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Smoking Cessation After Acute Myocardial Infarction in Relation to Depression and Personality Factors

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Abstract

Background

Smoking is an important cardiovascular risk factor and smoking cessation should be a primary target in secondary prevention after a myocardial infarction (MI).

Purpose

The purpose of this study was to examine whether personality, coping and depression were related to smoking cessation after an MI.

Method

MI patients ≤70 years (n = 323, 73 % men, 58.7 ± 8.3 years), participating in the Secondary Prevention and Compliance following Acute Myocardial Infarction study in Malmö, Sweden, between 2002 and 2005, were interviewed by a psychologist to assess coping strategies and completed Beck Depression and NEO Personality Inventories, in close proximity to the acute event. Correlation between smoking status (current, former and never), personality factors, coping and depression was assessed at baseline and 24 months after the MI using logistic regression and in a multivariate analysis, adjusting for age and sex.

Results

Of the participating patients, 46 % were current smokers. Two years after the event, 44 % of these were still smoking. At baseline, current smokers scored higher on the depression and neuroticism scales and had lower agreeableness scores. Patients who continued to smoke after 2 years had higher scores on being confrontational (i.e. confrontative coping style) compared to those who had managed to quit. Patients who continued to smoke had significantly lower agreeableness and were more often living alone.

Conclusion

Personality, coping strategies and psychosocial circumstances are associated with smoking cessation rates in patients with MI. Considering personality factors and coping strategies to better individualise smoking cessation programs in MI patients might be of importance.

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Author information

Authors and Affiliations

  1. Department of Cardiology, Skåne University Hospital, Lund University, Lund and Malmö, Sweden

    Mona Schlyter, Margrét Leosdottir & Patrik Tydén

  2. Cardiovascular Epidemiology Research Group, Department of Clinical Sciences, Lund University, Malmö, Sweden

    Margrét Leosdottir, Gunnar Engström & Patrik Tydén

  3. Department of Neurology, Skåne University Hospital, Malmö and Lund, Sweden

    Lena André-Petersson

  4. Faculty of Health and Society, Malmö University, Malmö, Sweden

    Mona Schlyter & Margareta Östman

Authors
  1. Mona Schlyter
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  2. Margrét Leosdottir
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Correspondence to Mona Schlyter.

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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all participants for being included in the study.

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The authors declare that they have no conflict of interest.

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Schlyter, M., Leosdottir, M., Engström, G. et al. Smoking Cessation After Acute Myocardial Infarction in Relation to Depression and Personality Factors. Int.J. Behav. Med. 23, 234–242 (2016). https://doi.org/10.1007/s12529-015-9514-y

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