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Cited by 57Smoking Behavior and CessationMaternal Mental Health During Pregnancy and PostpartumPrenatal Substance Exposure Effects

Postpartum Depressive Symptoms and Smoking Relapse

Allen, Alicia M., Prince, Cheryl B., Dietz, Patricia M.·2009·American Journal of Preventive Medicine
DOI 10.1016/j.amepre.2008.09.020
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Abstract

Background Smokers with depressive symptoms are more likely to relapse after attempting to quit than those without depressive symptoms. Little is known about the relationship between depressive symptoms and relapse during the postpartum period; thus the aim of the present study is to assess the relationship between postpartum smoking relapse and depressive symptoms.Methods Analysis of 2004 Pregnancy Risk Assessment Monitoring System (PRAMS) data from women in 16 states who reported smoking 3 months before pregnancy and reported abstinence from smoking during the last 3 months of pregnancy (n=2566). For women experiencing postpartum depressive symptoms, chi-square tests were computed for homogeneity of distribution between two groups (sustained abstinence versus relapsed) and an OR for relapsing during the postpartum period. Potential confounders, including demographic characteristics, intensity of smoking before pregnancy, and time since delivery, were computed.Results Compared to women who did not experience postpartum depressive symptoms, women who did were 1.86 (95% CI=1.31, 2.65) times as likely to relapse during the postpartum period. After adjusting for demographic characteristics, intensity of smoking, and time since delivery, the association decreased slightly (adjusted OR=1.77, 95% CI=1.21, 2.59).Conclusions Women who quit smoking during pregnancy may be more likely to relapse if they experience depressive symptoms. Further research is needed into the screening and treatment of postpartum depressive symptoms as a possible method for preventing postpartum smoking relapse.

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Crossref · 10.1016/j.amepre.2008.09.020

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  • Women who quit smoking during pregnancy might be more likely to relapse if they experience negative emotions or depressive symptoms.

    “The two other studies demonstrated that women who quit smoking during pregnancy might be more likely to relapse if they experience negative emotions or depressive symptoms.55,84”

    From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [84]

  • Depressed mothers seemed to have more risky behaviors, including the risk of starting smoking again after pregnancy and an increased prevalence of suicidal ideations.

    “Depressed mothers seemed to have more risky behaviors (including the risk of start smoking again after pregnancy55,84 and an increased prevalence of suicidal ideations).30,33,76,81,85”

    From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [84]

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Authors
Allen, A. M., Prince, C. B., & Dietz, P. M.
Affiliations
  • University of Minnesota (US)
  • Centers for Disease Control and Prevention (US)
Corresponding author
Allen, Alicia M.
ORCID
Venue
American Journal of Preventive Medicine
Publisher
Elsevier BV
Published
2009-01
Volume
36
Issue
1
Pages
9-12
ISSN
0749-3797 (ISSN-L)
DOI
10.1016/j.amepre.2008.09.020
OpenAlex
W2110502020
Cited by
57
References
20
Citations by year
2026: 2 · 2025: 5 · 2023: 4 · 2022: 3 · 2021: 3 · 2020: 3 · 2019: 4 · 2018: 1 · 2017: 3 · 2016: 3 · 2015: 5 · 2014: 2 · 2013: 5 · 2012: 4
FWCI
2.26
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • American Journal of Preventive Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
Keywords
postpartum depression, depressive symptoms, smoking relapse, postpartum smoking, smoking cessation during pregnancy, pregnancy, maternal smoking, PRAMS
MeSH terms
Adult, Female, Humans, Psychiatric Status Rating Scales, Recurrence, Risk Factors, Smoking, Socioeconomic Factors, United States, Confounding Factors, Epidemiologic, Chi-Square Distribution, Smoking Cessation, Marital Status, Depression, Postpartum, Young Adult

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