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

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dc.contributor.authorPerez, Glória Heloise [UNIFESP]
dc.contributor.authorNicolau, Jose Carlos
dc.contributor.authorRomano, Bellkiss Wilma
dc.contributor.authorLaranjeira, Ronaldo [UNIFESP]
dc.contributor.institutionDept Psychol
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2018-06-15T17:22:23Z
dc.date.available2018-06-15T17:22:23Z
dc.date.issued2008-02-01
dc.description.abstractObjective 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 (ILIA), 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): 2.549; 95% confidence interval (CI): 1.519-4.275] (P<0.001); 'precontemplation' stage of change (OR: 7.798; 95% CI: 2.442-24.898) (P<0.001); previous coronary bypass graft surgery (OR: 4.062; 95% CI: 1.356-12.169) (P=0.012); and previous anxiolytic use (OR: 2.365; 95% CI: 1.095-5.107) (P=0.028). Negative predictors were diagnosis of MI (OR: 0.575; 95% CI: 0.361-0.916) (P=0.019); duration of hospitalization (OR: 0.935; 95% CI: 0.898-0.973) (P=0.001); smoking onset age (OR: 0.952; 95% CI: 0.910-0.994) (P=0.028); number of attempts to quit smoking (OR: 0.808; 95% CI: 0.678-0.964) (P=0.018); and 'action' stage of change (OR: 0.065; 95% CI: 0.008-0.532) (P= 0.010).Conclusion Depression, no motivation, shorter hospitalization, and severity of illness contributed to postdischarge resumption of smoking by patients with acute coronary syndrome, who underwent hospital-initiated smoking cessation.en
dc.description.affiliationDept Psychol, Sao Paulo, Brazil
dc.description.affiliationUniv Sao Paulo, Sch Med, Acute Coronary Dis Unit, Heart Inst InCor, Sao Paulo, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Alcohol & Drug Res Unit, Dept Psychiat, Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Alcohol & Drug Res Unit, Dept Psychiat, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent89-94
dc.identifierhttp://dx.doi.org/10.1097/HJR.0b013e3282f4b212
dc.identifier.citationEuropean Journal Of Cardiovascular Prevention & Rehabilitation. Philadelphia: Lippincott Williams & Wilkins, v. 15, n. 1, p. 89-94, 2008.
dc.identifier.doi10.1097/HJR.0b013e3282f4b212
dc.identifier.issn1741-8267
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/43583
dc.identifier.wosWOS:000254223600015
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofEuropean Journal Of Cardiovascular Prevention & Rehabilitation
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectacute coronary syndromeen
dc.subjectcoronary heart diseaseen
dc.subjectmajor depressionen
dc.subjectmyocardial infarctionen
dc.subjectsmoking cessationen
dc.subjectsmoking relapseen
dc.subjectunstable anginaen
dc.titleDepression: a predictor of smoking relapse in a 6-month follow-up after hospitalization for acute coronary syndromeen
dc.typeinfo:eu-repo/semantics/article
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