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.
[Background] The main purpose of conducting group interviews and administering questionnaires to nonsmokers was to develop a weight control support program following the implementation of a smoking ban. Furthermore, the investigation revealed that the program included meal consultation that was carried out via e-mail. [Subjects] The participants were eleven men and seven women who participated in the Internet non-smoking marathon and have continued to abstain from smoking.
[Methods]1.Administration of questionnaires The questionnaires were administered during the non-smoking marathon and were collected from those who completed them on the same day.
2. Group interview
A group interview was conducted with 2~3 participants who responded to the questionnaire. The same interviewer questioned all the respondents.
[Results] The average change in weight after the implementation of the smoking ban is 2.4 kg (SD-4.1) for men and 3.3 kg (SD-4.8) for women. On an average, the non-smoking period for females was six years and five months and eight years and four months for males.
It was the information about a diet which has the participant. The items “Sports circle introduction” and “about the calorie content of alcohol” had low points.
[Conclusion] The weight control support program was created on the basis of the questionnaires administered to and group interviews conducted with nonsmokers who continued to abstain from smoking. The program offers movement and the loss-in-quantity knowledge by the individual meal consultation and mail which used the E-mail with a photograph.