INTRODUCTION: The aim of this study is to determine the differences between genders in terms of nicotine addiction severity and psychological symptom levels in individuals admitted to the smoking cessation clinic, and to determine the relationship between smoking behaviors and gender, addiction severity and psychological symptoms.
METHODS: 224.0 (100.0 women, 124.0 men) patients were enrolled to the study, who applied to the smoking cessation outpatient clinic of a state hospital within six months. Socio-demographic form, symptom check list 90 revised (SCL 90-R) and fagerstrom nicotine dependence scale (FNDS) were administered to the participants.
RESULTS: The median FTND score was 7.0 (IQR= 5.0-9.0) in women and 8.0 (IQR= 6.0-8.0) in men (p=0.232). FTND scores were found to be associated with somatization symptom level of SCL-90 R (r=0.215, p=0.017) and daily tea consumption (glass) (r=0.244, p<0.001) in men. Also in men, the number of cigarettes smoked per day was found to be related with some subgroups of SCL-90 R (somatization (r=0.193, p=0.032), depression (r=0.177, p=0.049), anxiety (r=0.257, p<0,001), phobic anxiety (r=0.225), p=0.012), psychotism (r=0.238, p<0.001) additional symptoms (r=0.272, p=0.002), general symptom(r=0.220, p=0.014)) and daily tea consumption (cups) (r=0.231, p<0.001).
DISCUSSION AND CONCLUSION: We recommend to the clinicians to keep in mind that patients who wants to quit smoking may have psychological symptoms. Especially in men these psychological symptoms can be related with nicotine dependence severity. According to the findings, structuring gender based different treatment strategies may be effective for nicotine addiction treatment. These findings should be supported with large-scale studies.