Treating Tobacco Dependence in Clinically Depressed Smokers: Effect of Smoking Cessation on Mental Health Functioning

We analyzed data from a randomized trial of 322 actively depressed smokers and examined the effect of smoking cessation on their mental health functioning. Only 1 of 10 measures at 4 follow-up time points was significant: participants who successfully stopped smoking reported less alcohol use than d...

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Bibliographic Details
Published inAmerican journal of public health (1971) Vol. 98; no. 3; pp. 446 - 453
Main Authors Prochaska, Judith J, Hall, Sharon M, Tsoh, Janice Y, Eisendrath, Stuart, Rossi, Joseph S, Redding, Colleen A, Rosen, Amy B, Meisner, Marc, Humfleet, Gary L, Gorecki, Julie A
Format Journal Article
LanguageEnglish
Published Washington, DC Am Public Health Assoc 01.03.2008
American Public Health Association
Subjects
Alcohol use
Biological and medical sciences
Clinical outcomes
Clinical trials
Depression
Drug use
Health services
Health Status
Health Status Indicators
Humans
Intervention
Medical sciences
Mental depression
Mental disorders
Mental Health
Mental health care
Miscellaneous
Missing data
Psychological Tests
Psychometrics
Public health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Research and Practice
Smoking - psychology
Smoking cessation
Smoking Cessation - methods
Smoking Cessation - psychology
Smoking Prevention
Studies
Substance abuse treatment
Tobacco
Tobacco, tobacco smoking
Toxicology
Transdermal medication
Treatment Outcome
Human
Tobacco
Poison withdrawal
Treatment
Shutdown
Smoker
Dependence
Mental health
Tobacco smoking
Public health
Quality of life
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Summary:We analyzed data from a randomized trial of 322 actively depressed smokers and examined the effect of smoking cessation on their mental health functioning. Only 1 of 10 measures at 4 follow-up time points was significant: participants who successfully stopped smoking reported less alcohol use than did participants who continued smoking. Depressive symptoms declined significantly over time for participants who stopped smoking and those who continued smoking; there were no group differences. Individuals in treatment for clinical depression can be helped to stop smoking without adversely affecting their mental health functioning.
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Peer Reviewed
Contributors…J. Prochaska conceptualized, conducted, and interpreted the data analyses and wrote the article. S. Hall designed and supervised the main study and contributed to the article. J. Tsoh assisted in conceptualization, served as a study therapist, and provided input on the article. S. Eisendrath was lead clinician and supervised antide-pressant treatment at the University of California, San Francisco, site and provided administrative support. J. Rossi and C. Redding developed the expert system and consulted on the data analysis plan and article. A. Rosen supervised implementation of the study at all sites and served as a therapist. M. Meisner was lead investigator at the Kaiser Permanente health management organization sites and provided general and clinical oversight. G. Humfleet helped with study conceptualization and provided clinical guidance during its execution. J. Gorecki assisted with data analyses and provided input on the article.
Requests for reprints should be sent to Judith J. Prochaska, PhD, MPH, University of California-San Francisco, 401 Parnassus Ave, Box TRC–0984, San Francisco, CA 94143–0984 (e-mail: jprochaska@ucsf.edu).
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.2006.101147