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. 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.

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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

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