Mood management and nicotine gum in smoking treatment: a therapeutic contact and placebo-controlled study

Earlier research indicated that a 10-session mood management (MM) intervention was more effective than a 5-session standard intervention for smokers with a history of major depressive disorder (MDD). In a 2 x 2 factorial design, the present study compared MM intervention to a contact-equivalent heal...

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Published inJournal of consulting and clinical psychology Vol. 64; no. 5; p. 1003
Main Authors Hall, S M, Muñoz, R F, Reus, V I, Sees, K L, Duncan, C, Humfleet, G L, Hartz, D T
Format Journal Article
LanguageEnglish
Published United States 01.10.1996
Subjects
Adult
Affect - drug effects
Aged
Chewing Gum
Cognitive Behavioral Therapy
Combined Modality Therapy
Depressive Disorder - chemically induced
Depressive Disorder - psychology
Female
Follow-Up Studies
Humans
Male
Middle Aged
Nicotine - administration & dosage
Nicotine - adverse effects
Recurrence
Risk Factors
Self Concept
Smoking - psychology
Smoking Cessation - methods
Smoking Cessation - psychology
Substance Withdrawal Syndrome - prevention & control
Substance Withdrawal Syndrome - psychology
Treatment Outcome
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Summary:Earlier research indicated that a 10-session mood management (MM) intervention was more effective than a 5-session standard intervention for smokers with a history of major depressive disorder (MDD). In a 2 x 2 factorial design, the present study compared MM intervention to a contact-equivalent health education intervention (HE) and 2 mg to 0 mg of nicotine gum for smokers with a history of MDD. Participants were 201 smokers, 22% with a history of MDD. Contrary to the earlier findings, the MM and HE interventions produced similar abstinence rates: 2 mg gum was no more effective than placebo. History-positive participants had a greater increase in mood disturbance after the quit attempt. Independent of depression diagnosis, increases in negative mood immediately after quitting predicted smoking. No treatment differences were found in trends over time for measures of mood, withdrawal symptoms, pleasant activities and events, self-efficacy, and optimism and pessimism. History-positive smokers may be best treated by interventions providing additional support and contact, independent of therapeutic content.
ISSN:0022-006X
DOI:10.1037/0022-006X.64.5.1003