Prevalence of Mental Health and Social Connection among Patients Seeking Tobacco Dependence Management: A Pilot Study.
Prevalence of Mental Health and Social Connection among Patients Seeking Tobacco Dependence Management: A Pilot Study.
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DOI：
10.3390/ijerph191811755
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发表时间：
2022-09-17
影响因子：
--
通讯作者：
Cudjoe, Thomas K. M.
中科院分区：
文献类型：
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作者：
Galiatsatos, Panagis;Oluyinka, MopeninuJesu;Min, Jihyun;Schreiber, Raiza;Lansey, Dina G.;Ikpe, Ruth;Pacheco, Manuel C.;DeJaco, Victoria;Ellison-Barnes, Alejandra;Neptune, Enid;Kanarek, Norma F.;Cudjoe, Thomas K. M.
简介：关于烟草依赖管理，患者成功戒烟存在某些障碍，如未经治疗的焦虑和抑郁。使心理健康发病率对烟草依赖的影响复杂化的可能是，很大一部分患者的心理健康问题和有限的社会联系没有得到诊断和解决。我们假设，接受烟草依赖治疗的既往无精神健康诊断的患者有很高的未确诊精神健康发病率。方法：2021年从烟草治疗诊所招募患者。每一个没有事先诊断出精神疾病的病人都接受了抑郁、焦虑、社会孤立和孤独的筛查。收集了社会人口学变量。结果：在12个月的时间里，114名患者在烟草治疗诊所就诊。在这114例患者中，77例（67.5%）既往未诊断出精神疾病。平均年龄为54.3 ± 11.2岁，52例（67.5%）为女性，64例（83.1%）为黑人/非裔美国人。开始吸烟的平均年龄为19.3 ± 5.2岁，43人（55.8%）过去从未尝试戒烟。关于心理健康筛查，32例（41.6%）患者的患者健康问卷（PHQ）9评分≥ 9分，59例（76.6%）患者的广泛性焦虑症（GAD）7评分≥ 7分，67例（87.0%）患者在筛查时被确定为社交孤立，70例（90.1%）患者被确定为孤独。总结：在积极吸烟和努力戒烟的患者中，未诊断的精神健康疾病和社会脱节的患病率很高。虽然有必要进行更大规模的研究来重申这些结果，但可能需要筛查精神健康发病率和社会脱节，以提供有效的烟草依赖管理。
Introduction: with regards to tobacco dependence management, there are certain barriers to successful smoking cessation for patients, such as untreated anxiety and depression. Complicating the impact of mental health morbidities on tobacco dependence may be the significant portion of patients whose mental health issues and limited social connections are undiagnosed and unaddressed. We hypothesize that patients with no prior mental health diagnoses who are treated for tobacco dependence have high rates of undiagnosed mental health morbidities. Methods: patients were recruited from a tobacco treatment clinic in 2021. Every patient who came for an inaugural visit without a prior diagnosis of mental health disease was screened for depression, anxiety, social isolation and loneliness. Sociodemographic variables were collected. Results: over a 12-month period, 114 patients were seen at the tobacco treatment clinic. Of these 114 patients, 77 (67.5%) did not have a prior diagnosis of a mental health disease. The mean age was 54.3 ± 11.2 years, 52 (67.5%) were females, and 64 (83.1%) were Black/African American. The mean age of starting smoking was 19.3 ± 5.2 years, and 43 (55.8%) had never attempted to quit smoking in the past. With regards to mental health screening, 32 (41.6%) patients had a score of 9 or greater on the Patient Health Questionnaire (PHQ) 9, 59 (76.6%) had a score of 7 or greater on the Generalized Anxiety Disorder (GAD) 7, 67 (87.0%) were identified with social isolation and 70 (90.1%) for loneliness on screening. Conclusion: there was a high prevalence of undiagnosed mental health morbidities and social disconnection in patients who were actively smoking and were struggling to achieve smoking cessation. While a larger scale study is necessary to reaffirm these results, screening for mental health morbidities and social disconnection may be warranted in order to provide effective tobacco dependence management.
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影响因子：
39.2
作者：
Kind AJ;Jencks S;Brock J;Yu M;Bartels C;Ehlenbach W;Greenberg C;Smith M
通讯作者：
Smith M
影响因子：
33.9
作者：
Babb, Stephen;Malarcher, Arm;Jamal, Ahmed
通讯作者：
Jamal, Ahmed
影响因子：
7
作者：
Lee, Ellen E.;Depp, Colin;Jeste, Dilip, V
通讯作者：
Jeste, Dilip, V
影响因子：
120.7
作者：
Lasser, K;Boyd, JW;Bor, DH
通讯作者：
Bor, DH
成人目前吸烟 - 美国，2016年。
DOI：
10.15585/mmwr.mm6702a1
发表时间：
2018-01-19
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Jamal A;Phillips E;Gentzke AS;Homa DM;Babb SD;King BA;Neff LJ
通讯作者：
Neff LJ