Psikiyatrik Hastalıklarda Nikotin Bağımlılığının Değerlendirilmesi

Amaç: Yüksek nikotin bağımlılığıyla tekrarlayan major depresyon arasında ilişki olduğu bildirilmiştir. Benzer bir ilişkinin diğer psikiyatrik hastalıklarda saptanmasında nikotin bağımlılık düzeylerinin araştırılması ileriki çalışmalara yön verecektir. Bu amaçla ayaktan psikiyatrik hastalarda, psikiyatrik tanılara göre sigara içme sıklığını ve nikotin bağımlılık düzeyini diğer ilişkili faktörler ekseninde inceledik. Gereç Ve Yöntem: Bu tanımlayıcı çalışmaya toplam 1036 ayaktan psikiyatri hastası dâhil edildi. Hastaların psikiyatrik tanıları DSM-IV’e göre ve nikotin bağımlılıkları Fagerström Nikotin Bağımlılık Testi (FNBT) ile ele alındı.Bulgular: Genel sigara içme oranı %40,2 (n = 416); kadınların sigara içme oranı %32,6 (n = 229) ve erkeklerin %56,0 (n = 187) idi (p<0,001). Erkek hastaların sigaraya başlama yaşı ve FNBT puanları kadınlardan istatistiksel olarak daha yüksekti (p<0,001). Psikotik bozukluğu olan hastalarda sigara başlama yaşı, sigarayı bırakma deneme sayısı, FNBT skoru ve sigarayı bırakma isteği, duygudurum bozukluğu ve anksiyete bozukluğu olan hastalardan istatistiksel olarak daha düşüktü (sırasıyla p=0,008, p=0,047, p<0,001, p=0,015).Sonuç: Psikotik bozuklukta, duygudurum ve anksiyete bozukluğuna göre yüksek nikotin bağımlılığı oranı daha düşüktür.

Anahtar Kelimeler:

tütün kullanımı, psikiyatri hastaları, nikotin bağımlılığı, ayaktan hastalar

The Evaluation of The Nicotine Dependence in Psychiatric Disorders

Objective: A relationship has been suggested between recurrent major depression and high nicotine dependence. A similar relevance may establish a reference for further investigations evaluating the role of nicotine dependence on various psychiatric disorders. For this purpose, we assessed the frequency of smoking and nicotine dependence, according to psychiatric diagnosis in psychiatric outpatients. Methods: A total of 1036 psychiatric patients were included in this descriptive study. The participants were evaluated according to DSM IV (Diagnostic and Statistical Manual of Mental Disorders, 4th. Edition) for psychiatric disorders and Fagerström Test for Nicotine Dependence (FTND) that was applied to define smoking habits.Results: The overall smoking rate was 40.2% (n=1036), while the smoking rate of females and males was 32.6% (n=229) and 56.0% (n=187) (p<0.001) respectively. The mean age of onset of smoking, and the mean FTND score were significantly higher in men than women [The mean age of onset of smoking was 19.6 ± 6.5 years in women, and 16.8 ± 6.0 years in men (p<0.001). The mean FTND score in women and men was 3.9 ± 2.7 and 5.1 ± 2.6 (p<0.001)]. The age of onset of smoking, the number of smoking cessation trials, FTND scores, and the smoking cessation request of patients with psychotic disorders were significantly lower than patients with affective disorders and anxiety disorders (respectively p=0.008, p=0.047, p<0.001, p=0.015).Conclusion: The lower ratio of high nicotine dependence in psychotic disorder in comparison to affective and anxiety disorders may give insight to the role of nicotine in the pathogenesis of the psychiatric diseases.

Keywords:

smoking, psychiatric patients, nicotine dependence, outpatients,

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ISSN: 1309-3878
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 2009
Yayıncı: Düzce Üniversitesi Tıp Fakültesi Aile Hekimliği AD adına Yrd.Doç.Dr.Cemil Işık Sönmez