nach oben

Journal of Behavioral Medicine

Erschienen in:

01.10.2007

Cigarette Smoking among HIV+ Men and Women: Examining Health, Substance Use, and Psychosocial Correlates across the Smoking Spectrum

verfasst von: Monica S. Webb, Peter A. Vanable, Michael P. Carey, Donald C. Blair

Erschienen in: Journal of Behavioral Medicine | Ausgabe 5/2007

Einloggen, um Zugang zu erhalten

Abstract

The prevalence of cigarette smoking among HIV+ individuals is greater than that found in the general population. However, factors related to smoking within this population are not well understood. This study examined the associations between smoking and demographic, medical, substance use, and psychosocial factors in a clinic-based sample of HIV+ men and women. Two hundred twelve participants completed self-report measures of tobacco use, HIV-related symptoms, viral load, CD4, alcohol and illicit drug use, depression, and social support. Multinomial logistic regression (MLR) analyses modeled the independent associations of the cross-sectional set of predictors with smoking status. Results indicated that 74% of the sample smoked at least one cigarette per day; using standard definitions, 23% of the sample were light smokers, 22% were moderate smokers, and 29% smoked heavily. Smoking was associated with more HIV-related symptoms, greater alcohol and marijuana use, and less social support. Light smoking was related to minority race/ethnicity and less income; moderate smoking was associated with less education; and heavy smoking was related to less education and younger age. Viral load, CD4 count, and depression were not associated with smoking status. Psychosocial interventions targeting this population should consider the relationships between biopsychosocial factors and smoking behavior.

When the 26 participants who identified themselves as Asian, Native American, or other were excluded from the analyses, the pattern of results did not differ.

Alferi, S. M., Carver, C. S., Antoni, M. H., Weiss, S., & Durán, R. E. (2001). An exploratory study of social support, distress, and life disruption among low-income Hispanic women under treatment for early stage breast cancer. Health Psychology, 20, 41–46.PubMedCrossRef

Arcavi, L., & Benowitz, N. L. (2004). Cigarette smoking and infection. Archives of Internal Medicine, 164(20), 2206–2216.PubMedCrossRef

Barnes, P., & Schiller, J. S. (2006). Early release of selected estimates based on data from the January–June 2006. National Health Interview Survey. National Center for Health Statistics. http://www.cdc.gov/nchs/nhis.htm.

Beck, J., & Slade, G. (1996). Epidemiology of periodontal disease. Current Opinion in Periodontology, 3, 3–9.PubMed

Belsley, D. A., Kuh, E., & Welsch, R. E. (1980). Regression diagnostics: Identifying influential data and sources of collinearity. New York: John Wiley & Sons.

Bing, E. G., Hays, R. D., Jacobsen, L. P., Chen, B., Gange, S. J., Kass, N. E., et al. (2000). Health-related quality of life among people with HIV disease: Results from the Multicenter AIDS Cohort Study. Quality of Life Research, 9, 55–63.PubMedCrossRef

Breslau, N., Kilbey, M., & Andreski, P. (1991). Nicotine dependence, major depression, and anxiety in young adults. Archives of General Psychiatry, 48, 1069–1074.PubMed

Brenner, M. H., Curbow, B., & Legro, M. W. (1995). The proximal-dostal continuum of multiple health outcome measures: The case of cataract surgery. Medical Care, 33(4), AS236–AS244.PubMed

Brown, C., Madden, P. A. F., Palenchar, D. F., & Cooper-Patrick, L. (2000). The association between depressive symptoms and cigarette smoking in an urban primary care sample. International Journal of Psychiatry in Medicine, 30, 15–26.PubMedCrossRef

Burkhalter, J. E., Springer, C. M., Chhabra, R., Ostroff, J S., & Rapkin, B. D. (2005). Tobacco use and readiness to quit smoking in low-income HIV-infected persons. Nicotine and Tobacco Research, 7(4), 511–522.PubMedCrossRef

Burns, D. N., Hillman, D., Neaton, J. D., Sherer, R., Mitchell, T., Capps, L., et al. (1996). Cigarette smoking, bacterial pneumonia, and other clinical outcomes in HIV-1 infection. Terry Beirn community programs for clinical research on AIDS. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 13, 374–383.PubMed

Centers for Disease Control, Prevention. (2005). Cigarette smoking among adults—United States, 2004. Morbidity and Mortality Weekly Report, 44, 1121–1124.

Chander, G., Lau, B., & Moore, R. D. (2006). Hazardous alcohol use: A risk factor for non-adherence and lack of suppression in HIV infection. Journal of Acquired Immune Deficiency Syndromes, 43(4), 411–417.PubMedCrossRef

Collins, R. L., Kanouse, D. E., Gifford, A. L., Senterfitt, J. W., Schuster, M. A., McCaffrey, D. F., et al. (2001). Changes in health-promoting behavior following diagnosis with HIV: Prevalence and correlates in a national probability sample. Health Psychology, 20(5), 351–360.PubMedCrossRef

Costello, C., & Devins, G. (1989). Screening for depression among women attending their family physicians. Canadian Journal of Behavioural Science, 21, 434–451.CrossRef

Covey, L. S., Glassman, A. H., & Stetner, F. (1998). Cigarette smoking and major depression. Journal of Addictive Diseases, 17, 35–46.PubMedCrossRef

Crothers, K., Griffith, T. A., McGinnis, K. A., Rodriguez-Barradas, M. C., Leaf, D. A., Weissman, S., et al. (2005). The impact of cigarette smoking on mortality, quality of life, and comorbid illness among HIV-positive veterans. Journal of General Internal Medicine, 20, 1142–1145.PubMedCrossRef

Diaz, P. T., King, M. A., Pacht, E. R., Wewers, M. D., Gadek, J. E., Nagaraja, H. N., et al. (2000). Increased susceptibility to pulmonary emphysema among HIV-seropositive smokers. Annals of Internal Medicine, 132, 369–372.PubMed

Dierker, L., Lloyd-Richardson, E., Stolar, M., Flay, B., Tiffany, S., Collins, L., et al. (2006). The proximal association between smoking and alcohol use among first year college students. Drug and Alcohol Dependence, 81, 1–9.PubMedCrossRef

Dixon, D., Kilbourn, K., Cruess, S., Klimas, N., Fletcher, M. A., Ironson, G., et al. (2001). Social support mediates the relationship between loneliness and Human Herpesvirus-Type 6 (HHV-6) antibody titers in HIV+ gay men following Hurricane Andrew. Journal of Applied Social Psychology, 31, 1111–1132.CrossRef

Droomers, M., Schrijvers, T. M., & Mackenbach, J. P. (2002). Why do lower educated people continue smoking? Explanations from the longitudinal GLOBE study. Health Psychology, 21, 263–272.PubMedCrossRef

Fein, G., Biggins, C. A., & MacKay, S. (1995). Alcohol abuse and HIV infection have additive effects on frontal cortex function as measured by auditory evoked potential P3A latency. Biological Psychiatry, 37, 183–195.PubMedCrossRef

Feldman, J. G., Minkoff, H., Schneider, M. F., Gange, S. J., Cohen, M., Watts, H., et al. (2006). Association of cigarette smoking with HIV prognosis among women in the HAART era: A report from the women’s interagency HIV study. American Journal of Public Health, 96, 1060–1065.PubMedCrossRef

Furler, M. D., Einarson, T. R., Millson, M., Walmsley, S., & Bendayan, R. (2004). Medicinal and recreational marijuana use by patients infected with HIV. AIDS Patient Care and STDs, 18(4), 215–228.PubMedCrossRef

Furberg, H., Sullivan, P. F., Maes, H., Prescott, C. A., Lerman, C., Bulik, C., et al. (2005). The types of regular cigarette smokers: A latent class analysis. Nicotine and Tobacco Research, 7(3), 351–360.PubMedCrossRef

Galvan, F. H., Bing, E. G., Fleishman, J. A., London, A. S., Caetano, R., Burnam, M. A., et al. (2002). The prevalence of alcohol consumption and heavy drinking among people with HIV in the United States: Results from the HIV cost and services utilization study. Journal of Studies on Alcohol, 63, 179–186.PubMed

Gostin, V., & Webber, D. W. (1998). The AIDS Litigation Project: HIV/AIDS in the courts in the 1990s, Part 2. AIDS Public Policy Journal, 13, 1–19.

Greenwood, G. L., Paul, J. P., Pollack, L. M., Binson, D., Catania, J. A., Chang, J., et al. (2005). Tobacco use and cessation among a household-based sample of US urban men who have sex with men. American Journal of Public Health, 95, 145–151.PubMedCrossRef

Gritz, E. R., Vidrine, D. J., Lazev, A. B., Amick, B. C. III, & Arduino, R. C. (2004). Smoking behavior in a low-income multiethnic HIV/AIDS population. Nicotine and Tobacco Research, 6, 71–77.PubMedCrossRef

Haiman, C. A., Stram, D. O., Wilkens, L. R., Pike, M. C., Kolonel, L. N., Henderson, B. E., et al. (2006). Ethnic and racial differences in the smoking-related risk of lung cancer. New England Journal of Medicine, 354, 333–342.PubMedCrossRef

Halloran, J. (2006). Increasing survival with HIV: Impact on nursing care. AACN Clinical Issues, 17(1), 8–17.PubMedCrossRef

Hammond, D. (2005). Smoking behaviour among young adults: Beyond youth prevention. Tobacco Control, 14, 181–185.PubMedCrossRef

Hays, R. D., Cunningham, W. E., Sherbourne, C. D., Wilson, I. B., Wu, A. W., Cleary, P. D., et al. (2000). Health-related quality of life in patients with human immunodeficiency virus infection in the United States: Results from the HIV cost and services utilization study. American Journal of Medicine, 108, 714–722.PubMedCrossRef

Hoffman, J. H., Welte, J. W., & Barnes, G. M. (2001). Co-occurrence of alcohol and cigarette use among adolescents. Addictive Behaviors, 26, 63–78.PubMedCrossRef

House, J. S. (1987). Social support and social structure. Sociological Forum, 2, 135–146.CrossRef

House J. S., Umberson, D., & Landis, K. R. (1988). Structures and processes of social support. Annual Review of Sociology, 14, 293–318.CrossRef

Ickovics, J. R., Hamburger, M. E., Vlahov, D., Schoenbaum, E., Schuman, P., Boland, R. J., et al. (2001). Mortality, CD4 cell count decline, and depressive symptoms among HIV-seropositive women: Longitudinal analysis from the HIV Epidemiology Research Study. Journal of the American Medical Association, 285, 1466–1474.PubMedCrossRef

Justice, A. C., Holmes, W., Gifford, A. L., Rabeneck, L., Zackin, R., Sinclair, G., et al. (2001). Development and validation of a self-completed HIV symptom index. Journal of Clinical Epidemiology, 54, S77–S90.PubMedCrossRef

Kalichman, S. C., Sikkema, K. J., & Somlai, A. (1995). Assessing persons with human immunodeficiency virus (HIV) infection using the Beck Depression Inventory: Disease processes and other potential confounds. Journal of Personality Assessment, 64(1), 86–100.PubMedCrossRef

Kaplan, G. A., Wilson, T. W., Cohen, R. D., Kauhanen, J., Wu, M., & Salonen, J. T. (1994). Social functioning and overall mortality: Prospective evidence from the Kuopio ischemic heart disease risk factor study. Epidemiology, 5, 495–500.PubMed

Leserman, J., Jackson, E. D., Petitto, J. M., Golden, R. N., Silva, S. G., Perkins, D. O., et al. (1999). Progression to AIDS: The effects of stress, depressive symptoms, and social support. Psychosomatic Medicine, 61, 397–406.PubMed

Leserman, J., Petitto, J. M., Golden, R. N., Gaynes, B. N., Gu, H., Perkins, D. O., et al. (2000). Impact of stressful life events, depression, social support, coping, and cortisol on progression to AIDS. American Journal of Psychiatry, 157, 1221–1228.PubMedCrossRef

Lewis, M. A., & Rook, K. S. (1999). Social control in personal relationships: Impact on health behaviors and psychological distress. Health Psychology, 18, 63–71.PubMedCrossRef

Lohse, N., Hansen, A. B., Pedersen, G., Kronborg, G., Gerstoft, J., Sorensen, H. T., Vaeth, M., & Obel N. (2007). Survival of persons with and without HIV infection in Denmark, 1995–2005. Annals of Internal Medicine, 146, 87–95.PubMed

Lucas, G. M., Griswold, M., Gebo, K. A., Keruly, J., Chaisson, R. E., & Moore, R. D. (2006). Illicit drug use and HIV-1 disease progression: A longitudinal study in the era of highly antiretroviral therapy. American Journal of Epidemiology, 136, 412–420.CrossRef

Lyketsos, C. G., Hoover, D. R., Guccione, M., Dew, M. A., Wesch, J. E., Bing, E. G., et al. (1996). Changes in depressive symptoms as AIDS develops. The Multicenter AIDS Cohort Study. The American Journal of Psychiatry, 153, 1430–1437.PubMed

Mamary, E. M., Bahrs, D., & Martinez, S. (2002). Cigarette smoking and the desire to quit among individuals living with HIV. AIDS Patient Care and STDs, 16, 39–42.PubMedCrossRef

May, S., & West, R. (2000). Do social support interventions (“buddy systems”) aid smoking cessation? A review. Tobacco Control, 9, 415–422.PubMedCrossRef

Metersky, M., Colt, H., Olson, L., & Shanks, T. (1995). AIDS-related spontaneous pneumothorax: Risk factors and treatment. Chest, 108, 946–951.PubMed

Miguez-Burbano, M. J., Ashkin, D., Rodríguez, A., Duncan, R., Pitchenik, A., Quintero, N., et al. (2005). Increased risk of Pneumocystis carinii and community-acquired pneumonia with tobacco use in HIV disease. International Journal of Infectious Diseases, 9, 208–217.PubMedCrossRef

Moolchan, E. T., Robinson, M. L., Ernst, M., Cadet, J. L., Pickworth, W. B., Heishman, S. J., et al. (2005). Pediatrics, 115, e407–e414.PubMedCrossRef

Moskowitz, J. Y. (2003). Positive affect predicts lower risk of AIDS mortality. Psychosomatic Medicine, 65, 620–626.PubMedCrossRef

Murphy, D. A., Kelly, J. A., Brasfield, T., Koob, J., Bahr, R., & St. Lawrence, J. (1991). Predictors of depression among persons with HIV infection [abstract]. International Conference on AIDS, 7, 457.

Neiman, R. B., Fleming, J., Coker, R. J., Harris, J. R. W., & Mitchell, D. M. (1993). The effect of cigarette smoking on the development of AIDS in HIV-1-seropositive individuals. AIDS, 7, 705–710.CrossRef

Niaura, R., Shadel, W. G., Morrow, K., Flanigan, T., & Abrams, D. B. (1999). Smoking among HIV-positive persons. Annals of Behavioral Medicine, 21(Suppl), S116.

Niaura, R., Shadel, W. G., Morrow, K., Tashima, K., Flanigan, T., & Abrams, D. B. (2000). Human immunodeficiency virus infection, AIDS, and smoking cessation: The time is now. Clinical Infectious Diseases, 31, 808–812.PubMedCrossRef

Novotny, T. E., Warner, K. E., Kendrick, J. S., & Remington, P. L. (1988). Smoking by blacks and whites: Socioeconomic and demographic differences. American Journal of Public Health, 78, 1187–1189.PubMed

Okuyemi, K. S., Ahluwalia, J. S., Banks, R., Harris, K. J., Moiser, M. C., Nazir, N., et al. (2004). Differences in smoking and quitting experiences by levels of smoking among African Americans. Ethnicity and Disease, 14, 127–133.PubMed

Okuyemi, K. S., Harris, K. J., Scheibmeir, M., Choi, M., Powell, J., & Ahluwalia, J. S. (2002). Light smokers: Issues and recommendations. Nicotine and Tobacco Research, 4, S103–S112.PubMedCrossRef

Palacio, H., Hilton, J., Canchola, A., & Greenspan, D. (1997). Effect of cigarette smoking on HIV related oral lesions. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 14, 338–342.PubMed

Patel, N., Talwar, A., Reichert, V. C., Brady, T., Jain, M., & Kaplan, M. H. (2006). Tobacco and HIV. Clinics in Occupational and Environmental Medicine, 5, 193–207.PubMed

Patten, C. A., Martin, J. E., & Owen, N. (1996). Can psychiatric and chemical dependency treatment units be smoke free? Journal of Substance Abuse Treatment, 13, 107–118.PubMedCrossRef

Patton, L. L., McKaig, R. G., Strauss, R. P., & Eron, J. J., Jr. (1998). Oral manifestations of HIV in a southeast USA population. Oral Diseases, 4, 164–169.PubMedCrossRef

Pence, B. W., Miller, W. C., Whetten, K., Eron, J. J., & Gaynes, B. N. (2006). Prevalence of DSM-IV-defined mood, anxiety, and substance use disorders in an HIV clinic in the Southeastern United States. Journal of Acquired Immune Deficiency Syndromes, 42, 298–306.PubMedCrossRef

Prentiss, D., Power, R., Balmas, G., Tzuang, G., & Israelski, D. M. (2004). Patterns of marijuana use among patients with HIV/AIDS followed in a public health care setting. Journal of Acquired Immune Deficiency Syndrome, 53, 38–45.CrossRef

Quattrocki, E., Baird, A., & Yurgelun-Todd, D. (2000). Biological aspects of the link between smoking and depression. Harvard Review of Psychiatry, 8, 99–110.PubMedCrossRef

Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 333–339.CrossRef

Reynolds, N. R., Neidig, J. L., & Wewers, M. E. (2004). Illness representation and smoking behavior: Focus group study of HIV-positive men. Journal of the Association of Nurses in AIDS Care, 15, 37–47.PubMedCrossRef

Royce, R. A., & Winkelstein, W., Jr. (1990). HIV infection, cigarette smoking and CD4+ T-lymphocyte counts: Preliminary results from the San Francisco Men’s Health Study. AIDS, 4, 327–333.PubMedCrossRef

Ryan, H., Wortley, P. M., Easton, A., Pederson, L. L., & Greenwood, G. L. (2001). Smoking among lesbians, gays and bisexuals: A review of the literature. American Journal of Preventive Medicine, 21, 142–149.PubMedCrossRef

Slovinec D’Angelo, M. E., Reid, R. D., Hotz, S., Irvine, J., Segal, R. J., Blanchard, C. M., et al. (2005). Is stress management training a useful addition to physician advice and nicotine replacement therapy during smoking cessation in women? Results of a randomized trial. American Journal of Health Promotion, 20, 127–134.PubMed

Spano, J., Massiani, M., Bentata, M., Rixe, O., Friard, S., Bossi, P., et al. (2004). Lung cancer in patients with HIV infection and review of the literature. Medical Oncology, 21, 109–115.PubMedCrossRef

Stall, R. D., Greenwood, G. L., Acree, M., Paul, J., & Coates, T. J. (1999). Cigarette smoking among gay and bisexual men. American Journal of Public Health, 89, 1875–1878.PubMedCrossRef

Stellman, S. D., Chen, Y., Muscat, J. E., et al. (2003). Lung cancer risk in white and black Americans. Annals of Epidemiology, 13, 294–302.PubMedCrossRef

Strine, T. W., Okoro, C. A., Chapman, D. P., Balluz, L. S., Ford, E. S., Ajani, U. A., et al. (2005). Health-related quality of life and health risk behaviors among smokers. American Journal of Preventive Medicine, 28, 182–187.PubMedCrossRef

Tate, D. C., Van Den Berg, J. J., Hansen, N. B., Kochman, A., & Sikkema, K. J. (2006). Race, social support, and coping strategies among HIV-positive gay and bisexual men. Culture, Health, and Sexuality, 8, 235–249.CrossRef

Theorell, T., Blomkvist, V., Jonsson, H., Schulman, S., Berntorp, E., & Stigendal, L. (1995). Social support and the development of immune function in human immunodeficiency virus infection. Psychosomatic Medicine, 57, 32–36.PubMed

Turner, J., Page-Shafer, K., Chin, D. P., Osmond, D., Mossar, M., Markstein, L., et al. (2001). Adverse impact of cigarette smoking on dimensions of health-related quality of life in persons with HIV infection. AIDS Patient Care and STDs, 15, 615–624.PubMedCrossRef

Turner, R. J., Wheaton, B., & Lloyd, D. A. (1995). The epidemiology of social stress. American Sociological Review, 60, 104–125.CrossRef

U.S. Department of Health and Human Services. (1998). Tobacco use among U.S. racial/ethnic minority groups—African Americans, American Indians and Alaska Natives, Asian Americans and Pacific Islanders, and Hispanics: A report of the surgeon general. Atlanta, GA: U.S. Department of Health and Human Services, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health.

Vanable, P. A., Carey, M. P., Carey, K. B., & Maisto, S. P. (2003). Smoking among psychiatric outpatients: Relationship to substance use, diagnosis, and illness severity. Psychology of Addictive Behaviors, 17, 259–265.PubMedCrossRef

Vanable, P. A., Carey, M. P., Blair, D. C., & Littlewood, R. A. (2006). Impact of HIV-related stigma on health behaviors and psychosocial adjustment among HIV-positive men and women. AIDS and Behavior, 10, 473–482.PubMedCrossRef

Vidrine, D. J., Amick, B. C., Gritz, E. R., & Arduino, R. C. (2006). Assessing a conceptual framework of health-related quality of life in a HIV/AIDS population. Quality of Life Research, 14, 923–933.CrossRef

Volpp, K. G., Gurmankin, L. A., Asch, D. A., Berlin, J. A., Murphy, J. J., Gomez, A., et al. (2006). A randomized trial of financial incentives for smoking cessation. Cancer Epidemiology, Biomarkers and Prevention, 15, 12–18.PubMedCrossRef

Waddell, E. N., & Messeri, P. A. (2006). Social support, disclosure, and use of antiretroviral therapy. AIDS and Behavior, 10, 263–272.PubMedCrossRef

Weissman, M.M., Sholomskas, D., Pottenger, M., Prusoff, B.A., & Locke, B. Z. (1977). Assessing depressive symptoms in five psychiatric populations: A validation study. American Journal of Epidemiology, 106, 203–213.PubMed

Wetzels, J. J. L., Kremers, S. P. J., Vitória, P. D., & de Vries, H. (2003). The alcohol-tobacco relationship: a prospective study among adolescents in six European countries. Addiction, 98, 1755–1763.PubMedCrossRef

Wewers, M. D., Diaz, P. T., Wewers, M. E., Loew, M. P., Nagarage, H. N., & Clanton, T. L. (1998). Cigarette smoking in HIV infection induces a suppressive inflammatory environment in the lung. American Journal of Respiratory and Critical Care Medicine, 158(Pt. 1), 1543–1549.PubMed

Wewers, M. E., Neidig, J. L., & Kihm, K. E. (2000). The feasibility of a nurse-managed, peer-led, tobacco cessation intervention among HIV-positive smokers. Journal of the Association of Nurses in AIDS Care, 11, 37–44.PubMedCrossRef

White, H. R., Nagin, D., Replogle, E., & Stouthamer-Loeber, M. (2004). Racial differences in trajectories of cigarette use. Drug and Alcohol Dependence, 76, 219–227.PubMedCrossRef

Wilson, I. B., & Cleary, P. D. (1995). Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. The Journal of the American Medical Association, 273, 59–65.CrossRef

Zvolensky, M. J., Feldner, M. T., Leen-Feldner, E. W., Gibson, L. E., Abrams, K., et al. (2005). Acute nicotine withdrawal symptoms and anxious responding to bodily sensations: A test of incremental predictive validity among young adult regular smokers. Behaviour Research and Therapy, 43, 1683–1700.PubMedCrossRef

Titel: Cigarette Smoking among HIV+ Men and Women: Examining Health, Substance Use, and Psychosocial Correlates across the Smoking Spectrum
verfasst von: Monica S. Webb
Peter A. Vanable
Michael P. Carey
Donald C. Blair
Publikationsdatum: 01.10.2007
Verlag: Springer US
Erschienen in: Journal of Behavioral Medicine / Ausgabe 5/2007
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-007-9112-9

Neu im Fachgebiet Psychiatrie

Bei seelischem Stress sind Checkpoint-Hemmer weniger wirksam

03.06.2024 NSCLC Nachrichten

Wie stark Menschen mit fortgeschrittenem NSCLC von einer Therapie mit Immun-Checkpoint-Hemmern profitieren, hängt offenbar auch davon ab, wie sehr die Diagnose ihre psychische Verfassung erschüttert

Demenzkranke durch Antipsychotika vielfach gefährdet

Demenz Nachrichten

Der Einsatz von Antipsychotika gegen psychische und Verhaltenssymptome in Zusammenhang mit Demenzerkrankungen erfordert eine sorgfältige Nutzen-Risiken-Abwägung. Neuen Erkenntnissen zufolge sind auf der Risikoseite weitere schwerwiegende Ereignisse zu berücksichtigen.

Hörschwäche erhöht Demenzrisiko unabhängig von Beta-Amyloid

29.05.2024 Hörstörungen Nachrichten

Hört jemand im Alter schlecht, nimmt das Hirn- und Hippocampusvolumen besonders schnell ab, was auch mit einem beschleunigten kognitiven Abbau einhergeht. Und diese Prozesse scheinen sich unabhängig von der Amyloidablagerung zu ereignen.

So wirken verschiedene Alkoholika auf den Blutdruck

23.05.2024 Störungen durch Alkohol Nachrichten

Je mehr Alkohol Menschen pro Woche trinken, desto mehr steigt ihr Blutdruck, legen Daten aus Dänemark nahe. Ob es dabei auch auf die Art des Alkohols ankommt, wurde ebenfalls untersucht.

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Cigarette Smoking among HIV+ Men and Women: Examining Health, Substance Use, and Psychosocial Correlates across the Smoking Spectrum

Abstract

Neu im Fachgebiet Psychiatrie

Bei seelischem Stress sind Checkpoint-Hemmer weniger wirksam

Demenzkranke durch Antipsychotika vielfach gefährdet

Hörschwäche erhöht Demenzrisiko unabhängig von Beta-Amyloid

So wirken verschiedene Alkoholika auf den Blutdruck

Update Psychiatrie

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 5/2007

A Longitudinal Test of the Theory of Planned Behavior Predicting Smoking Onset among Asthmatic and Non-asthmatic Adolescents

Mediating Variables in a Parent Based Intervention to Reduce Skin Cancer Risk in Children

A Prospective Examination of Patterns and Correlates of Exercise Maintenance in Coronary Artery Disease Patients

Prayer and Health: Review, Meta-Analysis, and Research Agenda

Psychometric Properties of the Perceived Diabetes Self-Management Scale (PDSMS)

Masculinity and Intentions to Perform Health Behaviors: The Effectiveness of Fear Control Arguments

Neu im Fachgebiet Psychiatrie

Bei seelischem Stress sind Checkpoint-Hemmer weniger wirksam

Demenzkranke durch Antipsychotika vielfach gefährdet

Hörschwäche erhöht Demenzrisiko unabhängig von Beta-Amyloid

So wirken verschiedene Alkoholika auf den Blutdruck

Update Psychiatrie