Prevalence and Factors Associated with Nicotine Dependence in Schizophrenic Patients at Sukhothai Hospital
Article Sidebar
Main Article Content
Abstract
Objective: To study the prevalence of nicotine dependence and factors associated with nicotine dependence in schizophrenia patients at outpatient department of Sukhothai Hospital.
Materials and methods: This cross-sectional study enrolled 204 schizophrenic patients at outpatient department of Sukhothai Hospital. Data were collected from October 2023 to December 2023. Participants were evaluated with Thai version of the Fagerstrom Test of Nicotine Dependence (FTND) for severity of nicotine dependence. Data were analyzed using descriptive statistics, Chi-square test and unpaired t-test (statistical significance = p<0.05).
Results: All 204 schizophrenic patients (128 males, 76 females) were found to have a 35.3% prevalence of nicotine dependence. Factors significantly associated with nicotine dependence (p < 0.05) included younger age, male gender, single marital status, education level below a bachelor's degree, concurrent use of other substances, and having a family member who uses substances.
Conclusions: More than one third of patients with schizophrenia experienced nicotine dependence, which was associated with younger age, male gender, being single, having less than a bachelor's degree education level, concurrent use of other drugs, and having a family member who uses drugs.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความหลังผ่านการปรับแก้จากกองบรรณาธิการแล้ว เป็นลิขสิทธ์ของวารสารจิตเวชวิทยาสาร โรงพยาบาลสวนปรุง กรมสุขภาพจิต กระทรวงสาธารณสุข ห้ามเผยแพร่เพื่อประโยชน์ทางการค้าโดยไม่ได้รับอนุญาต แต่อนุญาตให้เผยแพร่บทความดังกล่าวเพื่อประโยชน์ทางการศึกษาแก่ประชาชนทั่วไป ทั้งนี้กองบรรณาธิการไม่จำเป็นต้องเห็นด้วยกับบทความหรือข้อคิดเห็นใดๆ ที่ปรากฏในวารสารสวนปรุง
References
Tobacco [Internet]. 2021 [cited 21 May 2024]. Available from: https://www.who.int/news-room/fact-sheets/detail/tobacco.
The 2021 Health Behavior of Population Survey [Internet]. 2021 [cited 21 May 2024]. Available from: https://www.nso.go.th/nsoweb/downloadFile/survey/7bl/20230505110449_60642.pdf.
Ward HB, Beermann A, Nawaz U, Halko MA, Janes AC, Moran LV, et al. Evidence for Schizophrenia-Specific Pathophysiology of Nicotine Dependence. Front Psychiatry. 2022;13:804055.
Dickerson F, Stallings CR, Origoni AE, Vaughan C, Khushalani S, Schroeder J, et al. Cigarette smoking among persons with schizophrenia or bipolar disorder in routine clinical settings, 1999-2011. Psychiatr Serv. 2013;64(1):44-50.
Olfson M, Gerhard T, Huang C, Crystal S, Stroup TS. Premature Mortality Among Adults With Schizophrenia in the United States. JAMA Psychiatry. 2015;72(12):1172-81.
Khan SS, Ning H, Sinha A, Wilkins J, Allen NB, Vu THT, et al. Cigarette Smoking and Competing Risks for Fatal and Nonfatal Cardiovascular Disease Subtypes Across the Life Course. J Am Heart Assoc. 2021;10(23):e021751.
Desalegn D, Abdu Z, Hajure M. Prevalence of tobacco dependence and associated factors among patients with schizophrenia attending their treatments at southwest Ethiopia; hospital-based cross-sectional study. PLoS One. 2021;16(12):e0261154.
Xu YM, Chen HH, Li F, Deng F, Liu XB, Yang HC, et al. Prevalence and correlates of cigarette smoking among Chinese schizophrenia inpatients receiving antipsychotic mono-therapy. PLoS One. 2014;9(2):e88478.
Yee A, Bt Nek Mohamed NN, Binti Hashim AH, Loh HS, Harbajan Singh MK, Ng CG, et al. The effect of nicotine dependence on psychopathology in patients with schizophrenia. Biomed Res Int. 2015;2015:730291.
Graipaspong N. Nicotine dependence and psychiatric symptoms in
schizophrenic patients. Journal of Mental Health of Thailand. 2019;27(3):171-82.
Satra T, Wannasewok K, Atsariyasing W, Luisirirojanakul J. Prevalence of Nicotine Dependence in Schizophrenic Patients, Siriraj Hospital, Bangkok. 2017;62:289-98.
Klinsophon T, Janwantanakul P, Thaveeratitham P. Reliability of the Thai Version of the Fagerstrom Test for Nicotine Dependence (FTND). Journal of the Medical Association of Thailand = Chotmaihet thangphaet. 2017;100(10):1130-4.
Meneses-Gaya IC, Zuardi AW, Loureiro SR, Crippa JA. Psychometric properties of the Fagerström Test for Nicotine Dependence. J Bras Pneumol. 2009;35(1):73-82.
Li Y, Hou CL, Ma XR, Zang Y, Jia FJ, Lai KYC, et al. Nicotine dependence in community-dwelling Chinese patients with schizophrenia. Gen Psychiatr. 2019;32(1):e100014.
Ding JB, Hu K. Cigarette Smoking and Schizophrenia: Etiology, Clinical, Pharmacological, and Treatment Implications. Schizophr Res Treatment. 2021;2021:7698030.
David JC, Fonte D, Sutter-Dallay AL, Auriacombe M, Serre F, Rascle N, et al. The stigma of smoking among women: A systematic review. Soc Sci Med. 2024;340:116491.
Kim SS, Chung S, Park JI, Jung AJ, Kalman D, Ziedonis DM. Smoking among individuals with schizophrenia in Korea: gender differences. Arch Psychiatr Nurs. 2013;27(5):241-5.
Sagud M, Vuksan-Cusa B, Jaksic N, Mihaljevic-Peles A, Zivkovic M, Vlatkovic S, et al. Nicotine dependence in Croatian male inpatients with schizophrenia. BMC Psychiatry. 2018;18(1):18.
Morgante F, Barbui C, Tinazzi M, Italian DIPsg. Parkinsonian axial signs in schizophrenia. Parkinsonism Relat Disord. 2017;36:89-92.
Schennach R, Obermeier M, Seemuller F, Jager M, Schmauss M, Laux G, et al. Add-on Antidepressants in the Naturalistic Treatment of Schizophrenia Spectrum Disorder - When, Who, and How? Pharmacopsychiatry. 2017;50(4):136-44.
Tialam G, Latha S, Kumar M, Mallepalli PR. Prevalence of nicotine dependence and its impact on quality of life and severity of symptoms in schizophrenic patients. Archives of Mental Health. 2019;20(1).
D. M. Ziedonis and T. P. George. Schizophrenia and nicotine use: report of a pilot smoking cessation program and review of neurobiological and clinical issues. Schizophrenia Bulletin. 1997;23(2 ):247-54.
Abderemane A, Ahmadou TM, Khadmaoui A, Belbachir S, Barkat K, Ahami AOT. A cross-sectional study of substance use in patients with schizophrenia hospitalized for relapse at the Ar-Razi Psychiatric Hospital in Salé, CHU Ibn Sina Rabat, Morocco. Pan Afr Med J. 2022;41:107.