Cognitive-behavioral treatment for depression in smoking cessation.

Abstract

Cigarette smokers with past major depressive disorder (MDD) received 8 group sessions of standard, cognitive-behavioral smoking cessation treatment (ST; n = 93) or standard, cognitive-behavioral smokiig cessation treatment plus cognitive-behavioral treatment for depression (CBT-D; n = 86). Although abstinence rates were high in both conditions (ST, 24.7%; CBT-D, 32.5%, at 1 year) for these nonpharmacological treatments, no main effect of treatment was found. However, secondary analyses revealed significant interactions between treatment condition and both recurrent depression history and heavy smoking ( > or =25 cigarettes a day) at baseline. Smokers with recurrent MDD and heavy smokers who received CBT-D were significantly more likely to be abstinent than those receiving ST (odds ratios = 2.3 and 2.6, respectively). Results suggest that CBT-D provides specific benefits for some, but not all, smokers with a history of MDD.

Cites (10)

1. The Fagerstrom Test for Nicotine Dependence: a revision of the Fagerstrom Tolerance Questionnaire
   HEATHERTON, TODD F., KOZLOWSKI, LYNN T., FRECKER, RICHARD C., FAGERSTROM, KARL‐OLOV · 1991 · British Journal of Addiction
2. Random-Effects Models for Longitudinal Data
   Laird, Nan M., Ware, James H. · 1982 · Biometrics
3. Cognitive Therapy of Depression
   HOLLON, STEVEN D., BECK, AARON T. · 1979 · Cognitive-Behavioral Interventions
4. Smoking and Major Depression: A Causal Analysis
   Kendler, Kenneth S. · 1993 · Archives of General Psychiatry
5. Nicotine dependence, major depression, and anxiety in young adults
   Breslau, Naomi · 1991 · Archives of General Psychiatry
6. Pleasant activities and depression.
   Lewinsohn, Peter M., Graf, Michael · 1973 · Journal of Consulting and Clinical Psychology
7. Severity of withdrawal symptoms as a predictor of outcome of an attempt to quit smoking
   West, R. J., Hajek, P., Belcher, M. · 1989 · Psychological Medicine
8. An application of an urn model to the design of sequential controlled clinical trials.
   Wei, L. J. · 1978 · Journal of the American Statistical Association
9. Depression and the Dynamics of Smoking: A National Perspective
   Anda, Robert F. · 1990 · JAMA
10. Heavy Smokers, Smoking Cessation, and Clonidine: Results of a Double-blind, Randomized Trial
    Glassman, Alexander H. · 1988 · JAMA

Show all 10 references

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