ABS92: Analysis of the influence of tobacco on the psychosocial assessment of intense smokers

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Introduction:It is known that patients with COPD have more depression or depressive symptoms than healthy individuals. Nicotine is considered one cause of anxiety by drugs consumption in DSM-IV.Design:Analysis of influence of tobacco in psychosocial assessment on intense smokers without COPD or other respiratory disease.Methods:- A sample of 58 patients: 38 smokers (cases), 20 non-smokers (controls).- Exclusion criteria: COPD and other respiratory diseases.- -Variables: Age, sex, BMI.- Diagnostics criteria: OMS definition of smoker, History of smoker included CMDF (SEPAR), Richmond test, Fagerström test, Charlson Index (co morbidity; co morbidity –age) and Goldberg General Health Questionnaire (GHQ-28) including 4 subscales A (somatic symptoms), B (anxiety and insomnia), C (social dysfunction) and D (severe depression).- -StatisticalMethod:The data obtained were treated statistically whit the SPSS statistical Package (version 12.0).Discussion:These results may be attributable to tobacco consumption because the Charlson Index are very low in the two groups compared and no differences we observed in BMI.Results:The characteristics of smoker group are intense degree of tobaccoism, variable degree of physics dependence, precontemplation phase of abandon, High risk, Richmond test (4’55∓ 1’39), Fagerström test (4’37 ∓2’86), Charlson Index (co morbidity; co morbidity –age) very low, BMI (25’42∓ 4’85).Conclusion:1- We observed significant differences in subscale B (anxiety and insomnia) of GHQ-28 normal and corrected between the two groups and this scale is pathological in smokers.2- In smokers, a positive association between tobacco and anxiety or insomnia was observed (OR>1).3- Equally no differences was observed in subscales A, C and D of GHQ-28, that corresponding to somatic symptoms, social dysfunction and severe depression respectively.4- Fagerström and total GHQ-28 tests give highest values in smokers who need smoke in the first 30 m after wake-up.5- Fagerström and D subscale GHQ-28 test give significant differences (p = 0.000 and p = 0.01 respectively) with increasing values in parallel to the increase physics dependence. Conflict of interest and funding None.