본문 바로가기
KERD
논문KCI 등재

한국 성인에서 흡연과 범불안장애와의 연관성: 국민건강영양조사 자료를 이용하여

Association Between Smoking and Generalized Anxiety Disorder in Korean Adults: Analysis Based on the Korean National Health and Nutrition Examination Survey

1

조회

0

다운로드

1

인용

0

참고문헌

키워드

주제분류정신과학

초록

Objectives: This study was designed to investigate whether there was a relationship between smoking and generalized anxiety disorder (GAD) in a Korean adult group. Methods: This study was based on the data from eighth Korean National Health and Nutrition Examination Survey (KNHANES). The subjects were 5,273 adults aged 19 years or older. Smoking group was classified into non-smoker, ex-smoker, and current smoker. GAD was defined as above 10 points of GAD-7. The correlation between smoking and GAD was examined using complex sample design after adjusting confounders. Results: For male, smoking did not have a significant effect on GAD, but for female, current smokers were significantly more likely to have GAD than non-smokers (odds ratio=2.33, p=0.012). Conclusions: The association between smoking and GAD was found only in female. The result means that a differentiated approach is needed for female and male in the management of smokers and patients with GAD.

Abstract

Objectives: This study was designed to investigate whether there was a relationship between smoking and generalized anxiety disorder (GAD) in a Korean adult group. Methods: This study was based on the data from eighth Korean National Health and Nutrition Examination Survey (KNHANES). The subjects were 5,273 adults aged 19 years or older. Smoking group was classified into non-smoker, ex-smoker, and current smoker. GAD was defined as above 10 points of GAD-7. The correlation between smoking and GAD was examined using complex sample design after adjusting confounders. Results: For male, smoking did not have a significant effect on GAD, but for female, current smokers were significantly more likely to have GAD than non-smokers (odds ratio=2.33, p=0.012). Conclusions: The association between smoking and GAD was found only in female. The result means that a differentiated approach is needed for female and male in the management of smokers and patients with GAD.

참고문헌 (20)

  1. American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" (2013), American Psychiatric Association
  2. Blazer DG, "Psychiatric disorders in America", pp.180~203 (1991), Free Press
  3. Wittchen HU, "DSM-IIIR generalized anxiety disorder in the national comorbidity survey", Arch Gen Psychiatry, 51, pp.355~364 (1994)
  4. Wittchen HU, "Generalized anxiety disorder : prevalence, burden, and cost to society", Depress Anxiety, 16, pp.162~171 (2002)
  5. Oh KS, "Diagnosis and differential diagnosis of generalized anxiety disorder", Korean J Psychopharmacol, 15, pp.3~8 (2004)
  6. Lee SH, "Korean medication algorithm project for generalized anxiety disorder 2009 (III): treatment strategy for comorbid conditions", J Korean Neuropsychiatr Assoc, 49, pp.564~569 (2010)
  7. Maier W, "Generalized anxiety disorder(ICD-10)in primary care from a cross-cultural perspective : a valid diagnostic entity?", Acta Psychiatr Scand, 101, pp.29~36 (2000)
  8. Moreno-Peral P, "Risk factors for the onset of panic and generalised anxiety disorders in the general adult population : a systematic review of cohort studies", J Affect Disord, 168, pp.337~348 (2014)
  9. Johnson JG, "Association between cigarette smoking and anxiety disorders during adolescence and early adulthood", JAMA, 284, pp.2348~2351 (2000)
  10. Isensee B, "Smoking increases the risk of panic : findings from a prospective community study", Arch Gen Psychiatry, 60, pp.692~700 (2003)
  11. Cuijpers P, "Smoking is associated with first-ever incidence of mental disorders : a prospective population-based study", Addiction, 102, pp.1303~1309 (2007)
  12. Swendsen J, "Mental disorders as risk factors for substance use, abuse and dependence : results from the 10-year follow-up of the national comorbidity survey", Addiction, 105, pp.1117~1128 (2010)
  13. Chou KL, "Three-year incidence and predictors of first-onset of DSM-IV mood, anxiety, and substance use disorders in older adults : results from wave 2 of the national epidemiologic survey on alcohol and related conditions", J Clin Psychiatry, 72, pp.144~155 (2011)
  14. Spitzer RL, "A brief measure for assessing generalized anxiety disorder : the GAD-7", Arch Intern Med, 166, pp.1092~1097 (2006)
  15. Hinz A, "Psychometric evaluation of the generalized anxiety disorder screener GAD-7, based on a large German general population sample", J Affect Disord, 210, pp.338~344 (2017)
  16. Eppolito AK, "Late emerging effects of prenatal and early postnatal nicotine exposure on the cholinergic system and anxiety-like behavior", Neurotoxicol Teratol, 32, pp.336~345 (2010)
  17. Sowers MF, "Testosterone concentrations in women aged 25-50 years : associations with lifestyle, body composition, and ovarian status", Am J Epidemiol, 153, pp.256~264 (2001)
  18. Daniel M, "Cigarette smoking, steroid hormones, and bone mineral density in young women", Calcif Tissue Int, 50, pp.300~305 (1992)
  19. Li SH, "Why are women so vulnerable to anxiety, trauma-related and stress-related disorders? The potential role of sex hormones", Lancet Psychiatry, 4, pp.73~82 (2017)
  20. Gender, women, and the tobacco epidemic, "World Health Organization", World Health Organization, ~ (2010)

관련 논문AI추천

Association between Combustible Cigarettes and Noncombustible Nicotine or Tobacco Products and Generalized Anxiety Disorder Based on Data from the 8th Korea National Health and Nutrition Examination Survey 2021An-Na Lee, Do-Hoon Kim, Hangseok Choi, Hyun-Jin Kim, Jaesun Ha, Joo-Hyun Park, Junghwa Shin, Sungkwon Cho, Youngdoo Park대한가정의학회 · Korean Journal of Family Medicine2024 · 제45권 제6호한국인에서 흡연과 우울증상의 연관성김종성, 성한나한국보건교육건강증진학회 · 보건교육건강증진학회지2016 · 제33권 제2호흡연과 정신질환 및 자살경향의 연관성에 관한 연구배안, 성수정, 손정우, 손지훈, 오승민, 원승희, 이영문, 이준영, 장성만, 정인원, 조맹제대한신경정신의학회 · 신경정신의학2011 · 제50권 제5호노인의 범불안장애 관련 요인 : 국민건강영양조사 2021김정란, 박상신, 서민이, 최용연보건의료산업학회 · 보건의료산업학회지2024 · 제18권 제3호흡연 및 음주와 우울증상 경험과의 관련성: 제5기 국민건강영양조사(2010-2012)박종, 류소연, 박선미, 신환호, 주미현, 최성우, 한미아대한임상건강증진학회 · Korean Journal of Health Promotion2016 · 제16권 제2호한국 청소년의 간접흡연 노출과 범불안장애와의 연관성에 관한 연구: 제17차 청소년건강행태온라인조사를 이용하여고상백, 고우림, 도경이, 신효민, 이상준, 정재연한국보건정보통계학회 · 보건정보통계학회지2022 · 제47권 제3호

이 간행물의 다른 논문 (1건)