression measured by HASD questionnaire are related to failure in 4 week smoking cessation program}, volume = {38}, number = {Suppl 55}, elocation-id = {p1791}, year = {2011}, publisher = {European Respiratory Society}, abstract = {Anxiety and depression are common among smokers and are perceived barriers to smoking cessation. Our goal in this study was to evaluate if anxiety and depression measured by the Hospital Anxiety and Depression Scale (HADS) was greater in patients who failed to quit in our 4 week hospital based smoking cessation program.All patients enrolled in our program since 2009 were invited to answer the 14 question HADS. Patients were divided in 2 groups, those who quit smoking (Q) and those that continued to smoke (NQ) after the end of the 4 week program. All patients were treated with behavioral therapy, nicotine replacement and/or bupropion. A score of 8 to 10 in each HADS category is considered borderline and a score of more than 10 is regarded as significant anxiety or depression.From 447 patients screened, 197 patients answered the questionnaire. Fagerstr{\"o}m Test for Nicotine Dependence scored 6.2{\textpm}2.0. Mean age was 49{\textpm}10 years, 79 were males and 118 females. 62\% had borderline or significant anxiety and 34\% scored 8 or more in depression questions. Both Q (N=58) and NQ (N=139) groups were similar regarding age, sex and Fagerstr{\"o}m score. Those in group Q scored a median of 4 in depression score while group NQ scored 6 (p\<0.001). Median anxiety scores were 10 in NQ group and 8 in Q group (p=0.009).We found a statistic significant difference in anxiety and depression scores between those who succeeded and those who failed in quitting at the end of our 4 week program. Anxiety and depression were more accurate in predicting failure than the nicotine dependence score. This reinforces the need for screening psychiatric conditions during a smoking cessation program.}, issn = {0903-1936}, URL = {https://erj.ersjournals.com/content/38/Suppl_55/p1791}, eprint = {https://erj.ersjournals.com/content}, journal = {European Respiratory Journal} }