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: Umran Ozden Sertcelik, Aysegul Karalezli
Format: Article
Language:English
Published: European Publishing 2024-11-01
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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author Umran Ozden Sertcelik
Aysegul Karalezli
author_facet Umran Ozden Sertcelik
Aysegul Karalezli
author_sort Umran Ozden Sertcelik
collection DOAJ
description 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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spelling doaj-art-1a0bbb10ec334699b24f29b8af4e5fd82024-12-31T20:03:24ZengEuropean PublishingTobacco Induced Diseases1617-96252024-11-0122November1910.18332/tid/194170194170The association between nicotine dependence and sleep quality in patients referred to a smoking cessation outpatient clinic: A cross-sectional studyUmran Ozden Sertcelik0https://orcid.org/0000-0001-8394-6544Aysegul Karalezli1https://orcid.org/0000-0003-3013-4061Department of Chest Diseases, Faculty of Medicine, Ankara Yıldırım Beyazıt University, Ankara, TürkiyeDepartment of Chest Diseases, Faculty of Medicine, Ankara Yıldırım Beyazıt University, Ankara, TürkiyeIntroduction 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.https://www.tobaccoinduceddiseases.org/The-association-between-nicotine-dependence-and-sleep-quality-in-patients-referred,194170,0,2.htmlanxiety disordersleep hygienesleepinesstobacco use disordertobacco use cessation
spellingShingle Umran Ozden Sertcelik
Aysegul Karalezli
The association between nicotine dependence and sleep quality in patients referred to a smoking cessation outpatient clinic: A cross-sectional study
Tobacco Induced Diseases
anxiety disorder
sleep hygiene
sleepiness
tobacco use disorder
tobacco use cessation
title The association between nicotine dependence and sleep quality in patients referred to a smoking cessation outpatient clinic: A cross-sectional study
title_full The association between nicotine dependence and sleep quality in patients referred to a smoking cessation outpatient clinic: A cross-sectional study
title_fullStr The association between nicotine dependence and sleep quality in patients referred to a smoking cessation outpatient clinic: A cross-sectional study
title_full_unstemmed The association between nicotine dependence and sleep quality in patients referred to a smoking cessation outpatient clinic: A cross-sectional study
title_short The association between nicotine dependence and sleep quality in patients referred to a smoking cessation outpatient clinic: A cross-sectional study
title_sort association between nicotine dependence and sleep quality in patients referred to a smoking cessation outpatient clinic a cross sectional study
topic anxiety disorder
sleep hygiene
sleepiness
tobacco use disorder
tobacco use cessation
url https://www.tobaccoinduceddiseases.org/The-association-between-nicotine-dependence-and-sleep-quality-in-patients-referred,194170,0,2.html
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