Smokers Versus Non-Smokers: Comparing Cognitive Flexibility and Dyspnea Symptoms in Medical Students


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DOI:

https://doi.org/10.58600/eurjther2093

Keywords:

smoking, cognitive flexibility, dyspnea, medical student, addiction

Abstract

Objective: Smoking is an escalating public health concern globally, notably for its frequency among young individuals and the medical conditions it induces. This research aims to explore the association between smoking and the symptoms of dyspnea as well as cognitive flexibility levels in medical students.

Methods: This cross-sectional study included 188 volunteer medical school students. Participants were administered a sociodemographic data form, the Dyspnea-12 Scale, and the Cognitive Flexibility Scale. The participants were divided into two groups as smokers and non-smokers and compared in terms of the applied scale scores. The data were analyzed using the appropriate statistical methods with IBM SPSS v.22 software.

Results: Of the 188 participants, 56.9% (n:107) were female, while 43.1% (n: 81) were male. The prevalence of smoking among participants was 26.1% (n: 49), with rates at 38.3% (n:31) for males and 16.8% (n: 18) for females. The smoking rate was significantly higher in males (p<0.001). No significant difference was detected between smokers and non-smokers regarding the Dyspnea-12 score. However, the Cognitive Flexibility Scale scores were significantly lower in the smoker group (p:0.018).

Conclusion: In our study, we found that the smoking rate among medical students was quite high and that smoking negatively affected cognitive flexibility. It may be beneficial to consider this when evaluating cognitive functions in educated individuals who smoke.

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References

Öztürk B, Kosku H, Güven İ, Erdoğan B, Sarıtaş Ö, Şanver T, Aslan D (2017) A Study Examining Compliance with the Anti-Tobacco Law Nb. 4207 Inside Taxis. Turkish Thoracic Journal 18:88 doi.org/10.5152/TurkThoracJ.2017.16028

Organization WH (2021) WHO report on the global tobacco epidemic 2021: addressing new and emerging products. Available online: https://www.who.int/teams/health-promotion/tobacco-control/global-tobacco-report-2021

Masihay-Akbar H, Razmjouei S, Ainy E, Cheraghi L, Azizi F, Amiri P (1995) Cigarette smoking trajectories among adolescents and young adults in the Islamic Republic of Iran. Information for authors 1 https://doi.org/10.26719/emhj.20.006

Caliri AW, Tommasi S, Besaratinia A (2021) Relationships among smoking, oxidative stress, inflammation, macromolecular damage, and cancer. Mutation Research/Reviews in Mutation Research 787:108365 https://doi.org/10.1016/j.mrrev.2021.108365

Manakil J, Miliankos A, Gray M, Itthagarun A, George R (2020) Oral health and nicotine replacement therapy product. European Journal of General Dentistry 9:1-6 https://doi.org/10.4103/ejgd.ejgd_100_19

Degenhardt L, Hall, Wayne (2001) The relationship between tobacco use, substance-use disorders and mental health: results from the National Survey of Mental Health and Well-being. Nicotine & Tobacco Research 3:225-234 https://doi.org/10.1080/14622200110050457

Sabado MD, Haynie D, Gilman SE, Simons-Morton B, Choi K (2017) High school cigarette smoking and post-secondary education enrollment: Longitudinal findings from the NEXT Generation Health Study. Preventive medicine 105:250-256 https://doi.org/10.1016/j.ypmed.2017.09.025

Warburton DM, Wesnes K, Revell A (1984) Smoking and academic performance. Current psychological research & reviews 3:25-31 https://doi.org/10.2466/pr0.1987.60.1.259

Wesnes K, Parrott A (1992) Smoking, nicotine and human performance handbook of human performance. Academic Press, New York

Cleutjens FA, Janssen DJ, Ponds RW, Dijkstra JB, Wouters EF (2014) COgnitive-pulmonary disease. BioMed research international. 2014:1-8. https://doi.org/10.1155/2014/697825

Canas J, Quesada J, Antoli A, Fajardo I (2003) Cognitive flexibility and adaptability to environmental changes in dynamic complex problem-solving tasks. Ergonomics 46:482-501 https://doi.org/10.1080/0014013031000061640

Eskin M (2014) Sorun çözme terapisi: Kuram, araştırma, uygulama (3. Baskı). Ankara: Hekimler Birliği Yayınevi

Cleutjens FA, Spruit MA, Ponds RW, Vanfleteren LE, Franssen FM, Gijsen C, Dijkstra JB, Wouters EF, Janssen DJ (2018) Cognitive impairment and clinical characteristics in patients with chronic obstructive pulmonary disease. Chronic respiratory disease 15:91-102 https://doi.org/10.1177/147997231770965

Durazzo TC, Meyerhoff DJ, Nixon SJ (2010) Chronic cigarette smoking: implications for neurocognition and brain neurobiology. International journal of environmental research and public health 7:3760-3791 https://doi.org/10.3390/ijerph7103760

Treur JL, Willemsen G, Bartels M, Geels LM, Van Beek JH, Huppertz C, Van Beijsterveldt CE, Boomsma DI, Vink JM (2015) Smoking during adolescence as a risk factor for attention problems. Biological Psychiatry 78:656-663 https://doi.org/10.1016/j.biopsych.2014.06.019

Kalmijn S, van Boxtel MP, Verschuren MW, Jolles J, Launer LJ (2002) Cigarette smoking and alcohol consumption in relation to cognitive performance in middle age. Am J Epidemiol 156:936-944. https://doi.org/10.1093/aje/kwf135

Rotheram-Fuller E, Shoptaw S, Berman SM, London ED (2004) Impaired performance in a test of decision-making by opiate-dependent tobacco smokers. Drug Alcohol Depend 73:79-86. https://doi.org/10.1016/j.drugalcdep.2003.10.003

Nesic J, Rusted J, Duka T, Jackson A (2011) Degree of dependence influences the effect of smoking on cognitive flexibility. Pharmacology Biochemistry and Behavior 98:376-384 https://doi.org/10.1016/j.pbb.2011.01.015

Martin MM, Rubin RB (1995) A new measure of cognitive flexibility. Psychological reports 76:623-626 https://doi.org/10.2466/pr0.1995.76.2.623

Çelikkaleli Ö (2014) The Validity and Reliability of the Cognitive Flexibility Scale. Education & Science/Egitim ve Bilim 39 http://dx.doi.org/10.15390/EB.2014.3466

Yorke J, Moosavi SH, Shuldham C, Jones PW (2010) Quantification of dyspnoea using descriptors: development and initial testing of the Dyspnoea-12. Thorax 65:21-26 https://doi.org/10.1136/thx.2009.118521

Metin ZG, Helvacı A (2018) Validity and Reliability of Turkish Version of the Dyspnea-12 Scale. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi 5:102-115 https://doi.org/10.31125/hunhemsire.454354

Çelepkolu T, Abdullah A, PALANCI Y, Yilmaz A, Demir S, İbiloğlu AO, Selami E (2014) Sigara kullanıcılarda nikotin bağımlılık düzeyinin yaş ve cinsiyetle ilişkisi: Diyarbakır örneklemi. Dicle Tıp Dergisi 41:712-716 https://doi.org/10.5798/diclemedj.0921.2014.04.0505

Kılıç O, Başer U, Abacı HS, Eryılmaz GA (2018) Determining Factors Affecting Cigarette Use of Students: The Case of Ondokuz Mayıs University, Samsun, Turkey. Tarımsal Araştırmalar Dergisi 5:274-279 https://doi.org/10.19159/tutad.449243

Işıktaş S, Karafistan M, Dilan A, Yılmaz AS (2019) Comparison of the Smokers and Non-Smokers in Terms of Coping With Stress Behaviors. Cyprus Turkish Journal of Psychiatry & Psychology 1:102-107 https://doi.org/10.35365/ctjpp.19.1.12

Erdoğan Kaya A, Yazici AB, Kaya M, Yazici E (2021) The relationship between expressed emotion, personality traits and prognosis of alcohol and substance addiction: 6-month follow-up study. Nordic Journal of Psychiatry 75:596-606 https://doi.org/10.1080/08039488.2021.1916835

Cassarino M, O'Sullivan V, Kenny RA, Setti A (2016) Environment and cognitive aging: A cross-sectional study of place of residence and cognitive performance in the Irish longitudinal study on aging. Neuropsychology 30:543-557. https://doi.org/10.1037/neu0000253

Tanhan F, Özok Hİ, Kaya A, Yıldırım M (2024) Mediating and moderating effects of cognitive flexibility in the relationship between social media addiction and phubbing. Current Psychology 43:192-203 https://doi.org/10.1007/s12144-023-04242-8

Ghosal S, Halder A, Keshri S, Ravindran NP, Joshi A (2024) Schizophrenia and Nicotine-A Bittersweet Psychiatric Story. Annals of Indian Psychiatry:10.4103 https://doi.org/10.4103/aip.aip_144_23

Wahbeh F, Restifo D, Laws Sa, Pawar A, Parikh NS (2024) Impact of tobacco smoking on disease-specific outcomes in common neurological disorders: A scoping review. Journal of Clinical Neuroscience 122:10-18 https://doi.org/ 10.1016/j.jocn.2024.02.013

Yamada H, Yamazaki Y, Takebayashi Y, Yazawa K, Sasanishi M, Motoda A, Nakamori M, Morino H, Takahashi T, Maruyama H (2024) The long-term effects of heated tobacco product exposure on the central nervous system in a mouse model of prodromal Alzheimer's disease. Scientific Reports 14:227 https://doi.org/10.1038/s41598-023-50941-4

Ewees M, El-Mahdy M, Hannawi Y, Zweier JL (2024) Abstract WMP23: Tobacco Cigarette Smoking Causes Cognitive Impairment Through Cerebrovascular Oxidative Damage. Stroke 55:AWMP23-AWMP23 https://doi.org/10.1161/str.55.suppl_1.WMP23

Imre O, Caglayan C, Mustu M (2023) The Relationship of Cognitive Dysfunction with Inflammatory Markers and Carotid Intima Media Thickness in Schizophrenia. J Pers Med 13. https://doi.org/10.3390/jpm13091342

Ockene IS, Miller NH (1997) Cigarette smoking, cardiovascular disease, and stroke: a statement for healthcare professionals from the American Heart Association. American Heart Association Task Force on Risk Reduction. Circulation 96:3243-3247. https://doi.org/10.1161/01.cir.96.9.3243

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Published

2024-05-23

How to Cite

Erdoğan Kaya, A., & Durak, B. (2024). Smokers Versus Non-Smokers: Comparing Cognitive Flexibility and Dyspnea Symptoms in Medical Students. European Journal of Therapeutics, 30(4), 428–434. https://doi.org/10.58600/eurjther2093

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