Depression: a predictor of smoking relapse in a 6-month follow-up after hospitalization for acute coronary syndrome

Abstract

The objective of the study was to investigate whether depression is a predictor of postdischarge smoking relapse among patients hospitalized for myocardial infarction (MI) or unstable angina (UA), in a smoke-free hospital. Methods Current smokers with MI or UA were interviewed while hospitalized; patients classified with major depression (MD) or no humor disorder were reinterviewed 6 months post discharge to ascertain smoking status. Potential predictors of relapse (depression; stress; anxiety; heart disease risk perception; coffee and alcohol consumption; sociodemographic, clinical, and smoking habit characteristics) were compared between those with MD (n = 268) and no humor disorder (n = 135). Results Relapsers (40.4%) were more frequently and more severely depressed, had higher anxiety and lower self-efficacy scale scores, diagnosis of UA, shorter hospitalizations, started smoking younger, made fewer attempts to quit, had a consort less often, and were more frequently at the 'precontemplation' stage of change. Multivariate analysis showed relapse-positive predictors to be MD [odds ratio (OR): 2.

Relapse Rate and Factors Related to Relapse in a 1-Year Follow-Up of Subjects Participating in a Smoking Cessation Program

“…28 Similarly, in cancer subjects who quit smoking after surgical treatment, relapse was found to be asso- * Variable(s) entered on step 1: alcohol intake (yes/no), environmental exposure (home/work/friends/all), reason to quit (health/family/financial), educational status (none/primary school/secondary school/high school/university), respiratory symptoms (yes/no), Beck depression score, number of controls, pharmacotherapy (yes/no), side effects (yes/no). OR ϭ odds ratio ciated with depression.…”

Stopping the cardiovascular disease continuum: Focus on prevention

“…The smoking cessation rate is a little higher in persons who suffer from CAD. It has been estimated that between 28% and 74% quit after an acute MI [42,43] . However, about 40% of the quitters relapse and the major reason is post-MI depression [42] .…”

“…It has been estimated that between 28% and 74% quit after an acute MI [42,43] . However, about 40% of the quitters relapse and the major reason is post-MI depression [42] . Medical intervention has resulted in a higher percentage of patients who quit smoking: 61% vs 42% of controls [43] .…”

The association among depressive symptoms, smoking status and antidepressant use in cardiac outpatients

“…Some of these characteristics include weight gain (Blitzer, Rimm, and Giefer, 1977;Cordoba et al, 1994;Detry et al, 2001;Grunberg, Bowen, and Winders, 1986;Wack and Rodin, 1982) and insomnia (Underner, 2006;Colrain, 2004) after quit attempts, personal and sociodemographic factors (Bjornson et al, 1995;Blake et al, 1989;Pomerleau, Pomerleau, and Garcia, 1991;Rosal et al, 1998;Royce et al, 1997;van Berkel et al, 1999;Waldron, 1991), history of a cardiac event (Attebring et al, 2004), hostility, tension and depressive symptoms (Perez et al, 2008;Brummett et al, 2002;Glassman, 1993;Attebring et al, 2004;Kronish et al, 2006;Schrader et al, 2006;Thorndike et al 2008;Dawood et al 2008). Over the last few decades, research has shed light on depression in particular, and its' association with continued smoking.…”