Relationship between anxiety disorder and the use of electronic cigarettes in medical students at a university on Sao Paulo coast
DOI:
https://doi.org/10.25118/2763-9037.2024.v14.1276Keywords:
Medicine students, Nicotine, Mental health, Electronic cigarette, Anxiety, electronic nicotine delivery systemsAbstract
Introduction: The use of electronic smoking devices among young people is increasing. Objective: To describe the relationship between e-cigarette use and mental health, more specifically focused on Generalized Anxiety Disorder, among medical students. Method: The Informed Consent Form (TCLE) was collected. Approval Research Ethics Committee (REC): Universidade de Ribeirão Preto, UNAERP, CAAE: 69249523.8.0000.5498. Opinion Number: 6.187.957. Observational study with a sample of 122 medical students, aged 18 to 50 years. The main analysis was the mental health and nicotine dependence of e-cigarette users, through data collection using a questionnaire with 28 questions, based on the Hamilton Anxiety Scale and the Fargeström Test. A descriptive analysis was performed. Logistic regression was also performed, with the use of electronic cigarettes as the dependent variable and the following independent variables: gender, previous psychiatric diagnosis, and anxiety symptoms. Results: Of the 122 students who answered the questionnaire, 66.39% were women and 73.33% had already had some psychiatric diagnosis. In addition, 31.96% of the total sample were smokers. Of these, 44.26% used electronic cigarettes. After logistic regression, we found that having a previous psychiatric diagnosis increased the chance of using electronic cigarettes (adjusted odds ratio = 3.29; 95% confidence interval: 1.17 - 9.23). Conclusion: The use of electronic cigarettes among medical students is associated with anxiety levels, highlighting users with a previous psychiatric diagnosis, which increases the chance of their use, requiring prevention and cessation, for better student health.
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Silva ALOD, Moreira JC. Why electronic cigarettes are a public health threat? Cad Saude Publica. 2019;35(6):e00246818. https://doi.org/10.1590/0102-311x00246818 PMID:31166543 DOI: https://doi.org/10.1590/0102-311x00246818
Grant JE, Lust K, Fridberg DJ, King AC, Chamberlain SR. E-cigarette use (vaping) is associated with illicit drug use, mental health problems, and impulsivity in university students. Ann Clin Psychiatry. 2019;31(1):27-35. PMID:30699215 - PMCID:PMC6420081
Wills L, Ables JL, Braunscheidel KM, Caligiuri SPB, Elayouby KS, Fillinger C, Ishikawa M, Moen JK, Kenny PJ. Neurobiological mechanisms of nicotine reward and aversion. Pharmacol Rev. 2022;74(1):271-310. https://doi.org/10.1124/pharmrev.121.000299 PMID:35017179 - PMCID:PMC11060337 DOI: https://doi.org/10.1124/pharmrev.121.000299
Valentine G, Sofuoglu M. Cognitive effects of nicotine: recent progress. Curr Neuropharmacol. 2018;16(4):403-14. https://doi.org/10.2174/1570159x15666171103152136 PMID:29110618 - PMCID:PMC6018192 DOI: https://doi.org/10.2174/1570159X15666171103152136
Cooper SY, Henderson BJ. The impact of Electronic Nicotine Delivery System (ENDS) flavors on nicotinic acetylcholine receptors and nicotine addiction-related behaviors. Molecules. 2020;25(18):4223. https://doi.org/10.3390/molecules25184223 PMID:32942576 - PMCID:PMC7571084 DOI: https://doi.org/10.3390/molecules25184223
Wittenberg RE, Wolfman SL, De Biasi M, Dani JA. Nicotinic acetylcholine receptors and nicotine addiction: a brief introduction. Neuropharmacology. 2020;177:108256. https://doi.org/10.1016/j.neuropharm.2020.108256 PMID:32738308 - PMCID:PMC7554201 DOI: https://doi.org/10.1016/j.neuropharm.2020.108256
Zarrindast MR, Khakpai F. The modulatory role of nicotine on cognitive and non-cognitive functions. Brain Res. 2019;1710:92-101. https://doi.org/10.1016/j.brainres.2018.12.002 PMID:30529105 DOI: https://doi.org/10.1016/j.brainres.2018.12.002
Becker TD, Arnold MK, Ro V, Martin L, Rice TR. Systematic review of electronic cigarette use (Vaping) and mental health comorbidity among adolescents and young adults. Nicotine Tob Res. 2021;23(3):415-25. https://doi.org/10.1093/ntr/ntaa171 PMID:32905589 DOI: https://doi.org/10.1093/ntr/ntaa171
Ramey T, Regier PS. Cognitive impairment in substance use disorders. CNS Spectr. 2019;24(1):102-13. https://doi.org/10.1017/s1092852918001426 PMID:30591083 - PMCID:PMC6599555 DOI: https://doi.org/10.1017/S1092852918001426
Vollenweider FX, Preller KH. Psychedelic drugs: neurobiology and potential for treatment of psychiatric disorders. Nat Rev Neurosci. 2020;21(11):611-24. https://doi.org/10.1038/s41583-020-0367-2 PMID:32929261 DOI: https://doi.org/10.1038/s41583-020-0367-2
Bertrand D, Wallace TL. A Review of the cholinergic system and therapeutic approaches to treat brain disorders. Curr Top Behav Neurosci. 2020;45:1-28. https://doi.org/10.1007/7854_2020_141 PMID:32451956 DOI: https://doi.org/10.1007/7854_2020_141
Obermayer JMG. Cholinergic modulation of microcircuits in the cortex. Amsterdam: Vrije Universiteit Amsterdam; 2019. https://research.vu.nl/ws/portalfiles/portal/77030497/abstract+english.pdf
Williams GC, Patte KA, Ferro MA, Leatherdale ST. Substance use classes and symptoms of anxiety and depression among Canadian secondary school students. Health Promot Chronic Dis Prev Can. 2021;41(5):153-64. https://doi.org/10.24095/hpcdp.41.5.02 PMID:33982903 DOI: https://doi.org/10.24095/hpcdp.41.5.02
Firth J, Solmi M, Wootton RE, Vancampfort D, Schuch FB, Hoare E, Gilbody S, Torous J, Teasdale SB, Jackson SE, Smith L, Eaton M, Jacka FN, Veronese N, Marx W, Ashdown-Franks G, Siskind D, Sarris J, Rosenbaum S, Carvalho AF, Stubbs B. A meta-review of "lifestyle psychiatry": the role of exercise, smoking, diet and sleep in the prevention and treatment of mental disorders. World Psychiatry. 2020;19(3):360-80. https://doi.org/10.1002/wps.20773 PMID:32931092 - PMCID:PMC7491615 DOI: https://doi.org/10.1002/wps.20773
Cho J, Bello MS, Christie NC, Monterosso JR, Leventhal AM. Adolescent emotional disorder symptoms and transdiagnostic vulnerabilities as predictors of young adult substance use during the COVID-19 pandemic: mediation by substance-related coping behaviors. Cogn Behav Ther. 2021;50(4):276-94. https://doi.org/10.1080/16506073.2021.1882552 PMID:33706676 - PMCID:PMC8140994 DOI: https://doi.org/10.1080/16506073.2021.1882552
Conti AA, McLean L, Tolomeo S, Steele JD, Baldacchino A. Chronic tobacco smoking and neuropsychological impairments: a systematic review and meta-analysis. Neurosci Biobehav Rev. 2019;96:143-54. https://doi.org/10.1016/j.neubiorev.2018.11.017 PMID:30502351 DOI: https://doi.org/10.1016/j.neubiorev.2018.11.017
Sampedro-Piquero P, Ladrón de Guevara-Miranda D, Pavón FJ, Serrano A, Suárez J, Rodríguez de Fonseca F, Santín LJ, Castilla-Ortega E. Neuroplastic and cognitive impairment in substance use disorders: a therapeutic potential of cognitive stimulation. Neurosci Biobehav Rev. 2019;106:23-48. https://doi.org/10.1016/j.neubiorev.2018.11.015 PMID:30481530 DOI: https://doi.org/10.1016/j.neubiorev.2018.11.015
Hefner KR, Sollazzo A, Mullaney S, Coker KL, Sofuoglu M. E-cigarettes, alcohol use, and mental health: use and perceptions of e-cigarettes among college students, by alcohol use and mental health status. Addict Behav. 2019;91:12-20. https://doi.org/10.1016/j.addbeh.2018.10.040 PMID:30396534 - PMCID:PMC6358487 DOI: https://doi.org/10.1016/j.addbeh.2018.10.040
Staudt GF, Tormem LT, Souza PA, Souza MA. Epidemiologia do tabagismo no curso de medicina em Lages-Santa Catarina. Res Soc Dev. 2020;9(5):e177953283. https://doi.org/10.33448/rsd-v9i5.3283 DOI: https://doi.org/10.33448/rsd-v9i5.3283
Manzato AJ, Santos AB. A elaboração de questionários na pesquisa quantitativa. São Paulo: UNESP; 2012. https://www.inf.ufsc.br/~vera.carmo/Ensino_2012_1/ELABORACAO_QUESTIONARIOS_PESQUISA_QUANTITATIVA.pdf
Gorenstein C, Wang YP, Hungerbühler I. Instrumentos de avaliação em saúde mental. Porto Alegre: Artmed; 2016.
Hamilton M. The assessment of anxiety states by rating. Br J Med Psychol. 1959;32(1):50-5. https://doi.org/10.1111/j.2044-8341.1959.tb00467.x PMID:13638508 DOI: https://doi.org/10.1111/j.2044-8341.1959.tb00467.x
Barradas, ASM, Soares TO, Marinho AB, Santos RGS, Silva LIA. Os riscos do uso do cigarro eletrônico entre os jovens. Glob Clin Res J. 2021;1(1):e8. https://doi.org/10.5935/2763-8847.20210008 DOI: https://doi.org/10.5935/2763-8847.20210008
Vargas LS, Araújo DLM, Noronha LC, Carvalho LAA, Mota MFQ, Alvarenga FP, Campos GMO, Lima AKM, Oliveira VG, Barbosa ACA. Riscos do uso alternativo do cigarro eletrônico: uma revisão narrativa. Rev Eletrônica Acervo Cient. 2021;30:e8135. https://doi.org/10.25248/reac.e8135.2021 DOI: https://doi.org/10.25248/reac.e8135.2021
Azevedo e Souza JP, Demenech LM, Dumith SC, Neiva-Silva L. Sintomas de ansiedade generalizada entre estudantes de graduação: prevalência, fatores associados e possíveis consequências. J Bras Psiquiatr. 2022;71(3):193-203. https://doi.org/10.1590/0047-2085000000381 DOI: https://doi.org/10.1590/0047-2085000000381
Chang YP, Seo YS. E-cigarette use and concurrent risk behaviors among adolescents. Nurs Outlook. 2021;69(3):302-10. https://doi.org/10.1016/j.outlook.2020.09.005 PMID:33121761 DOI: https://doi.org/10.1016/j.outlook.2020.09.005
Lima-Silva LG, Leite MF, Faro A. Procrastinação acadêmica e ansiedade: uma revisão integrativa. Constr Psicopedag. 2022;31(32):102-16. https://pepsic.bvsalud.org/pdf/cp/v31n32/09.pdf
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