Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2010 Sep-Oct;32(5):492-8.
doi: 10.1016/j.genhosppsych.2010.06.007. Epub 2010 Aug 10.

Family factors are associated with psychological distress and smoking status in chronic obstructive pulmonary disease

Kristen E Holm  1 , Heather R LaChance, Russell P Bowler, Barry J Make, Frederick S Wamboldt
Affiliations

Family factors are associated with psychological distress and smoking status in chronic obstructive pulmonary disease

Kristen E Holm et al. Gen Hosp Psychiatry. 2010 Sep-Oct.

Abstract

Objective: The objective of this study was to test three hypotheses in a sample of individuals with chronic obstructive pulmonary disease (COPD): (1) unsupportive family relationships are associated with psychological distress, (2) psychological distress is associated with smoking status and (3) unsupportive family relationships are indirectly associated with smoking status via psychological distress.

Method: Cross-sectional data were collected via self-report questionnaires completed by 455 individuals with COPD who had at least a 10-pack-year smoking history. The hypotheses were tested with structural equation modeling.

Results: All three hypotheses were supported. Unsupportive family relationships were associated with psychological distress (β=.67, P<.001), psychological distress was associated with smoking status (β=.40, P<.001), and unsupportive family relationships were indirectly associated with smoking status via psychological distress (β=.27, P<.001).

Conclusion: Results of this study suggest that family relationships are an important factor to include in future longitudinal research that attempts to elucidate social and psychological influences on smoking behavior.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Recruitment Flow Diagram
Figure 2
Figure 2
Maximum Likelihood Estimates of the Associations among Family Relationships, Psychological Distress, and Smoking Status Note: Standardized path coefficients outside parenthesis, unstandardized within parentheses
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Clini E, Costi S, Lodi S, Rossi G. Non-pharmacological treatment for chronic obstructive pulmonary disease. Medical Science Monitor. 2003;9(12):RA300–5. - PubMed
    1. Rennard SI. Treatment of stable chronic obstructive pulmonary disease. Lancet. 2004;364(9436):791–802. - PubMed
    1. Nides MA, Rakos RF, Gonzales D, et al. Predictors of initial smoking cessation and relapse through the first 2 years of the Lung Health Study. J Consult Clin Psychol. 1995;63(1):60–9. - PubMed
    1. Gulliver SB, Hughes JR, Solomon LJ, Dey AN. An investigation of self-efficacy, partner support and daily stresses as predictors of relapse to smoking in self-quitters. Addiction. 1995;90(6):767–72. - PubMed
    1. Key JD, Marsh LD, Carter CL, Malcolm RJ, Sinha D. Family-focused smoking cessation:enhanced efficacy by the addition of partner support and group therapy. Subst Abus. 2004;25(1):37–41. - PubMed

Publication types

MeSH terms