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International Journal of Behavioral Medicine
Published in: International Journal of Behavioral Medicine 2/2016

01-04-2016

Smoking Cessation After Acute Myocardial Infarction in Relation to Depression and Personality Factors

Authors: Mona Schlyter, Margrét Leosdottir, Gunnar Engström, Lena André-Petersson, Patrik Tydén, Margareta Östman

Published in: International Journal of Behavioral Medicine | Issue 2/2016

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Abstract

Background

Smoking is an important cardiovascular risk factor and smoking cessation should be a primary target in secondary prevention after a myocardial infarction (MI).

Purpose

The purpose of this study was to examine whether personality, coping and depression were related to smoking cessation after an MI.

Method

MI patients ≤70 years (n = 323, 73 % men, 58.7 ± 8.3 years), participating in the Secondary Prevention and Compliance following Acute Myocardial Infarction study in Malmö, Sweden, between 2002 and 2005, were interviewed by a psychologist to assess coping strategies and completed Beck Depression and NEO Personality Inventories, in close proximity to the acute event. Correlation between smoking status (current, former and never), personality factors, coping and depression was assessed at baseline and 24 months after the MI using logistic regression and in a multivariate analysis, adjusting for age and sex.

Results

Of the participating patients, 46 % were current smokers. Two years after the event, 44 % of these were still smoking. At baseline, current smokers scored higher on the depression and neuroticism scales and had lower agreeableness scores. Patients who continued to smoke after 2 years had higher scores on being confrontational (i.e. confrontative coping style) compared to those who had managed to quit. Patients who continued to smoke had significantly lower agreeableness and were more often living alone.

Conclusion

Personality, coping strategies and psychosocial circumstances are associated with smoking cessation rates in patients with MI. Considering personality factors and coping strategies to better individualise smoking cessation programs in MI patients might be of importance.
Literature
1.
Nichols M, Townsend N, Scarborough P, Rayner M. Cardiovascular disease in Europe 2014: epidemiological update. Eur Heart J. 2014;35(42):2950–9.CrossRefPubMed
2.
Doll R, Peto R, Boreham J, Sutherland I. Mortality in relation to smoking: 50 years’ observations on male British doctors. BMJ. 2004;328(7455):1519. bmj.38142.554479.AE.CrossRefPubMedPubMedCentral
3.
4.
Rea TD, Heckbert SR, Kaplan RC, Smith NL, Lemaitre RN, Psaty BM. Smoking status and risk for recurrent coronary events after myocardial infarction. Ann Intern Med. 2002;137(6):494-500. doi:200209170-00009.
5.
6.
Wilhelmsen L. Effects of cessation of smoking after myocardial infarction. J Cardiovasc Risk. 1998;5(3):173–6.CrossRefPubMed
7.
Herlitz J, Karlson BW, Sjolin M, Lindqvist J, Karlsson T, Caidahl K. Five-year mortality in patients with acute chest pain in relation to smoking habits. Clin Cardiol. 2000;23(2):84–90.CrossRefPubMed
8.
Wilhelmsen L. Coronary heart disease: epidemiology of smoking and intervention studies of smoking. Am Heart J. 1988;115(1 Pt 2):242–9.CrossRefPubMed
9.
10.
Glassman AH, Helzer JE, Covey LS, Cottler LB, Stetner F, Tipp JE, et al. Smoking, smoking cessation, and major depression. JAMA. 1990;264(12):1546–9.CrossRefPubMed
11.
12.
13.
14.
Lett HS, Blumenthal JA, Babyak MA, Sherwood A, Strauman T, Robins C, et al. Depression as a risk factor for coronary artery disease: evidence, mechanisms, and treatment. Psychosom Med. 2004;66(3):305–15.PubMed
15.
Nicholson A, Kuper H, Hemingway H. Depression as an aetiologic and prognostic factor in coronary heart disease: a meta-analysis of 6362 events among 146 538 participants in 54 observational studies. Eur Heart J. 2006;27(23):2763–74. doi:10.​1093/​eurheartj/​ehl338.CrossRefPubMed
16.
Wong CK, Tang EW, Herbison P, Birmingham B, Barclay L, Fu SY. Pre-existent depression in the 2 weeks before an acute coronary syndrome can be associated with delayed presentation of the heart attack. QJM. 2008;101(2):137–44. doi:10.​1093/​qjmed/​hcm153.CrossRefPubMed
17.
Barth J, Schumacher M, Herrmann-Lingen C. Depression as a risk factor for mortality in patients with coronary heart disease: a meta-analysis. Psychosom Med. 2004;66(6):802–13.CrossRefPubMed
18.
19.
Frasure-Smith N, Lesperance F, Talajic M. Depression and 18-month prognosis after myocardial infarction. Circulation. 1995;91(4):999–1005.CrossRefPubMed
20.
21.
Hakulinen C, Hintsanen M, Munafo MR, Virtanen M, Kivimaki M, Batty GD et al. Personality and smoking: individual-participant meta-analysis of 9 cohort studies. Addiction. 2015. doi:10.​1111/​add.​13079.
22.
Malouff JM, Thorsteinsson EB, Schutte NS. The five-factor model of personality and smoking: a meta-analysis. J Drug Educ. 2006;36(1):47–58.CrossRefPubMed
23.
Kassel JD, Stroud LR, Paronis CA. Smoking, stress, and negative affect: correlation, causation, and context across stages of smoking. Psychol Bull. 2003;129(2):270–304.CrossRefPubMed
24.
25.
Denollet J. Type D personality. A potential risk factor refined. J Psychosom Res. 2000;49(4):255-66. doi:S0022-3999(00)00177-X.
26.
Miller TQ, Smith TW, Turner CW, Guijarro ML, Hallet AJ. A meta-analytic review of research on hostility and physical health. Psychol Bull. 1996;119(2):322–48.CrossRefPubMed
27.
Folkman S, Lazarus RS. An analysis of coping in a middle-aged community sample. J Health Soc Behav. 1980;21(3):219–39.CrossRefPubMed
28.
Ostman M, Hansson L. The relationship between coping strategies and family burden among relatives of admitted psychiatric patients. Scand J Caring Sci. 2001;15(2):159–64.CrossRefPubMed
29.
Long D. Smoking as a coping strategy. Nurs Times. 2003;99(33):50. 3.PubMed
30.
Hajek P, Taylor T, McRobbie H. The effect of stopping smoking on perceived stress levels. Addiction. 2010;105(8):1466–71.CrossRefPubMed
31.
Andre-Petersson L, Schlyter M, Engstrom G, Tyden P, Hedblad B. Behavior in a stressful situation, personality factors, and disease severity in patients with acute myocardial infarction: baseline findings from the prospective cohort study SECAMI (the Secondary Prevention and Compliance following Acute Myocardial Infarction study). BMC Cardiovasc Disord. 2011;11:45. doi:10.​1186/​1471-2261-11-45.CrossRefPubMedPubMedCentral
32.
33.
Van de Werf F, Ardissino D, Betriu A, Cokkinos DV, Falk E, Fox KA, et al. Management of acute myocardial infarction in patients presenting with ST-segment elevation. The Task Force on the Management of Acute Myocardial Infarction of the European Society of Cardiology. Eur Heart J. 2003;24(1):28–66.CrossRefPubMed
34.
Graham I, Atar D, Borch-Johnsen K, Boysen G, Burell G, Cifkova R, et al. European guidelines on cardiovascular disease prevention in clinical practice: executive summary. Fourth Joint Task Force of the European Society of Cardiology and other societies on cardiovascular disease prevention in clinical practice (constituted by representatives of nine societies and by invited experts). Eur J Cardiovasc Prev Rehabil. 2007;14(2):E1–40.CrossRefPubMed
35.
Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4:561–71.CrossRefPubMed
36.
Costa Jr PT, McCrae RR. The NEO Personality Inventory manual from S and from R. Odessa, FL: Psychological Assessment Resources, Inc; 1985.
37.
Folkman S, Lazarus RS, Gruen RJ, DeLongis A. Appraisal, coping, health status, and psychological symptoms. J Pers Soc Psychol. 1986;50(3):571–9.CrossRefPubMed
38.
de Jonge P, Ormel J, van den Brink RH, van Melle JP, Spijkerman TA, Kuijper A, et al. Symptom dimensions of depression following myocardial infarction and their relationship with somatic health status and cardiovascular prognosis. Am J Psychiatry. 2006;163(1):138–44. doi:10.​1176/​appi.​ajp.​163.​1.​138.CrossRefPubMed
39.
Folkman S, Lazarus RS, Dunkel-Schetter C, DeLongis A, Gruen RJ. Dynamics of a stressful encounter: cognitive appraisal, coping, and encounter outcomes. J Pers Soc Psychol. 1986;50(5):992–1003.CrossRefPubMed
40.
Folkman S, Lazarus RS, editors. Manual for the ways of coping questionnaire. Palo Alto, CA: Consulting Psychologists Press; 1988.
41.
Picciotto MR, Brunzell DH, Caldarone BJ. Effect of nicotine and nicotinic receptors on anxiety and depression. Neuroreport. 2002;13(9):1097–106.CrossRefPubMed
42.
Katz DL, Boukhalil J, Lucan SC, Shah D, Chan W, Yeh MC. Impediment profiling for smoking cessation. Preliminary experience. Behav Modif. 2003;27(4):524–37.CrossRefPubMed
43.
Kenney BA, Holahan CJ, Holahan CK, Brennan PL, Schutte KK, Moos RH. Depressive symptoms, drinking problems, and smoking cessation in older smokers. Addict Behav. 2009;34(6-7):548–53.CrossRefPubMedPubMedCentral
44.
Breslau N, Peterson EL, Schultz LR, Chilcoat HD, Andreski P. Major depression and stages of smoking. A longitudinal investigation. Arch Gen Psychiatry. 1998;55(2):161–6.CrossRefPubMed
45.
Costa Jr PT, McCrae RR. Revised NEO Personality Inventory (NEO-PI-R) and NEO Five-Factor Inventory (NEO-FFI) professional manual. Odessa. Fl: Psychological Assessment Resources; 1992.
46.
Quist-Paulsen P, Bakke PS, Gallefoss F. Predictors of smoking cessation in patients admitted for acute coronary heart disease. Eur J Cardiovasc Prev Rehabil. 2005;12(5):472–7.CrossRefPubMed
47.
Hooten WM, Ames SC, Vickers KS, Hays JT, Wolter TD, Hurt RD, et al. Personality correlates related to tobacco abstinence following treatment. Int J Psychiatry Med. 2005;35(1):59–74.CrossRefPubMed
48.
Kristofferzon ML, Lofmark R, Carlsson M. Coping, social support and quality of life over time after myocardial infarction. J Adv Nurs. 2005;52(2):113-24. doi:JAN3571
49.
50.
Lindstrom M. Social capital, economic conditions, marital status and daily smoking: a population-based study. Public Health. 2010;124(2):71–7.CrossRefPubMed
51.
Hedblad B, Jonsson S, Nilsson P, Engstrom G, Berglund G, Janzon L. Obesity and myocardial infarction-vulnerability related to occupational level and marital status. A 23-year follow-up of an urban male Swedish population. J Intern Med. 2002;252(6):542–50.CrossRefPubMed
52.
Engstrom G, Goransson M, Hansen O, Hedblad B, Tyden P, Todt T, et al. Trends in long-term survival after myocardial infarction: less favourable patterns for patients from deprived areas. J Intern Med. 2000;248(5):425–34.CrossRefPubMed
53.
From Attebring M, Herlitz J, Berndt AK, Karlsson T, Hjalmarson A. Are patients truthful about their smoking habits? A validation of self-report about smoking cessation with biochemical markers of smoking activity amongst patients with ischaemic heart disease. J Intern Med. 2001;249(2):145–51.CrossRefPubMed
Metadata
Title
Smoking Cessation After Acute Myocardial Infarction in Relation to Depression and Personality Factors
Authors
Mona Schlyter
Margrét Leosdottir
Gunnar Engström
Lena André-Petersson
Patrik Tydén
Margareta Östman
Publication date
01-04-2016
Publisher
Springer US
Published in
International Journal of Behavioral Medicine / Issue 2/2016
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-015-9514-y

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