Examining the effects of stress and psychological distress on smoking abstinence in cancer patients

Preventive Medicine Reports

Giselle K. Perez¹  Alona Muzikansky²  Brittain Mahaffey²  Adam Gonzalez³  Christina M. Luberto³  Nancy A. Rigotti⁴  Sarah Skurla⁴  Colin J. Ponzani⁵  Jamie S. Ostroff⁵  Joanna M. Streck⁶  Elyse R. Park⁶  Daniel L. Hall⁶ 

[1] Corresponding author at: Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School, 100 Cambridge Street, 16th Floor, Boston, MA 02114, United States.;Department of Psychiatry, Memorial Sloan Kettering Cancer Center, United States;Harvard Medical School, Memorial Sloan Kettering Cancer Center, United States;;Mongan Institute Health Policy Research Center &Tobacco Research and Treatment Center, Memorial Sloan Kettering Cancer Center, United States;Massachusetts General Hospital, Memorial Sloan Kettering Cancer Center, United States;

关键词: Smoking cessation;    Cancer patients;    Stress;    Distress;    Anxiety;    Smoking cessation intervention;   

DOI  :  

来源: DOAJ

【 摘 要 】

Introduction: Cancer patients who smoke report more stress and psychological distress than patients who do not smoke. It is unclear how these emotional symptoms may modify smoking behavior in cancer patients. We examined the influence of a smoking cessation intervention for cancer patients on stress and distress, and the effects of these symptoms on smoking abstinence. Methods: Mixed-methods secondary analysis of data from the Smokefree Support Study, a two-site randomized controlled trial examining the efficacy of Intensive (IT; n = 153) vs. Standard Treatment (ST; n = 150) for smoking cessation in newly diagnosed cancer patients. Stress coping, perceived stress, distress, and anxiety were self-reported at baseline, 3, and 6 months. Abstinence was biochemically-confirmed at 6 months. A subset of patients (n = 72) completed qualitative exit-interviews. Results: Patients were on average, 58 years old, 56% female, and smoked a median of 10 cigarettes/day. There were no significant treatment group × time interactions or main effects of treatment group on stress or distress measures (p’s > 0.05), however there were significant main effects of time suggesting symptom improvements on each measure in both study groups (p’s < 0.05). In adjusted logistic regression models, lower levels anxiety at 3 months predicted confirmed smoking abstinence at 6 months (p = .03). Qualitatively, at 6 months, patients reported their stress and smoking were connected and that the cessation counseling was helpful. Conclusions: Cancer patients enrolled in a smoking cessation trial report decreases in stress, distress and anxiety over time, and anxiety symptoms may impact smoking cessation success at follow-up resulting in an important intervention target.

【 授权许可】

Unknown