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Relationship of DSM‐IV‐Based Depressive Disorders to Smoking Cessation and Smoking Reduction in Pregnant Smokers
Author(s) -
Blalock Janice A.,
Robinson Jason D.,
Wetter David W.,
Cinciripini Paul M.
Publication year - 2006
Publication title -
the american journal on addictions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.997
H-Index - 76
eISSN - 1521-0391
pISSN - 1055-0496
DOI - 10.1080/10550490600754309
Subject(s) - smoking cessation , medicine , depression (economics) , major depressive disorder , psychiatry , mood disorders , depressive symptoms , psychological intervention , quit smoking , mood , cognition , anxiety , pathology , economics , macroeconomics
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.