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Impact of Depression and Nicotine Dependence on Executive Functioning in Rural Older Adult Smokers: A Brief Report (NCT02510716).

Publication ,  Journal Article
Noonan, D; Silva, NJ; McClintock, SM; Silva, SG
Published in: Journal of addictions nursing
October 2021

Rural older adults are an underserved population with high rates of smoking and related morbidity and mortality. Age-related executive function deficits are common in older smokers; however, the association of depression and nicotine dependence on executive function has not been explored. This study addressed whether depression and nicotine dependence are related to executive dysfunction in rural older adult smokers.The sample included 40 rural older adults recruited from two primary care clinics in North Carolina. Executive function was evaluated with the Behavioral Regulation Index (BRI), Metacognition Index, and Global Executive Composite (GEC) T scores from the Behavior Rating Inventory of Executive Function-Adult. Nicotine dependence and depression symptoms were assessed using the Fagerstrom Test and Center for Epidemiologic Depression Scale-10, respectively. Analysis of variance was used to explore whether depression and/or nicotine dependence influences executive function. Nondirectional tests were performed with significance set at .10.Smokers who screened positive for depression had significantly greater executive dysfunction than those who did not (BRI: p = .0003, Metacognition Index: p < .0001, GEC: p < .0001), and moderate/high dependence was associated with greater executive function deficits compared with those with mild dependence (BRI: p = .0942). Together, depression and nicotine dependence explained 50% of the variability of the GEC overall scores.Executive dysfunction is common in rural older adult smokers and associated with depression and nicotine dependence severity. Futures studies should test the relationship of executive function and smoking cessation in the older adult population as it may have implications for cessation in this population.

Duke Scholars

Published In

Journal of addictions nursing

DOI

EISSN

1548-7148

ISSN

1088-4602

Publication Date

October 2021

Volume

32

Issue

4

Start / End Page

249 / 254

Related Subject Headings

  • Tobacco Use Disorder
  • Smoking Cessation
  • Smokers
  • Humans
  • Executive Function
  • Depression
  • Aged
  • 5203 Clinical and health psychology
  • 4205 Nursing
  • 1701 Psychology
 

Citation

APA
Chicago
ICMJE
MLA
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Noonan, D., Silva, N. J., McClintock, S. M., & Silva, S. G. (2021). Impact of Depression and Nicotine Dependence on Executive Functioning in Rural Older Adult Smokers: A Brief Report (NCT02510716). Journal of Addictions Nursing, 32(4), 249–254. https://doi.org/10.1097/jan.0000000000000436
Noonan, Devon, Nikolas J. Silva, Shawn M. McClintock, and Susan G. Silva. “Impact of Depression and Nicotine Dependence on Executive Functioning in Rural Older Adult Smokers: A Brief Report (NCT02510716).Journal of Addictions Nursing 32, no. 4 (October 2021): 249–54. https://doi.org/10.1097/jan.0000000000000436.
Noonan D, Silva NJ, McClintock SM, Silva SG. Impact of Depression and Nicotine Dependence on Executive Functioning in Rural Older Adult Smokers: A Brief Report (NCT02510716). Journal of addictions nursing. 2021 Oct;32(4):249–54.
Noonan, Devon, et al. “Impact of Depression and Nicotine Dependence on Executive Functioning in Rural Older Adult Smokers: A Brief Report (NCT02510716).Journal of Addictions Nursing, vol. 32, no. 4, Oct. 2021, pp. 249–54. Epmc, doi:10.1097/jan.0000000000000436.
Noonan D, Silva NJ, McClintock SM, Silva SG. Impact of Depression and Nicotine Dependence on Executive Functioning in Rural Older Adult Smokers: A Brief Report (NCT02510716). Journal of addictions nursing. 2021 Oct;32(4):249–254.

Published In

Journal of addictions nursing

DOI

EISSN

1548-7148

ISSN

1088-4602

Publication Date

October 2021

Volume

32

Issue

4

Start / End Page

249 / 254

Related Subject Headings

  • Tobacco Use Disorder
  • Smoking Cessation
  • Smokers
  • Humans
  • Executive Function
  • Depression
  • Aged
  • 5203 Clinical and health psychology
  • 4205 Nursing
  • 1701 Psychology