The association between nicotine dependence and sleep quality in patients referred to a smoking cessation outpatient clinic: A cross-sectional study
Introduction Nicotine addiction is one of the most common forms of dependence. It is shown to be associated with many chronic diseases that develop mostly through smoking. The association between sleep quality and smoking or nicotine addiction has not been clarified yet. This study aimed to investig...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2024-11-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | https://www.tobaccoinduceddiseases.org/The-association-between-nicotine-dependence-and-sleep-quality-in-patients-referred,194170,0,2.html |
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| Summary: | Introduction
Nicotine addiction is one of the most common forms of dependence. It
is shown to be associated with many chronic diseases that develop mostly through
smoking. The association between sleep quality and smoking or nicotine addiction
has not been clarified yet. This study aimed to investigate the association between
nicotine addiction and sleep quality.
Methods
In this cross-sectional study, the Epworth sleepiness scale (ESS),
Pittsburgh sleep quality index (PSQI), Fagerström test for nicotine dependence
(FTND), and Hospital anxiety-depression scale (HADS) were administered to
patients who applied to the smoking cessation outpatient clinic of a reference
hospital between April and June 2023. FTND measured nicotine dependence,
and its association with sleep quality estimated by PSQI was assessed by binary
logistic regression with the potential confounders.
Results
In the study group of 280 participants, 67.1% were male, and 57.8%
had poor sleep quality. The median (IQR) FNTD score was 7.0 (3.0), and the
median global PSQI score was 6.0 (5.0). Poor sleep quality increased by 1.12
times (AOR=1.12; 95% CI: 1.02–1.22, p=0.016) for each unit increase in hospital
anxiety score and by 1.22 times (AOR=1.22; 95% CI: 1.05–1.42, p=0.011) for
each unit increase in FTND score.
Conclusions
Increased nicotine dependence and anxiety are independently
associated with poor sleep quality. The findings support smoking cessation efforts.
It is recommended to study the effect of combating anxiety and tobacco addiction
to improve sleep quality. |
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| ISSN: | 1617-9625 |