Study of Psychopathological Characteristics of Patient Smoking in Thoracic Oncology

Study Overview
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Brief Summary
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Persistent smoking after lung cancer has been the subject of medical, therapeutic and epidemiological publications for twenty years of research. Continued persistent smoking is all the more a problem for oncologists as there is evidence that smoking cessation, with lung cancer, gives therapeutic benefit. Quitting smoking can improve the response to treatments (chemotherapy, radiotherapy, surgery), quality of life and overall survival. However many patients refuse adhesion to tobacco cessation. Daily practice leads us to the hypothesis that adhesion differences aren't related to the denial of medical information, nor to resignation or to nicotine dependence. Patients who continue smoking seem to face a form of impossibility to wean. Cigarette seems to be felt as a part of their body in their narration and description of their body image.

Official Title
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Study of Psychopathological Characteristics of Patient Smoking in Thoracic Oncology

Conditions
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Smoking Cessation and Lung Cancer

Intervention / Treatment
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* Behavioral: Research interviews
* Behavioral: Tests (Fagerström, Q-MAT, H.A.D.S, SCL 90-R)
* Behavioral: Projective methods (Thematic apperception Test, Rorschach)
* Behavioral: Carbon monoxide test


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Men and women aged 18 years or older Patient affiliated to a social security system Patient who has signed and dated informed consent, written before all procedures related to the study Patient who has received the results of the previous mandatory medical examination Patient who has been diagnosed with lung cancer, regardless of the histological type of the cancer Patient who maintains an active smoking at the time of inclusion Patient who has smoked at least one cigarette in the previous year of inclusion Patient who is being treated for lung cancer (surgery, chemotherapy, radiotherapy) and not another form of cancer Tobacco consumer's only by smoke inhalation Tobacco consumer's or tobacco associated with cannabis Exclusion Criteria: Major patient under guardianship or curatorship or maintenance of justice Patient deprived of his liberty or in an emergency situation Patient with a Performance Statut(OMS) higher than 2 and/or with a psychiatric disorder like  schizophrenia and other psychotic disorders  (DSM IV) A palliative care patient Patient who began smoking during his diagnostic examination or after the diagnosis of cancer A pregnant or breastfeeding woman Patient in an exclusion period

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Smokers with lung cancer<br> | Behavioral: Research interviews<br> <br> Behavioral: Tests (Fagerström, Q-MAT, H.A.D.S, SCL 90-R)<br> <br> Behavioral: Projective methods (Thematic apperception Test, Rorschach)<br> <br> Behavioral: Carbon monoxide test<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Composite indicator variable indicating the presence or absence of disturbance in one or more of the parameters evaluated: object relations, body, subject's choice. | The results will be obtained: From the results of each test, each has indeed a standardized rating scale By analysing the content of the speech of the patient previously noted during the various interviews The investigator will classify each subject in disturbance or not for each of the three parameters. The presence of at least one disturbance gives the yes value in the indicator variable, no in the absence of the three disturbances. | 2 months after inclusion | 
| Composite indicator variable indicating the presence or absence of disturbance in one or more of the parameters evaluated: object relations, body, subject's choice. | The results will be obtained: From the results of each test, each has indeed a standardized rating scale By analysing the content of the speech of the patient previously noted during the various interviews The investigator will classify each subject in disturbance or not for each of the three parameters. The presence of at least one disturbance gives the yes value in the indicator variable, no in the absence of the three disturbances. | 4 months after inclusion |