Smoking cessation and depressive symptoms at 1-, 3-, 6-, and 12-months follow-up

Rodríguez‐Cano, Rubén; López‐Durán, Ana; Río, Elena Fernández del; Martínez-Vispo, Carmela; Martínez, Úrsula Faura; Becoña, Elisardo

doi:10.1016/j.jad.2015.11.042

Cited by 42 publications

(29 citation statements)

References 42 publications

(50 reference statements)

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“…The findings on a reduction in depressive symptoms in those who abstain from smoking also support previous findings from a small clinical study [10] and are in line with 1 n = 346 with moderate depression (BDI-II score 20-28): 25.7% abstinence; n = 173 with severe depression (BDI-II score ≥29): 26.0% abstinence 2 n = 292 with primary school: 27.7% abstinence: n = 2136 with secondary school: 35.3% abstinence 3 n = 47 with bupropion only: 47% abstinence: n = 79 with NRT and bupropion: 44% abstinence 4 Includes n = 80 varenicline + bupropion (no e-cigarette): 45% abstinence; n = 21 varenicline + bupropion + NRT (no e-cigarette): 43% abstinence; n = 30 e-cigarettes in any combination (n = 25) or exclusively (n = 5): 50% abstinence n = 72 used 'paipo' in any combination (n = 60) or exclusively (n = 12): 49% abstinence. This was not treated as pharmacotherapy in analysis and not taken into account for categorisation findings of a meta-analysis [9].…”

Section: Discussionsupporting

confidence: 88%

“…In contrast to these concerns, a recent systematic review and meta-analysis of longitudinal studies found that compared with continuing to smoke, quitting smoking was associated with a significant decrease in depression from baseline to follow-up [9]. This is corroborated by recent findings from smoking cessation practice indicating continuous improvements in depression symptoms over 1 year among those who quit smoking and no change in those who continued to smoke [10]. However, in a longitudinal study in older smokers, quitting smoking had no impact on depression [11].…”

Section: Introductionmentioning

confidence: 93%

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Depression and Smoking Cessation: Evidence from a Smoking Cessation Clinic with 1-Year Follow-Up

et al. 2016

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Background Smoking is more prevalent among people with depression. Depression may make cessation more difficult and cessation may affect depression symptoms. Purpose The aims of this study were to assess the associations between (1) baseline depression and 1-year smoking abstinence and (2) abstinence and change in depression. Methods Observational study using data collected routinely in a smoking cessation clinic in the Czech Republic from 2008 to 2014. Aim 1: N = 3775 patients; 14.3% reported mild and 15.4% moderate/severe baseline depression levels measured using Beck's Depression Inventory (BDI-II). Logistic regressions assessed if depression level predicted 1-year biochemically verified abstinence while adjusting for patient and treatment characteristics. Aim 2: N = 835 patients abstinent at 1 year; change in depression was analysed using Chi-square statistics, t test and mixed method analyses of variance. Results Rate of abstinence was lower for patients with mild (32.5%, OR = 0.68; 95% CI: 0.54 to 0.87, p = 0.002) and moderate/severe depression (25.8%; OR = 0.57, 95% CI: 0.45 to 0.74, p < 0.001) compared with patients without depression (40.5%).Across abstinent patients, the majority with baseline depression reported lower depression levels at follow-up. Overall mean (SD) BDI-II scores improved from 9.2 (8.6) to 5.3 (6.1); t(834) = 14.6, p < 0.001. There were significant main effects of time (F(1832) = 880.8, p < 0.001, partial η 2 = 0.51) and baseline depression level (F(2832) = 666.4, p < 0.001, partial η 2 = 0.62) on follow-up depression and a significant depression * time interaction (F(2832) = 296.5, p < 0.001, partial η 2 = 0.42). Conclusions In this effective smoking cessation clinic, depression at the start of treatment predicted reduced smoking abstinence 1 year later. Patients abstinent from smoking experienced considerable improvement in depression.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 93%

Depression and Smoking Cessation: Evidence from a Smoking Cessation Clinic with 1-Year Follow-Up

et al. 2016

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“…A systematic review of 26 studies focused on smoking cessation and mental health revealed that quitting smoking led to decreased anxiety, stress, and depression, with an increased positive mood [63]. Smoking cessation is also associated with longitudinal improvement in physical quality of life [64,65] and a decrease in depressive symptomatology [66,67], and a decrease in other risky behaviors, such as alcohol consumption [68].…”

Section: Discussionmentioning

confidence: 99%

Smoking Status and Well-Being of Underserved African American Older Adults

Bazargan

Cobb

Sandoval

et al. 2020

Behavioral Sciences

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Purpose: This study investigated the association between current and past cigarette smoking, with four domains of well-being, namely, physical quality of life, mental quality of life, depressive symptoms, and self-rated health status (SRH), among older African American adults who lived in economically impoverished areas of South Los Angles. Methods: This community-based cross-sectional study included a convenience sample of economically-disadvantaged African Americans adults (n = 740) who were 55 years old and older residing in South Los Angeles. We conducted in-depth face-to-face interviews to collect data on the socioeconomic status (level of education and fiscal pressures), demographic factors (age and gender), physical health (number of chronic medical conditions), smoking (never smokers (reference group), past smokers, and current smokers), and well-being (quality of life, depressive symptoms, and self-rated health). Linear regressions were used to analyze the data. Results: Over 21% reported that they are current smokers, compared with 31% who identified as former smokers. Almost 40% perceived the quality of their health status to be fair or poor. Compared with non-smokers, current cigarette smokers reported a worse physical quality of life, depressive symptoms, and self-rated health. Current smokers also reported a marginally worse mental quality of life.

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“…35,36 A study reported that smoking cessation led to depression, 37 suggesting that it might be better to let depressed patients smoke, thereby discouraging the smoking cessation recommendation to these patients. However, given mounting evidence on how to treat smoking patients with mental disorders, 38 and the latest empirical evidence suggesting that smoking cessation actually decreases depression, 39,40 it is worth focusing more on smoking cessation among patients with conditions such as depression.…”

Section: Discussionmentioning

confidence: 99%

Health behaviors in major chronic diseases patients: Trends and regional variations analysis, 2008–2017, Korea

Jeon

Pyo

Park

et al. 2020

Preprint

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Background: Improving the health behaviors of those with chronic diseases such as hypertension and diabetes is important for disease management. Few in-depth studies have been conducted in Korea on the health behaviors of chronic disease patients. This study examined the health behaviors of chronic disease patients over time and compared them with those of the general population.Methods: Data obtained from the Korea Community Health Survey from 2008 to 2017 were analyzed. Thirteen diseases were included in this analysis, namely, hypertension, diabetes, dyslipidemia, stroke, myocardial infarction, angina, osteoarthritis, osteoporosis, asthma, allergic rhinitis, atopic dermatitis, cataract, and depression. The current smoking rate, drinking rate, and the walking rate, which are leading health behaviors necessary for preventing chronic diseases, were analyzed by disease type. We compared patients’ health behaviors with those of the general population and identified regional variations.Results: Although the current overall smoking rate was seemingly declining, the overall monthly drinking and high-risk drinking rates were increasing. In 2017, patients experiencing depression symptoms had a higher smoking rate than did the general population; hypertension and diabetes patients had a higher risk-drinking rate than did the latter. The general population’s walking rate was highest. There were considerable variations by region among chronic disease patients.Conclusions: Chronic disease patients displayed worse health behaviors than those of the general population, in some instances. Rather than focusing only on chronic disease patients’ medication adherence, strategies must be devised to improve their smoking cessation rate, decrease their drinking rate, and increase their walking rate.

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Smoking cessation and depressive symptoms at 1-, 3-, 6-, and 12-months follow-up

Cited by 42 publications

References 42 publications

Depression and Smoking Cessation: Evidence from a Smoking Cessation Clinic with 1-Year Follow-Up

Depression and Smoking Cessation: Evidence from a Smoking Cessation Clinic with 1-Year Follow-Up

Smoking Status and Well-Being of Underserved African American Older Adults

Health behaviors in major chronic diseases patients: Trends and regional variations analysis, 2008–2017, Korea

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