Factors Predicting Intention to Quit Smoking among Psychiatric Patients with Depression

Main Article Content

Montha Saithanwanitkul
Wandee Suttharangsee
Weena Chanchong

Abstract

          Purpose: This research aimed to study predicting factors on intention to quit smoking among psychiatric patients with depression.


          Design: Correlational predictive study.


          Methods: The subjects were 132 psychiatric patients with depression who currently smoked. They were outpatients of psychiatric hospitals and mental health clinics in general hospitals in the south of Thailand who met inclusion criteria. The research instrument consisted of 7 parts: 1) general information questionnaire, 2) cigarette information questionnaire, 3) Fagerstrom test for nicotine dependence, 4) intention to quit smoking in psychiatric patient with depression questionnaire, 5) attitude toward quit smoking in psychiatric patient with depression questionnaire, 6) subjective norm to quitting smoking in psychiatric patient with depression questionnaire, and 7) perceived behavioral control to quit smoking in psychiatric patient with depression questionnaire. Data were analyzed using descriptive statistics and multiple regression analysis.


          Main findings: The results showed that level of perceived behavioral control to quit smoking and nicotine dependence could explain 11% of intention to quit smoking in psychiatric patients with depression (R2 = .110, p = .010) The factors that significantly predicted intention to quit smoking in psychiatric patients with depression were perceived behavioral control to quit smoking (β = .283, t = 3.411, p = .001) and level of nicotine dependence (β = - .193, t = 2.334, p = .021).


           Conclusion and recommendations: The result showed the statistically significant prediction of perceived behavioral control to quit smoking and nicotine dependence on intention to quit smoking in psychiatric patient with depression. Therefore, nurse should develop a guideline for assessing smoking behavior. Furthermore, nurse should increase an intention to quit smoking by reinforcing perceived behavioral control to quit smoking together with nicotine replacement therapy for making an effective smoking cessation among psychiatric patient with depression.

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How to Cite
Saithanwanitkul, M., Suttharangsee, W., & Chanchong, W. (2019). Factors Predicting Intention to Quit Smoking among Psychiatric Patients with Depression. Nursing Science Journal of Thailand, 37(4), 54-65. Retrieved from https://he02.tci-thaijo.org/index.php/ns/article/view/218747
Section
Research Papers

References

1. Department of Mental Health, Ministry of Public Health. Report of patients received psychiatrics treatment services [Internet]. Nonthaburi: Department of Mental Health; 2016 [cited 2017 May 12] available from: www.dmh.go.th/report/datacenter/map/reds.asp. (in Thai).

2. Darun P, Handee N, Daenkhet P. Depression in patients with schizophrenia attending mental health clinic at Porncharoen Hospital, Beungkan Province. Journal of Nakhon Ratchasima Rajanagrindra Psychiatric Hospital. 2012;12:70-8. (in Thai).

3. Fergusson DM, Goodwin RD, Horwood LJ. Major depression and cigarette smoking: result of a 21-year longitudinal study. Psychol Med. 2003;33(8):1357-67. doi: 10.1017/s0033291703008596.

4. Bakhshaie J, Zvolensky MJ, Goodwin RD. Cigarette smoking and the onset and persistence of depression among adults in the United States: 1994–2005. Compr Psychiatry. 2015;60:142-8. doi: 10.1016/j.comppsych.2014.10.012.

5. Rungrueanghiranya S, Khongsakon R. Toxicity & management of tobacco dependence. Bangkok: Sahaprachaphanich; 2009. 761 p. (in Thai).

6. Aekwarangkoon S. Psychiatric nursing and mental health: science and art to practice. 3rd ed. Nakhon Si Thammarat: Walailak University Book Center; 2016. 352 p. (in Thai).

7. Munafo MR, Araya R. Cigarette smoking and depression: a question of causation. Br J Psychiatry. 2010;196(6):425-6. doi: 10.1192/bjp.bp.109.074880.

8. Tombor I, Shahab L, Herbec A, Neale J, Michie S, West R. Smoker identity and its potential role in young adults’ smoking behavior: a meta-ethnography. Health Psychol. 2015;34(10):992-1003. doi: 10.1037/hea0000191.

9. Paha K, Prechawong S. Attitudes, subjective norms, perceive behavioral, and intention to quit smoking in police officers. Journal of The Police Nurse. 2014;6(1):157-69. (in Thai).

10. Tongnaung P, Preechawong S, Ua-Kit N. Attitudes, subjective norms, perceived behavioral control, intention, quit smoking, women service workers. Journal of Tobacco Control. 2007;1(2):2-13. (in Thai).

11. Matrakul M, Kalampakorn S, Powwattana A. Factors predicting intention to quit hand-rolled cigarettes smokers in Chiangrai province. Thai Journal of Nursing. 2012;61(1):10-20. (in Thai).

12. Bledsoe LK. Smoking cessation: an application of theory of planned behavior to understanding progress through stages of change. Addict Behav. 2006;31(7):1271-6. doi: 10.1016/j.addbeh.2005.08.012.

13. Burkhalter JE, Warren B, Shuk E, Primavera L, Ostroff JS. Intention to quit smoking among lesbian, gay, bisexual, and transgender smoker. Nicotine Tob Res. 2009;11(11):1312-20. doi: 10.1093/ntr/ntp140.

14. Bursey M, Craig D. Attitude, subjective norm, perceived behavioral control, and intention related to adult smoking cessation after coronary artery bypass graft surgery. Public Health Nurs. 2000;17(6):460-7.

15. Droomers M, Schrijvers CT, Mackenbach JP. Educational differences in the intention to stop smoking: explanations based on the theory of planned behaviour. Eur J Public Health. 2004;14(2):194-8. doi: 10.1093/eurpub/14.2.194.

16. Hoie M, Moan IS, Rise J. An extended version of the theory of planned behaviour: prediction of intention to quit smoking using past behavior as moderator. Addict Res Theory. 2010;18(5):572-85. doi:10.3109/16066350903474386.

17. Modeste N, Lee JW, Lim VJ, Anjejo D. Factors associated with intention to quit smoking among African American pregnant women. Calif J Health Promot. 2004;2(1):98-106. doi: 10.32398/cjhp.v2i1.587.

18. Ajzen I, Fishbein M. Understanding attitudes and predicting social behavior. Englewood Cliffs, NJ: Prentice-Hall; 1980. 278 p.

19. Ajzen I. Attitude, personality, and behavior. Chicago, IL: Dorsey Press; 1988. 175 p.

20. Islam K, Saha I, Saha R, Khan SA, Thakur R, Shivam S. Predictors of quitting behaviour with special reference to nicotine dependence among adult tobacco-users in a slum of Burdwan district, West Bengal, India. Indian J Med Res. 2014;139(4):638-42.

21. Ungcharoen R, Seeherunwong A, Kongsakon R, Sujirarat D. Beliefs and attitudes toward smoking cessation among vocational students with nicotine addiction and non-addiction. Journal of Nursing Science. 2014;32(4):52-77.

22. Srisathitnarakul B. Research methodology in nursing science. 5th ed. Bangkok: U & I Inter Media; 2010. 568 p. (in Thai).

23. Ramkhuan C, Khuwatsamrit K, Panpakdee O. Factors related to smoking cessation behavior among patients after coronary artery bypass graft. Thai Journal of Cardio-Thoracic Nursing. 2016;27(2):2-16. (in Thai).

24. Ajzen I. From intentions to actions: a theory of planned behavior. In: Kuhl J, Beckmann J, editors. Action control from cognition to behavior. Verlag Berlin Heidelberg: Springer; 1985. p.11-39.

25. Dixon L, Haas G, Weiden PJ, Sweeney J, Frances AJ. Drug abuse in schizophrenic patients: clinical correlates and reasons for use. Am J Psychiatry. 1991;148(2):224-30. doi: 10.1176/ajp.148.2.224.