Mood Changes After Indoor Tanning Among College Women: Associations with Psychiatric/Addictive Symptoms

Overview

Journal Health Psychol Res

Date 2016 Jul 13

PMID 27403462

Citations 4

Authors

Carolyn Heckman

Susan Darlow

Jessye Cohen-Filipic

Jacqueline Kloss

Affiliations

Soon will be listed here.

Abstract

Indoor tanning (IT) has been linked with psychiatric and addictive symptoms, and frequent tanning may indicate tanning dependence (addiction). The current study evaluated the effects of an IT episode on mood states and the association of these effects with psychiatric and addictive symptoms among young adult female indoor tanners. One-hundred thirty-nine female university students aged 18-25 years who had indoor tanned completed an online survey including the Positive and Negative Affects Scales and a standardized psychiatric interview (the MINI International Neuropsychiatric Interview) via telephone. Psychiatric and addictive symptoms were relatively common among these young adult female indoor tanners. Overall, participants reported significant decreases in both negative (upset, scared, irritable, nervous, jittery, afraid) and positive (feeling interested) mood states after their most recent tanning episode. Multivariable linear regression analyses showed that more frequent indoor tanning in the past month and symptoms of illicit drug use disorders were associated with decreases in negative mood, and symptoms of generalized anxiety disorder were associated with a decrease in feeling interested. In summary, indoor tanners report relatively high rates of psychiatric and substance use symptoms, including symptoms of tanning dependence, and indoor tanning appears to alter mood. Women with certain substance use and psychiatric characteristics may be more vulnerable to such mood changes after tanning indoors. Further research is needed to clarify the relationships among these variables.

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References

Phillips K, Conroy M, Dufresne R, Menard W, Didie E, Hunter-Yates J . Tanning in body dysmorphic disorder. Psychiatr Q. 2006; 77(2):129-38. PMC: 1622896. DOI: 10.1007/s11126-006-9002-2. View

West R, Gilsenan A, Coste F, Zhou X, Brouard R, Nonnemaker J . The ATTEMPT cohort: a multi-national longitudinal study of predictors, patterns and consequences of smoking cessation; introduction and evaluation of internet recruitment and data collection methods. Addiction. 2006; 101(9):1352-61. DOI: 10.1111/j.1360-0443.2006.01534.x. View

Hillhouse J, Stapleton J, Turrisi R . Association of frequent indoor UV tanning with seasonal affective disorder. Arch Dermatol. 2005; 141(11):1465. DOI: 10.1001/archderm.141.11.1465. View

Asvat Y, Cafri G, Thompson J, Jacobsen P . Appearance-based tanning motives, sunbathing intentions, and sun protection intentions in adolescents. Arch Dermatol. 2010; 146(4):445-6. DOI: 10.1001/archdermatol.2010.35. View

Wehner M, Shive M, Chren M, Han J, Qureshi A, Linos E . Indoor tanning and non-melanoma skin cancer: systematic review and meta-analysis. BMJ. 2012; 345:e5909. PMC: 3462818. DOI: 10.1136/bmj.e5909. View

Lostritto K, Ferrucci L, Cartmel B, Leffell D, Molinaro A, Bale A . Lifetime history of indoor tanning in young people: a retrospective assessment of initiation, persistence, and correlates. BMC Public Health. 2012; 12:118. PMC: 3340300. DOI: 10.1186/1471-2458-12-118. View

LePage M, Crowther J . The effects of exercise on body satisfaction and affect. Body Image. 2010; 7(2):124-30. DOI: 10.1016/j.bodyim.2009.12.002. View

Gardner J, Szpunar C, Oconnell M, Facklam D, Mariano J, Borden E . Cohort maintenance and comparability in a pharmacoepidemiologic study using a commercial consumer panel to recruit comparators. Pharmacoepidemiol Drug Saf. 1996; 5(4):207-14. DOI: 10.1002/(SICI)1099-1557(199607)5:4<207::AID-PDS190>3.0.CO;2-I. View

Kaur M, Liguori A, Lang W, Rapp S, Fleischer Jr A, Feldman S . Induction of withdrawal-like symptoms in a small randomized, controlled trial of opioid blockade in frequent tanners. J Am Acad Dermatol. 2006; 54(4):709-11. DOI: 10.1016/j.jaad.2005.11.1059. View

10.

Hillhouse J, Turrisi R, Jaccard J, Robinson J . Accuracy of self-reported sun exposure and sun protection behavior. Prev Sci. 2012; 13(5):519-31. PMC: 3673291. DOI: 10.1007/s11121-012-0278-1. View

11.

Spring B, Cook J, Appelhans B, Maloney A, Richmond M, Vaughn J . Nicotine effects on affective response in depression-prone smokers. Psychopharmacology (Berl). 2007; 196(3):461-71. DOI: 10.1007/s00213-007-0977-7. View

12.

Reed K, Brewer J, Lohse C, Bringe K, Pruitt C, Gibson L . Increasing incidence of melanoma among young adults: an epidemiological study in Olmsted County, Minnesota. Mayo Clin Proc. 2012; 87(4):328-34. PMC: 3538462. DOI: 10.1016/j.mayocp.2012.01.010. View

13.

Lin K, Guo N, Liao S, Kuo C, Hu P, Hsu J . Psychological outcome of injured workers at 3 months after occupational injury requiring hospitalization in Taiwan. J Occup Health. 2012; 54(4):289-98. DOI: 10.1539/joh.11-0211-oa. View

14.

Magnusson A, Friis S, Opjordsmoen S . Internal consistency of the Seasonal Pattern Assessment Questionnaire (SPAQ). J Affect Disord. 1997; 42(2-3):113-6. DOI: 10.1016/s0165-0327(96)00104-8. View

15.

Heckman C, Cohen-Filipic J, Darlow S, Kloss J, Manne S, Munshi T . Psychiatric and addictive symptoms of young adult female indoor tanners. Am J Health Promot. 2013; 28(3):168-74. PMC: 3926191. DOI: 10.4278/ajhp.120912-QUAN-442. View

16.

Kourosh A, Harrington C, Adinoff B . Tanning as a behavioral addiction. Am J Drug Alcohol Abuse. 2010; 36(5):284-90. DOI: 10.3109/00952990.2010.491883. View

17.

Guy Jr G, Berkowitz Z, Tai E, Holman D, Jones S, Richardson L . Indoor tanning among high school students in the United States, 2009 and 2011. JAMA Dermatol. 2014; 150(5):501-11. PMC: 4593051. DOI: 10.1001/jamadermatol.2013.7124. View

18.

Feldman S, Liguori A, Kucenic M, Rapp S, Fleischer Jr A, Lang W . Ultraviolet exposure is a reinforcing stimulus in frequent indoor tanners. J Am Acad Dermatol. 2004; 51(1):45-51. DOI: 10.1016/j.jaad.2004.01.053. View

19.

Zhang M, Qureshi A, Geller A, Frazier L, Hunter D, Han J . Use of tanning beds and incidence of skin cancer. J Clin Oncol. 2012; 30(14):1588-93. PMC: 3383111. DOI: 10.1200/JCO.2011.39.3652. View

20.

Hillhouse J, Turrisi R, Stapleton J, Robinson J . Effect of seasonal affective disorder and pathological tanning motives on efficacy of an appearance-focused intervention to prevent skin cancer. Arch Dermatol. 2010; 146(5):485-91. DOI: 10.1001/archdermatol.2010.85. View