Abstract
This study reports on baseline characteristics associated with acceptance and refusal of available smoking treatment among currently depressed smokers in a psychiatric outpatient clinic who were enrolled in a larger clinical trial. The sample (N=154) was 68% female and 72% White, with a mean age of 41.4 years and average smoking rate of 17 cigarettes/day. All participants were assigned to a repeated contact experimental condition; received a stage-based expert system program to facilitate treatment acceptance; and were then offered smoking treatment, consisting of behavioral counseling, nicotine patch, and bupropion. Acceptors (n=53) were defined as those accepting behavioral counseling and pharmacological treatment at some point during the 18-month study, whereas refusers (n=101) received only the expert system. The number of days to treatment acceptance was significantly predicted by stage of change, with those in preparation entering treatment more quickly than contemplators or precontemplators. In a logistic regression, the variables most strongly associated with accepting treatment were current use of psychiatric medication and perceived success for quitting. Severity of depressive symptoms, duration of depression history, and history of recurrent depression were not related to treatment acceptance. Findings have implications for the psychiatric assessment and treatment of smokers in clinical settings. Psychiatric medication may play a significant role in smoking cessation treatment acceptance by currently depressed smokers.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 217-224 |
| Number of pages | 8 |
| Journal | Nicotine and Tobacco Research |
| Volume | 7 |
| Issue number | 2 |
| DOIs | |
| State | Published - Apr 2005 |
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ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
Cite this
Acceptance of nicotine dependence treatment among currently depressed smokers. / Haug, Nancy A.; Hall, Sharon M.; Prochaska, Judith J.; Rosen, Amy B.; Tsoh, Janice Y.; Humfleet, Gary; Delucchi, Kevin; Rossi, Joseph S.; Redding, Colleen A.; Eisendrath, Stuart.
In: Nicotine and Tobacco Research, Vol. 7, No. 2, 04.2005, p. 217-224.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Acceptance of nicotine dependence treatment among currently depressed smokers
AU - Haug, Nancy A.
AU - Hall, Sharon M.
AU - Prochaska, Judith J.
AU - Rosen, Amy B.
AU - Tsoh, Janice Y.
AU - Humfleet, Gary
AU - Delucchi, Kevin
AU - Rossi, Joseph S.
AU - Redding, Colleen A.
AU - Eisendrath, Stuart
PY - 2005/4
Y1 - 2005/4
N2 - This study reports on baseline characteristics associated with acceptance and refusal of available smoking treatment among currently depressed smokers in a psychiatric outpatient clinic who were enrolled in a larger clinical trial. The sample (N=154) was 68% female and 72% White, with a mean age of 41.4 years and average smoking rate of 17 cigarettes/day. All participants were assigned to a repeated contact experimental condition; received a stage-based expert system program to facilitate treatment acceptance; and were then offered smoking treatment, consisting of behavioral counseling, nicotine patch, and bupropion. Acceptors (n=53) were defined as those accepting behavioral counseling and pharmacological treatment at some point during the 18-month study, whereas refusers (n=101) received only the expert system. The number of days to treatment acceptance was significantly predicted by stage of change, with those in preparation entering treatment more quickly than contemplators or precontemplators. In a logistic regression, the variables most strongly associated with accepting treatment were current use of psychiatric medication and perceived success for quitting. Severity of depressive symptoms, duration of depression history, and history of recurrent depression were not related to treatment acceptance. Findings have implications for the psychiatric assessment and treatment of smokers in clinical settings. Psychiatric medication may play a significant role in smoking cessation treatment acceptance by currently depressed smokers.
AB - This study reports on baseline characteristics associated with acceptance and refusal of available smoking treatment among currently depressed smokers in a psychiatric outpatient clinic who were enrolled in a larger clinical trial. The sample (N=154) was 68% female and 72% White, with a mean age of 41.4 years and average smoking rate of 17 cigarettes/day. All participants were assigned to a repeated contact experimental condition; received a stage-based expert system program to facilitate treatment acceptance; and were then offered smoking treatment, consisting of behavioral counseling, nicotine patch, and bupropion. Acceptors (n=53) were defined as those accepting behavioral counseling and pharmacological treatment at some point during the 18-month study, whereas refusers (n=101) received only the expert system. The number of days to treatment acceptance was significantly predicted by stage of change, with those in preparation entering treatment more quickly than contemplators or precontemplators. In a logistic regression, the variables most strongly associated with accepting treatment were current use of psychiatric medication and perceived success for quitting. Severity of depressive symptoms, duration of depression history, and history of recurrent depression were not related to treatment acceptance. Findings have implications for the psychiatric assessment and treatment of smokers in clinical settings. Psychiatric medication may play a significant role in smoking cessation treatment acceptance by currently depressed smokers.
UR - http://www.scopus.com/inward/record.url?scp=20744452802&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=20744452802&partnerID=8YFLogxK
U2 - 10.1080/14622200500055368
DO - 10.1080/14622200500055368
M3 - Article
C2 - 16036278
AN - SCOPUS:20744452802
VL - 7
SP - 217
EP - 224
JO - Nicotine and Tobacco Research
JF - Nicotine and Tobacco Research
SN - 1462-2203
IS - 2
ER -