Relationship of DSM‐IV‐Based Depressive Disorders to Smoking Cessation and Smoking Reduction in Pregnant Smokers
Abstract
This study investigated DSM‐IV depressive disorders as predictors of smoking cessation and reduction in 81 pregnant smokers participating in a smoking cessation trial. Thirty‐two percent of the sample met criteria for current dysthymia, major depressive disorder in partial remission, or minor depression. There was no significant reduction in smoking among women with or without current depressive disorders. Unexpectedly, as compared to women without depressive disorders, women with dysthymia significantly increased the mean number of cigarettes smoked (from 8 to 23 cigarettes per day during the 2 to 30 days post‐targeted quit date period) and were smoking significantly more cigarettes at 30 days. A main effect approaching significance suggested that women with current depressive disorders were less likely to be abstinent than women without current depressive disorders (OR = 6.3; 3.9% vs. 12.7% at 30 days post‐targeted quit date; 0% vs. 6.2% at 30 days post‐partum). Results add to previous findings indicating a correlation between depressive symptoms and continued smoking in pregnant women. Further investigation of mood‐focused smoking cessation interventions may be warranted.
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Depression and anxiety place smokers at increased risk for cessation failure, though some studies suggest the evidence is inconclusive.
“Considerable research has assessed the impact of depression and anxiety on cessation outcomes, with a number of studies reporting that depression and anxiety place smokers at increased risk for cessation failure [9-14], with other studies suggesting that the evidence is inconclusive [6,15-18].”
From Acceptance and Commitment Therapy Wellness Program for Latine Adults Who Smoke and Have Psychological Distress: Protocol for a Feasibility Study (2023) · cites this paper as [13]
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(2012) · Wiley eBooks · doi:10.1002/9781119968382.ch11
- Authors
- Blalock, J. A., Robinson, J. D., Wetter, D. W., & Cinciripini, P. M.
- Affiliations
- The University of Texas MD Anderson Cancer Center (US)
- Corresponding author
- Blalock, Janice A.
- Venue
- The American Journal on Addictions
- Publisher
- Wiley
- Published
- 2006-07-08
- Volume
- 15
- Issue
- 4
- Pages
- 268-277
- ISSN
- 1055-0496 (ISSN-L)
- 1521-0391
- OpenAlex
- W2066213936
- Cited by
- 47
- References
- 67
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 1 · 2021: 3 · 2017: 4 · 2016: 1 · 2014: 1 · 2013: 7 · 2012: 5
- FWCI
- 3.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal on Addictions (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Drug Abuse (DA14301)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- depressive disorders, pregnancy, smoking cessation, smoking reduction, dysthymia, major depressive disorder, minor depression, nicotine dependence, postpartum smoking, pregnant smokers
- MeSH terms
- Adult, Audiovisual Aids, Depressive Disorder, Female, Humans, Patient Education as Topic, Pregnancy, Pregnancy Complications, Risk Factors, Self Care, Statistics as Topic, Comorbidity, Treatment Refusal, Smoking Cessation, Diagnostic and Statistical Manual of Mental Disorders
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