Smoking Behavior and Perceived Stress in Cigarette Smokers Undergoing Elective Surgery

2004 ◽  
Vol 100 (5) ◽  
pp. 1125-1137 ◽  
Author(s):  
David O. Warner ◽  
Christi A. Patten ◽  
Steven C. Ames ◽  
Kenneth Offord ◽  
Darrell Schroeder

Background The forced abstinence from cigarettes accompanying surgery in smoke-free facilities may increase psychological stress by removing a coping mechanism and by nicotine withdrawal. The authors tested the hypothesis that abstinence from cigarette smoking contributes to psychological stress in the perioperative period. Methods The authors assessed measures of nicotine withdrawal (Hughes-Hatsukami nicotine withdrawal scale) and perceived stress (including the Perceived Stress Scale) in 141 cigarette smokers scheduled to undergo elective surgery. To separate the effects of stress arising from tobacco abstinence from the effects of other perioperative stressors, such as pain, these measures were also obtained in 150 surgical patients who did not use tobacco. Assessments were performed at intervals beginning at the time of preoperative medical evaluation and ending 30 days postoperatively. Results Perceived Stress Scale scores were significantly (P < 0.001) higher in smokers throughout the study period. There was little significant interaction between smoking status and time, indicating that changes in Perceived Stress Scale score during the perioperative period did not differ between smokers and nonsmokers. The same result was found if analysis was restricted to data collected before hospital discharge (and thus during assured abstinence). Similar results were found for the nicotine withdrawal scale, suggesting that smokers did not experience more withdrawal symptoms relative to nonsmokers. Conclusions Although smokers report increased baseline stress, smoking status does not affect changes in perceived stress over the perioperative period. Nicotine withdrawal symptoms do not seem to be a clinically significant problem in the perioperative period for most smokers.

2005 ◽  
Vol 102 (6) ◽  
pp. 1138-1146 ◽  
Author(s):  
David O. Warner ◽  
Christi A. Patten ◽  
Steven C. Ames ◽  
Kenneth P. Offord ◽  
Darrell R. Schroeder

Background Many surgical patients are dependent on nicotine. Smoke-free policies in healthcare facilities mandate abstinence from smoking, which could contribute to psychological stress in the perioperative period. The authors tested the hypothesis that nicotine replacement therapy decreases psychological stress in cigarette smokers scheduled to undergo elective surgery and determined whether nicotine replacement therapy affects postoperative smoking behavior, even when not specifically prescribed to promote abstinence. Methods In this double-blind, placebo-controlled trial, 121 smokers, of whom 116 received a study intervention, were randomly assigned to receive either active (nicotine-containing) or placebo patches, beginning on the morning of surgery and continuing for up to 30 days after discharge from the hospital. Outcomes included the Perceived Stress Score, the Nicotine Withdrawal Score, and subject self-report of smoking behavior. Results The Perceived Stress Score and the Nicotine Withdrawal Score did not change significantly from baseline over the immediate perioperative period and did not differ between active or placebo patch groups (all P > 0.19). The percentage of placebo versus active patch subjects reporting 7-day abstinence at 30 days postoperatively (30% vs. 39%; P = 0.29) did not differ significantly between groups. At 30 days postoperatively, subjects in both groups significantly reduced their cigarettes smoked per day from baseline, but those receiving active patches reported a greater decrease (a mean decrease of 11 +/- 11 vs. 15 +/- 7 cigarettes/day in placebo and active groups; P = 0.045). Conclusion Routine nicotine replacement therapy is not indicated in smokers undergoing surgery for the purposes of managing nicotine withdrawal and stress but can modify some aspects of postoperative smoking behavior.


2021 ◽  
Vol 15 (6) ◽  
pp. 1439-1442
Author(s):  
R. Z. Abbas ◽  
J. Saleem ◽  
U. J. Iqbal ◽  
Z. Saqlain ◽  
M. Ishaq ◽  
...  

Aim: To explore the prevalence of hair loss and its relation to men’s stress and smoking, Methodology: A cross sectional study attempts to explore the prevalence of baldness among the male residents of Lahore. For this purpose, a randomized sample of the male population was taken into consideration. The socio-demographic details, along with the smoking status of the sample were determined. Moreover, the body mass index (BMI) was also determined by referring to a prefixed formula. Baldness and stress levels were also quantified by taking into account the Norwood Hamilton categorical scale, and the perceived stress scale, respectively. A total of 250 male members were invited to participate in the research. Results: The study results showed that 51.2%, 41.2% and 7.6%of male experienced moderate, high and low level of stress respectively. When taking the Norwood Hamilton categorical scale into account, the results revealed that most prevalent type of baldness was Type II, which is the fronto-temporal hairline recession, with 19.2% of the individuals experiencing it. Age was significantly associated with baldness. Similarly a higher frequency of baldness was recorded in those men who lived in a nuclear family arrangement. Conclusion: No association was found between the type of baldness, stress level and smoking status. Keyword: Alopecia, Baldness, Norwood Hamilton categorical scale, Perceived stress scale, smoking


2018 ◽  
Author(s):  
Rebecca Hunting Pompon ◽  
Dagmar Amtmann ◽  
Charles Bombardier ◽  
Diane Kendall

2021 ◽  
pp. 156918612110323
Author(s):  
Sam Shih ◽  
Ashley Chan ◽  
Eva Yeung ◽  
Amily Tsang ◽  
Rose Chiu ◽  
...  

Background/objectives Several studies have indicated that stress is associated with common mental disorders, and work stress trebles the risk of developing them. However, a validated assessment tool for measuring and establishing psychological stress correlates in this group of clients remains unavailable. The objectives of the present study were to examine the psychometric properties of the Chinese version of the Perceived Stress Scale-10 (CPSS-10) on people with common mental disorders with different employment statuses and explore its correlates. Methods Two hundred and fifty-two participants with common mental disorders were recruited. The data were analysed through exploratory factor and confirmatory analyses to investigate construct validity. The convergent and discriminant validities were examined based on their correlation with other measures, while the internal consistency was estimated using Cronbach’s α coefficient. A t-test was used to detect differences between groups. The CPSS-10 correlates were explored using multiple linear regression analysis. Results Principal component analysis with varimax rotation yielded two factors, which accounted for 63.82% of the total variance, while confirmatory factor analysis confirmed its factor structure. The CPSS-10 had a positively moderate to strong correlation with other measures, thereby indicating its acceptable convergent and discriminant validities. The internal consistency ranged from acceptable to good for the two subscales and ten overall items, while the item-total correlation was adequate except for the seventh item. There were no group differences in gender nor employment status. Finally, the CPSS-10 predictors were studied. Conclusion The CPSS-10 is a reliable and valid instrument for people with common mental disorders with different employment statuses.


Author(s):  
Zhuang She ◽  
Dan Li ◽  
Wei Zhang ◽  
Ningning Zhou ◽  
Juzhe Xi ◽  
...  

(1) Background: The COVID-19 outbreak has created pressure in people’s daily lives, further threatening public health. Thus, it is important to assess people’s perception of stress during COVID-19 for both research and practical purposes. The Perceived Stress Scale (PSS) is one of the most widely used instruments to measure perceived stress; however, previous validation studies focused on specific populations, possibly limiting the generalization of results. (2) Methods: This study tested the psychometric properties of three versions of the Chinese Perceived Stress Scale (CPSS-14, CPSS-10, and CPSS-4) in the Chinese general population during the COVID-19 pandemic. A commercial online survey was employed to construct a nationally representative sample of 1133 adults in Mainland China (548 males and 585 females) during a one-week period. (3) Results: The two-factor (positivity and negativity) solution for the three versions of the CPSS showed a good fit with the data. The CPSS-14 and CPSS-10 had very good reliability and the CPSS-4 showed acceptable reliability. Scores on all three versions of the CPSS were significantly correlated in the expected direction with health-related variables (e.g., depression, anxiety, and perceived COVID-19 risk), supporting the concurrent validity of the CPSS. (4) Conclusions: All three versions of the CPSS appear to be appropriate for use in research with samples of adults in the Chinese general population under the COVID-19 crisis. The CPSS-10 and CPSS-14 both have strong psychometric properties, but the CPSS-10 would have more utility because it is shorter than the CPSS-14. However, the CPSS-4 is an acceptable alternative when administration time is limited.


2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1360.3-1361
Author(s):  
L. G. Espinosa Banuelos ◽  
P. R. Ancer Rodríguez ◽  
M. G. Herrera López ◽  
C. M. Skinner Taylor ◽  
L. Pérez Barbosa ◽  
...  

Background:The SARS-CoV-2 pandemic has directly impacted the psychological and physical health of individuals worldwide, as well as the global economy. Food insecurity rates have risen especially in vulnerable countries like Mexico. Furthermore, social isolation and economic uncertainty have multiplied depression and anxiety disorders. Pregnant and postpartum women are particularly vulnerable to food insecurity, increased stress, depression, and anxiety.Objectives:The aim of this study is to determine the perception of food insecurity (FI) and perceived stress in pregnant and postpartum women with rheumatic disease during the SARS-CoV-2 pandemic.Methods:An observational, cross-sectional and descriptive study was conducted. Patients from to the pregnancy and rheumatic diseases clinic of the University Hospital “Dr. José E. González” in Northeast Mexico evaluated between August to October 2020 were included. The Spanish validated versions of the Household Food Security Access Scale (HFIAS) and the Perceived Stress Scale (PSS-10) were applied by telephonic interview. The WHO recommendations were employed to determine the appropriate intake for each food group in a week. The Kolmogorov-Smirnov test was used to determine normality of the data. The Spearman correlation coefficient and the Kruskal-Wallis test were used for statistical analysis.Results:A total of 29 women were included. Six (20.6%) women were found to have moderate or severe degrees of food insecurity. In addition, 12 (40.30%) perceived moderate and severe levels of stress in the PSS-10. No relationship was found between food insecurity and perceived stress (p= 0.059). The food groups that exceeded the recommended weekly frequency were oils and sugars exceeded 3.9 and 2.9 frequencies, respectively.Conclusion:We found that 20.6% women suffered household food insecurity and 40.3% suffered moderate and severe levels of stress. No relationship was found between food insecurity with the HIFAS scale and perceived stress measures with the PSS-10. We found that oils and sugars exceeded more by the double of the recommended frequency per week.References:[1]Pérez-Escamilla R, Cunningham K, Moran VH. COVID-19 and maternal and child food and nutrition insecurity: a complex syndemic. Matern Child Nutr. 2020;16(3):e13036. doi:10.1111/mcn.13036[2]Adams EL, Caccavale LJ, Smith D, Bean MK. Food Insecurity, the Home Food Environment, and Parent Feeding Practices in the Era of COVID-19. Obesity (Silver Spring). 2020;28(11):2056-2063. doi:10.1002/oby.22996Table 1.Socio-demographic characteristics and scale results.Age, years, mean (SD)27.5 (7.03)Diagnosis, n (%)RA16 (55.1)SLE7 (24.4)Others6 (20.6)Results per scalesHFIAS, n (%)No risk13 (44.8)Mild10 (34.4)Moderated3 (10.3)Severe3 (10.3)EPP-10, n (%)Mild17 (58.6)Moderated9 (31.0)Severe3 (10.3)SD: standard deviation, RA: Rheumatoid arthritis, SLE: Systemic lupus erythematosus, HFIAS: Household food security access component scale, EPP-10: Perceived stress scale 10 items.Disclosure of Interests:None declared.


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