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Cited by 102Smoking Behavior and CessationMaternal Mental Health During Pregnancy and PostpartumPrenatal Substance Exposure Effects

The DOI matches its Crossref record; 37 of the 37 references it cites were found in a registry or an index.

The association of depressive, anxiety, and stress symptoms and postpartum relapse to smoking: A longitudinal study

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Park, Elyse R., Chang, Yuchiao, Quinn, Virginia, Regan, Susan, Cohen, Lee, Viguera, Adele, Psaros, Christina, Ross, Kaile, Rigotti, Nancy·2009·Nicotine & Tobacco Research
DOI 10.1093/ntr/ntp053PMC PMC2722237
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Abstract

INTRODUCTION: The aim of this prospective repeated measures, mixed-methods observational study was to assess whether depressive, anxiety, and stress symptoms are associated with postpartum relapse to smoking. METHODS: A total of 65 women who smoked prior to pregnancy and had not smoked during the last month of pregnancy were recruited at delivery and followed for 24 weeks. Surveys administered at baseline and at 2, 6, 12, and 24 weeks postpartum assessed smoking status and symptoms of depression (Beck Depression Inventory [BDI]), anxiety (Beck Anxiety Inventory [BAI]), and stress (Perceived Stress Scale [PSS]). In-depth interviews were conducted with women who reported smoking. RESULTS: Although 92% of the participants reported a strong desire to stay quit, 47% resumed smoking by 24 weeks postpartum. Baseline factors associated with smoking at 24 weeks were having had a prior delivery, not being happy about the pregnancy, undergoing counseling for depression or anxiety during pregnancy, and ever having struggled with depression (p < .05). In a repeated measures regression model, the slope of BDI scores from baseline to the 12-week follow-up differed between nonsmokers and smokers (-0.12 vs. +0.11 units/week, p = .03). The slope of PSS scores also differed between nonsmokers and smokers (-0.05 vs. +0.08 units/week, p = .04). In qualitative interviews, most women who relapsed attributed their relapse and continued smoking to negative emotions. DISCUSSION: Among women who quit smoking during pregnancy, a worsening of depressive and stress symptoms over 12 weeks postpartum was associated with an increased risk of smoking by 24 weeks.

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Research works printed but not linked: 3

  1. American College of Obstetricians and Gynecologists, 2002, A clinicians guide to helping pregnant women quit smoking
  2. Glassman, 1996, Smoking and affective disorder, American Journal of Health Behavior, 20, 279
  3. Krueger, 2000, A practical guide for applied research

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Metadata

Authors
Park, E. R., Chang, Y., Quinn, V., Regan, S., Cohen, L., Viguera, A., Psaros, C., Ross, K., & Rigotti, N.
Affiliations
Massachusetts General Hospital (US)
ORCID
Venue
Nicotine & Tobacco Research
Publisher
Oxford University Press (OUP)
Published
2009-05-12
Volume
11
Issue
6
Pages
707-714
ISSN
  • 1462-2203 (ISSN-L)
  • 1469-994X
DOI
10.1093/ntr/ntp053
PMC
PMC2722237
OpenAlex
W2035479189
Cited by
102
References
36
Citations by year
2026: 2 · 2025: 1 · 2024: 1 · 2022: 9 · 2021: 7 · 2020: 5 · 2019: 3 · 2018: 3 · 2017: 3 · 2016: 4 · 2015: 14 · 2014: 7 · 2013: 10 · 2012: 10
FWCI
7.31
Type
journal article
Language
en
Open access
Locations
  • Nicotine & Tobacco Research (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • HighWire Press Open Archive (submittedVersion)
Funders
  • Van Ameringen Foundation
  • National Heart, Lung, and Blood Institute (K24-HL-04440, K24HL004440)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › 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 smoking relapse, smoking cessation during pregnancy, depressive symptoms, anxiety symptoms, perceived stress, postpartum women, maternal mental health, negative emotions
MeSH terms
Adult, Female, Humans, Longitudinal Studies, Mothers, Pregnancy, Surveys and Questionnaires, Recurrence, Smoking, Stress, Psychological, Substance Withdrawal Syndrome, Comorbidity, Smoking Cessation, Risk Assessment, Depression, Postpartum, Young Adult

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