Self-rating depression scale score is a strong independent predictor of smoking cessation outcomes

DOI 3 Citations
  • Wada Hiromichi
    Clinical Research Institute,Kyoto Medical Center, National Hospital Organization
  • Hasegawa Koji
    Clinical Research Institute,Kyoto Medical Center, National Hospital Organization
  • Terashima Sachiko
    Health Screening Center,Kyoto Medical Center, National Hospital Organization
  • Satoh Noriko
    Clinical Research Institute,Kyoto Medical Center, National Hospital Organization
  • Inoue Misuzu
    Clinical Research Institute,Kyoto Medical Center, National Hospital Organization
  • Iida Yuko
    Clinical Research Institute,Kyoto Medical Center, National Hospital Organization
  • Yamakage Hajime
    Clinical Research Institute,Kyoto Medical Center, National Hospital Organization
  • Kitaoka Shuji
    Human Health Sciences, Kyoto University Graduate School of Medicine, Kyoto, Japan
  • Morimoto Tatsuya
    Clinical Research Institute,Kyoto Medical Center, National Hospital Organization
  • Fujita Masatoshi
    Nara Women's University, Health Administration Center, Nara, Japan
  • Shimatsu Akira
    Clinical Research Institute,Kyoto Medical Center, National Hospital Organization
  • Takahashi Yuko
    Nara Women's University, Health Administration Center, Nara, Japan

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Other Title
  • 初診時 SDS スコアは禁煙達成成否の強い独立決定因子である

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Abstract

Abstract<br> Depression is an independent risk factor of cardiovascular diseases. However, impact of latent depressive state on the achievement of smoking cessation is unknown. We performed a self-rating depression scale (SDS) test involving 65 consecutive patients who visited a smoking cessation clinic for the first time. Patients with previously diagnosed psychiatric disorders were excluded. The depressive state was evaluated according to the SDS score as normal (SDS score: 38 or lower, n=29), normal/neurosis borderline (SDS score: 39-47, n=17), and neurosis/depression (SDS: 48 or higher, n=19). The smoking cessation rate was markedly low in the normal/neurosis borderline group (35.3%, P=0.030 vs. normal) as well as the neurosis/depression group (21.1 %, P=0.002 vs. normal), compared with the normal group (69.0%). Multivariate logistic regression analysis revealed that among various variables on the initial consultation, the SDS score was the only independent determinant of smoking cessation failure (P=0.032, OR: 0.927, CI: 0.866-0.993). These findings suggest that even a latent depressive state greatly affects the achievement of smoking cession in Japanese patients.

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