Association Of Cigarette Smoking With Anxiety, Depression, And Suicidal Ideation Among Brazilian Adolescents

Fátima Martinez Slomp,1,2 Tiago S Bara,1,3 Gledson Luiz Picharski,1,3 Mara L Cordeiro1–4 1Faculdades Pequeno Príncipe, Curitiba, Brazil; 2Guarapuava Centre-West University, Guarapuava, Brazil; 3Research Institute Pelé Pequeno Príncipe, Curitiba,...

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Autores principales:	Slomp FM, Bara TS, Picharski GL, Cordeiro ML
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	smoking adolescence depression anxiety suicide school performance Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/e4dbcde3906744e68bd6ddf6f5072f99
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spelling	oai:doaj.org-article:e4dbcde3906744e68bd6ddf6f5072f992021-12-02T07:33:49ZAssociation Of Cigarette Smoking With Anxiety, Depression, And Suicidal Ideation Among Brazilian Adolescents1178-2021https://doaj.org/article/e4dbcde3906744e68bd6ddf6f5072f992019-09-01T00:00:00Zhttps://www.dovepress.com/association-of-cigarette-smoking-with-anxiety-depression-and-suicidal--peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Fátima Martinez Slomp,1,2 Tiago S Bara,1,3 Gledson Luiz Picharski,1,3 Mara L Cordeiro1–4 1Faculdades Pequeno Príncipe, Curitiba, Brazil; 2Guarapuava Centre-West University, Guarapuava, Brazil; 3Research Institute Pelé Pequeno Príncipe, Curitiba, Brazil; 4Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, Los Angeles, CA, USACorrespondence: Mara L Cordeiro Av. Silva Jardim 1632, Curitiba, PR, Brazil80250-120 Tel +55 41 3310-1035Email mcordeiro@mednet.ucla.eduBackground: Several studies worldwide have pointed to depression and anxiety symptoms as being related to adolescent smoking. The aim of this study was to investigate, the potential link of cigarette smoking with depression, anxiety, and suicidal ideation and the influence of gender on these relationships in Brazilian adolescents.Methods: Associations of smoking with Children Depressive Inventory version 2 (CDI2) scores, Hamilton Anxiety Scale (HAM-A) scores, and poor school performance (i.e., grade retention) were examined in 988 Brazilian students (age range, 11–17 years) enrolled in 82 public and private schools. Logistic regression modeling was employed and the resultant odds ratios (ORs) are reported with 95% CIs.Results: Of 988 participants, 240 (24.3%) were smokers. Mean (±standard error) HAM-A scores were higher for smokers (21.1 ± 9.7) than nonsmokers (15.4 ± 8.6; p < 0.0001). Relative to nonsmokers, smokers had higher total CDI2 scores (p = 0.033), and higher scores for the CDI2 domains of Emotional Problems (p = 0.023), Negative Self-esteem (p < 0.001), and Functional Problems (p = 0.046). Suicidal ideation was common among smokers with depressive symptoms (54.2%). Smoking was associated with being held back three grades (p < 0.001). Female smokers were more likely to report suicidal ideation than male smokers (p = 0.020). Logistic regression modeling revealed significant associations of suicidal ideation with being female (OR, 1.81; 95% CI, 1.38–2.37), being a female smoker (OR, 2.05; 95% CI, 1.51–2.80), and having a HAM-A score > 16 (OR, 2.18; 95% CI, 1.66–2.86).Conclusion: Smoking was found to be associated with anxiety symptoms, depressive symptoms, and poor school performance in Brazilian adolescents; and female smokers reported more suicidal ideation than male smokers.Keywords: smoking, adolescence, depression, anxiety, suicide, school performanceSlomp FMBara TSPicharski GLCordeiro MLDove Medical Pressarticlesmokingadolescencedepressionanxietysuicideschool performanceNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 15, Pp 2799-2808 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	smoking adolescence depression anxiety suicide school performance Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	smoking adolescence depression anxiety suicide school performance Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Slomp FM Bara TS Picharski GL Cordeiro ML Association Of Cigarette Smoking With Anxiety, Depression, And Suicidal Ideation Among Brazilian Adolescents
description	Fátima Martinez Slomp,1,2 Tiago S Bara,1,3 Gledson Luiz Picharski,1,3 Mara L Cordeiro1–4 1Faculdades Pequeno Príncipe, Curitiba, Brazil; 2Guarapuava Centre-West University, Guarapuava, Brazil; 3Research Institute Pelé Pequeno Príncipe, Curitiba, Brazil; 4Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, Los Angeles, CA, USACorrespondence: Mara L Cordeiro Av. Silva Jardim 1632, Curitiba, PR, Brazil80250-120 Tel +55 41 3310-1035Email mcordeiro@mednet.ucla.eduBackground: Several studies worldwide have pointed to depression and anxiety symptoms as being related to adolescent smoking. The aim of this study was to investigate, the potential link of cigarette smoking with depression, anxiety, and suicidal ideation and the influence of gender on these relationships in Brazilian adolescents.Methods: Associations of smoking with Children Depressive Inventory version 2 (CDI2) scores, Hamilton Anxiety Scale (HAM-A) scores, and poor school performance (i.e., grade retention) were examined in 988 Brazilian students (age range, 11–17 years) enrolled in 82 public and private schools. Logistic regression modeling was employed and the resultant odds ratios (ORs) are reported with 95% CIs.Results: Of 988 participants, 240 (24.3%) were smokers. Mean (±standard error) HAM-A scores were higher for smokers (21.1 ± 9.7) than nonsmokers (15.4 ± 8.6; p < 0.0001). Relative to nonsmokers, smokers had higher total CDI2 scores (p = 0.033), and higher scores for the CDI2 domains of Emotional Problems (p = 0.023), Negative Self-esteem (p < 0.001), and Functional Problems (p = 0.046). Suicidal ideation was common among smokers with depressive symptoms (54.2%). Smoking was associated with being held back three grades (p < 0.001). Female smokers were more likely to report suicidal ideation than male smokers (p = 0.020). Logistic regression modeling revealed significant associations of suicidal ideation with being female (OR, 1.81; 95% CI, 1.38–2.37), being a female smoker (OR, 2.05; 95% CI, 1.51–2.80), and having a HAM-A score > 16 (OR, 2.18; 95% CI, 1.66–2.86).Conclusion: Smoking was found to be associated with anxiety symptoms, depressive symptoms, and poor school performance in Brazilian adolescents; and female smokers reported more suicidal ideation than male smokers.Keywords: smoking, adolescence, depression, anxiety, suicide, school performance
format	article
author	Slomp FM Bara TS Picharski GL Cordeiro ML
author_facet	Slomp FM Bara TS Picharski GL Cordeiro ML
author_sort	Slomp FM
title	Association Of Cigarette Smoking With Anxiety, Depression, And Suicidal Ideation Among Brazilian Adolescents
title_short	Association Of Cigarette Smoking With Anxiety, Depression, And Suicidal Ideation Among Brazilian Adolescents
title_full	Association Of Cigarette Smoking With Anxiety, Depression, And Suicidal Ideation Among Brazilian Adolescents
title_fullStr	Association Of Cigarette Smoking With Anxiety, Depression, And Suicidal Ideation Among Brazilian Adolescents
title_full_unstemmed	Association Of Cigarette Smoking With Anxiety, Depression, And Suicidal Ideation Among Brazilian Adolescents
title_sort	association of cigarette smoking with anxiety, depression, and suicidal ideation among brazilian adolescents
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/e4dbcde3906744e68bd6ddf6f5072f99
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Association Of Cigarette Smoking With Anxiety, Depression, And Suicidal Ideation Among Brazilian Adolescents

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