
Research view
Title: | Smoking and its psychiatric comorbidity among a sample of inpatients in a general hospital in Cairo |
Author: | Momtaz Abdel Wahab, Mohamed Nasr Eldin, Mona El rakhawy, Heba Fathy, Maged Aladrosy, Dalia Enaba and Hassan Seif Eleslam |
Abstract: |
Objectives
This study aimed at estimating the prevalence of smoking in patients who were
admitted to departments of neurology, chest, oncology, and general surgery of
a general hospital in Cairo over a 6-month period. It also aimed at determining
the relationship between smoking, stress, anxiety, depression, and personality
characteristics in those patients.
Patients and methods
A selective sample comprising patients who were admitted to departments of neurology,
chest, oncology, and general surgery of a general hospital in Cairo every Tuesday over a
6-month period was included in the study. The patients were fully conscious and
cooperative; their ages ranged from 18 to 60 years. The patients were classified into four
categories: current, past, passive, and nonsmokers. The Smoking Questionnaire, The
Symptom Checklist-90-R, the Eysenck Personality Questionnaire, the Social Readjusting
Rating Scale, the Beck Anxiety Scale, and the Beck Depression Inventory were used.
Results
Most of the patients (64%) were admitted to neurology or chest departments (32.7 and
31.3%, respectively). The smoking groups (current and past smokers) showed a male
predominance (90 and 93.1%, respectively) in comparison with passive smokers and
nonsmokers (60 and 61.3%, respectively). Most of the current smokers belonged to the
‘mild anxiety’ and ‘severe anxiety’ categories (70 and 26%, respectively). Among the past
smokers, 58.6% had mild anxiety, 27.6% had severe anxiety, and 13.8% had low anxiety.
Eighty percent of current smokers had mild and moderate depression (62 and 18%,
respectively), and 69% of past smokers had mild and moderate depression (55.2 and
13.8%, respectively), with a high statistical significance (Po0.001). Most of the current
smokers had mild or severe stress (54 and 28%, respectively), whereas most passive and
nonsmokers had normal stress levels (55 and 61.3%, respectively). Current and passive
smokers showed the highest mean levels on the symptom checklist (2.788 ± 0.467 and
2.825 ± 0.426, respectively). Similarly, the highest mean levels of psychoticism were
reported among current smokers (18.78 ± 3.259). The highest mean level of neuroticism
was reported among current smokers (19.46 ± 2.032).
Conclusion
Current smokers have higher anxiety, depression, stress, and psychoticism personality
characteristics.
Keywords:
personality, psychiatric comorbidity, smoking
|
Journal: | Egyptian Journal of Psychiatry 2013, 34:148–154 |
Text: | |
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