Risk Factors of Mood Disorders (Depression and Anxiety) in Smoking Subjects: Reliability with the Age of Smoking Initiation and Inflammatory Processes
Hacène Frih *
Department of Biology, Faculty of Sciences, University Badji Mokhtar Annaba, Algeria.
Aziez Chettoum
Department of Biology, Faculty of Sciences, University Mentouri Constantine, Algeria.
Kamilia Guedri
Department of Biology, Faculty of Sciences, University Badji Mokhtar Annaba, Algeria.
Nabila Frih
Department of Psychlogy, University Benaknoun Alger, Algeria.
Bachir Rachedi
Department of Biology, Faculty of Sciences, University Badji Mokhtar Annaba, Algeria.
Rédha Djenidi
Department of Biology, Faculty of Sciences, University Badji Mokhtar Annaba, Algeria.
Sylvain Fisson
University d'Evry Val d'Essonne (UEVE). GENETHON, Unity INSERM UMRS 951, "Gene Transfer and Immune Sanctuaries" Group, 1 bis rue de l’Internationale, F-91002, EVRY, France.
*Author to whom correspondence should be addressed.
Abstract
Aims: The aim of our study was to investigate the causal relationship between smoking and mood disorders (depression, anxiety) and to determine the class at high risk (to developing depression and/or anxiety) depending on age (begin smoking at adulthood (Adt: [23-32] years), childhood (Ch: [5-11] years) or adolescent(Ads: [12-17] years)).
Place and Duration of Study: This study is conducted by Universities of Mentouri Constantine and Badji Mokhtar Annaba, Algeria. Between October 2011 to April 2012.
Methodology: A demographic questionnaire collected data about patient’s characteristics and medical status, the Hospital Anxiety and Depression Scale and Fagerstrom Test. All subjects underwent a thorough medical evaluation and laboratory exam (WBC count, CRP, ESR, Hct). Our study included 96 smokers male divided into several groups according to the desired statistical analysis.
Results: Multivariate analysis by using regression analysis, showed that 85 % of the variability of depression is explained by duration of cigarette smoking (years), the age of smoking initiation (years) and degree of dependence (Fagertstrom). (R (coefficient de corrélation): 0,921; R² (coefficient de détermination): 0,848; DF: 6, F: 82.767, Pr > F: < 0,0001). Therefore, we can conclude with confidence that the three variables do bring a significant amount of information. The correlation is less for anxiety setting (R (coefficient of correlation): 0,759; R² (coefficient of determination): 0,576; DF: 6, F: 20,120, Pr > F: < 0,0001). The relation between depression and inflammatory parameters (CRP, ESR and Htc) was examined using the chi-square test for independence (Χ2-test). This test indicated that depression is clearly related to these inflammatory variables. Furthermore, the ANOVA test indicated that the hematological parameters vary depending the age of smoking initiation.
Conclusion: There is a close relationship between the level of smoking addiction and the emergence of depressive disorders. We suggest an elevated risk of mood disorders in subjects, having a very strong smoking addiction, who began smoking in adulthood and late adolescence versus childhood.
Keywords: Nicotine, depression, anxiety, childhood, adolescent, inflammation, smoking