Cited by 11Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesChronic Obstructive Pulmonary Disease (COPD) Research

Tobacco Treatment Outcomes in Patients With and Without a History of Depression, Czech Republic, 2005–2010

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Stepankova, Lenka, Kralikova, Eva, Zvolska, Kamila, Kmetova, Alexandra, Blaha, Milan, Bortlicek, Zbynek, Sticha, Michal, Anders, Martin +2 more·2013·Preventing Chronic Disease

Abstract

INTRODUCTION: Higher prevalence of smoking among depressed patients, as well as the risk of depression in smokers, is well documented. The proportion of patients with a history of depression among those seeking intensive treatment of tobacco dependence is also high. In contrast, evidence of treatment success in this subgroup of patients is controversial. The aim of this study was to compare smoking abstinence rates after tobacco treatment in smokers with and without a history of depression. METHODS: We reviewed retrospective data from 1,730 smokers seeking treatment in Prague, Czech Republic. History of depression was defined as past diagnosis of depression or current treatment of depression. After a 1-year, self-reported smoking status was validated by expired-air carbon monoxide. We used logistic regression to analyze associations between abstinence rates, history of depression, and other factors (eg, age, sex, tobacco dependence). RESULTS: Of 1,730 smokers treated, 289 (16.7%) had a history of depression. The smoking abstinence rate at 1 year was 32.5% for smokers with a history of depression and 38.7% for those with no history (P = .048). Among women, abstinence did not differ between groups (35.0% vs 35.7%; P = .86). However, among men, those with a history of depression had lower rates of abstinence (27.4% vs 41.3%; P = .009). After adjustment for baseline covariates, history of depression was not significantly associated with smoking abstinence in men or women. CONCLUSION: Intensive outpatient tobacco treatment programs can achieve abstinence rates among smokers with a history of depression similar to rates among the general population.

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Authors
Stepankova, L., Kralikova, E., Zvolska, K., Kmetova, A., Blaha, M., Bortlicek, Z., Sticha, M., Anders, M., Schroeder, D. R., & Croghan, I. T.
Affiliations
Centers for Disease Control and Prevention (US)
Venue
Preventing Chronic Disease
Published
2013-09-19
Volume
10
Pages
E158-E158
ISSN
1545-1151 (ISSN-L)
OpenAlex
W1991582833
Cited by
11
References
33
Citations by year
2021: 1 · 2018: 5 · 2016: 2 · 2015: 1 · 2014: 2
FWCI
1.16
Type
journal article
Language
en
Open access
Licence
public-domain
Locations
  • Preventing Chronic Disease (publishedVersion, public-domain)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
Mayo Clinic
Topics
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
Keywords
tobacco dependence treatment, smoking cessation, smoking abstinence, history of depression, intensive outpatient treatment, sex differences, tobacco dependence
MeSH terms
Depression, Female, Humans, Male, Retrospective Studies, Smoking, Tobacco Use Disorder, Smoking Cessation, Treatment Outcome, Czech Republic

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