Abstract
Introduction: Nicotine is the cause of smoking addiction. However there are other factors that influence smoking behavior and success in attempts to quit, such as motivation and psychological disorders.
Objectives: Compare motivation to quit, presence of anxiety or depression disorders and smoking success between patients attending a smoking cessation (SC) program according to nicotine dependence assessed by Fagerstrom Test.
Methods: Retrospective study conducted among patients who attended a SC program of a central hospital in 2012-2017. Data collected from medical records. The sample was divided in two groups: Group 1(G1) included patients with high nicotine dependence (Fagerstrom≥7) and Group 2(G2) low/moderate dependence (Fagerstrom<7). Statistical analyses were conducted to compare differences between groups.
Results: 724 patients (52% males, mean age 52y), 41% had high nicotine dependence(G1). G1 patients were mainly males (55% versus 34% in G2,p<0.05), had low education level (60% vs 47% G2,p<0.05), high scores in Hospital Anxiety and Depression Scale (39% vs 28%,p<0.05). There were no statistically differences regarding age, motivation to quit (Richmond Test), age of smoking initiation and drop outs in SC program. G1 achieved lower smoking cessation rates (15% vs 28% G2,p<0.05).
Conclusion: In patients with high level of nicotine dependence in our SC program we identified other aspects that may contribute to increase the number of smoked cigarettes and lower success in SC, such as depression or anxiety.It is important to provide psychological support to these patients to achieve success in SC.Fagerstrom test is also an important tool to acess the best therapeutic choice to each patient.
Footnotes
Cite this article as: European Respiratory Journal 2020; 56: Suppl. 64, 3052.
This abstract was presented at the 2020 ERS International Congress, in session “Respiratory viruses in the "pre COVID-19" era”.
This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).
- Copyright ©the authors 2020