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The 13th World Conference on Tobacco OR Health

Building capacity for a tobacco-free world

July 12-15, 2006, Washington, DC, USA



Thursday, July 13, 2006 - 12:00 PM
13-115

Anxiety Evolution on Giving up Smoking and Relation with Abstinence and Gender in a Smoking Multicomponent Program

MONICA QUESADA, ISABEL FLETES, BEATRIZ SANCHEZ, and JOSE MARIA CARRERAS, PhD. SMOKING TREATMENT UNIT, HOSPITAL CARLOS III, SINESIO DELGADO 10, MADRID, 28029, Spain

Objective: To analyse anxiety levels evolution after giving up smoking by gender in smokers who ask for treatment in a public smoking treatment unit and their influence in abstinence.

Methods: Prospective and descriptive study of 463 smokers (54.4% women) with a mean of 46.5 years old. Assessment instruments: Clinic interview, Fagerström test, STAI and CO in expired air. Multicomponent treatment program for 6 months in 10 sessions with nicotine replacement therapy (patches/gums) as pharmacological treatment. Statistics analysis: Chi square, T Student. Group smoked a mean of 28.4 cig/day (30.2 men 27 women p<0.004), Fagerström Test mean was 6.69, CO mean 24.1 and 34% of them had antecedents of mental disorders (which 25.9% were anxiety disorders), with a higher percent for women (p<0.015).

Results: Treat anxiety mean was higher in women-24.3- than men-21.9-(p<0.012). State anxiety (SA) initially was 23.2 in women and 20.5 in men (p<0.008) and in the first three months: 23.2 in women, 17.1 in men a week (p<0.02), 20.4 in women, 16.5 in men a month (p<0.001), 19.3 in women, 16.2 in men at three months. (p<0.03). SA decreased from first week in all group. Punctual abstinence: 87% a week, 89.5% a month, 81.8% at 3 months, 72.6% at 6 months, 56.1% a year and 33.8% at 2 years, no gender difference. Lower SA levels during treatment was a success factor predictor. Lower nicotine dependence was only a sucess preditor for women.