title: Smoking Cessation After Acute Myocardial Infarction in Relation to Depression and Personality Factors.
abstract: BACKGROUND
  Smoking is an important cardiovascular risk factor and smoking cessation should be a primary target in secondary prevention after a myocardial infarction (MI).
  
  
  OBJECTIVE
  The purpose of this study was to examine whether personality, coping and depression were related to smoking cessation after an MI.
  
  
  METHODS
  MI patients ≤70 years (n = 323, 73 % men, 58.7 ± 8.3 years), participating in the Secondary Prevention and Compliance following Acute Myocardial Infarction study in Malmö, Sweden, between 2002 and 2005, were interviewed by a psychologist to assess coping strategies and completed Beck Depression and NEO Personality Inventories, in close proximity to the acute event. Correlation between smoking status (current, former and never), personality factors, coping and depression was assessed at baseline and 24 months after the MI using logistic regression and in a multivariate analysis, adjusting for age and sex.
  
  
  RESULTS
  Of the participating patients, 46 % were current smokers. Two years after the event, 44 % of these were still smoking. At baseline, current smokers scored higher on the depression and neuroticism scales and had lower agreeableness scores. Patients who continued to smoke after 2 years had higher scores on being confrontational (i.e. confrontative coping style) compared to those who had managed to quit. Patients who continued to smoke had significantly lower agreeableness and were more often living alone.
  
  
  CONCLUSIONS
  Personality, coping strategies and psychosocial circumstances are associated with smoking cessation rates in patients with MI. Considering personality factors and coping strategies to better individualise smoking cessation programs in MI patients might be of importance.
authors.affiliation: Department of Cardiology, Skåne University Hospital, Lund University, Lund and Malmö, Sweden. mona.schlyter@lsn.se.|Faculty of Health and Society, Malmö University, Malmö, Sweden. mona.schlyter@lsn.se.
authors.forename: Mona
authors.initials: M
authors.lastname: Schlyter
authors.affiliation: Department of Cardiology, Skåne University Hospital, Lund University, Lund and Malmö, Sweden.|Cardiovascular Epidemiology Research Group, Department of Clinical Sciences, Lund University, Malmö, Sweden.
authors.forename: Margrét
authors.initials: M
authors.lastname: Leosdottir
authors.affiliation: Cardiovascular Epidemiology Research Group, Department of Clinical Sciences, Lund University, Malmö, Sweden.
authors.forename: Gunnar
authors.initials: G
authors.lastname: Engström
authors.affiliation: Department of Neurology, Skåne University Hospital, Malmö and Lund, Sweden.
authors.forename: Lena
authors.initials: L
authors.lastname: André-Petersson
authors.affiliation: Department of Cardiology, Skåne University Hospital, Lund University, Lund and Malmö, Sweden.|Cardiovascular Epidemiology Research Group, Department of Clinical Sciences, Lund University, Malmö, Sweden.
authors.forename: Patrik
authors.initials: P
authors.lastname: Tydén
authors.affiliation: Faculty of Health and Society, Malmö University, Malmö, Sweden.
authors.forename: Margareta
authors.initials: M
authors.lastname: Östman
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D003863:Depression / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000517:prevention & control*; D010551:Personality; D010555:Personality Inventory; D012307:Risk Factors; D055502:Secondary Prevention; D012907:Smoking / Q000523:psychology; D016540:Smoking Cessation / Q000523:psychology*; D013548:Sweden
keywords: Acute myocardial infarction; Depression; Personality factor; Prevention; Smoking cessation