Depressed smokers and stage of change

Implications for treatment interventions

Judith J. Prochaska, Joseph S. Rossi, Colleen A. Redding, Amy B. Rosen, Janice Y. Tsoh, Gary L. Humfleet, Stuart J. Eisendrath, Marc R. Meisner, Sharon M. Hall

Research output: Contribution to journalArticle

68 Citations (Scopus)

Abstract

Tobacco Dependence among smokers with psychiatric disorders has been under-addressed by the mental health, addictions, and tobacco control communities. This study examined depressed smokers' readiness to quit and the applicability of the Stages of Change framework to a psychiatric sample. Currently depressed smokers (N = 322) were recruited from four outpatient psychiatric clinics. Participants averaged 16 cigarettes per day (S.D. = 10) and 24 years (S.D. = 13) of smoking. The majority (79%) reported intention to quit smoking with 24% ready to take action in the next 30 days. Individuals in the preparation stage reported more prior quit attempts, a greater commitment to abstinence, increased recognition of the cons of smoking, and greater use of the processes of change. Precontemplators were least likely to identify a goal related to their smoking behavior. Depressive symptom severity and history of recurrent depressive episodes were unrelated to readiness to quit. This study is one of the first to examine the smoking behaviors of currently depressed psychiatric outpatients. The level and longevity of their tobacco use underscore the need for cessation interventions. The consistency in hypothesized patterns among theoretical constructs of the Stages of Change model supports the transfer of stage-tailored interventions to this clinical population.

Original languageEnglish (US)
Pages (from-to)143-151
Number of pages9
JournalDrug and Alcohol Dependence
Volume76
Issue number2
DOIs
StatePublished - Nov 11 2004

Fingerprint

Tobacco
smoking
Smoking
Psychiatry
nicotine
Therapeutics
Tobacco Use Disorder
Tobacco Products
Tobacco Use
Ambulatory Care Facilities
addiction
Health
Mental Health
Outpatients
mental health
commitment
Depression
history
Population
community

Keywords

  • Depression
  • Smoking
  • Stage of change
  • Tobacco Dependence

ASJC Scopus subject areas

  • Medicine(all)
  • Behavioral Neuroscience
  • Toxicology
  • Health(social science)

Cite this

Prochaska, J. J., Rossi, J. S., Redding, C. A., Rosen, A. B., Tsoh, J. Y., Humfleet, G. L., ... Hall, S. M. (2004). Depressed smokers and stage of change: Implications for treatment interventions. Drug and Alcohol Dependence, 76(2), 143-151. https://doi.org/10.1016/j.drugalcdep.2004.04.017

Depressed smokers and stage of change : Implications for treatment interventions. / Prochaska, Judith J.; Rossi, Joseph S.; Redding, Colleen A.; Rosen, Amy B.; Tsoh, Janice Y.; Humfleet, Gary L.; Eisendrath, Stuart J.; Meisner, Marc R.; Hall, Sharon M.

In: Drug and Alcohol Dependence, Vol. 76, No. 2, 11.11.2004, p. 143-151.

Research output: Contribution to journalArticle

Prochaska, JJ, Rossi, JS, Redding, CA, Rosen, AB, Tsoh, JY, Humfleet, GL, Eisendrath, SJ, Meisner, MR & Hall, SM 2004, 'Depressed smokers and stage of change: Implications for treatment interventions', Drug and Alcohol Dependence, vol. 76, no. 2, pp. 143-151. https://doi.org/10.1016/j.drugalcdep.2004.04.017
Prochaska JJ, Rossi JS, Redding CA, Rosen AB, Tsoh JY, Humfleet GL et al. Depressed smokers and stage of change: Implications for treatment interventions. Drug and Alcohol Dependence. 2004 Nov 11;76(2):143-151. https://doi.org/10.1016/j.drugalcdep.2004.04.017
Prochaska, Judith J. ; Rossi, Joseph S. ; Redding, Colleen A. ; Rosen, Amy B. ; Tsoh, Janice Y. ; Humfleet, Gary L. ; Eisendrath, Stuart J. ; Meisner, Marc R. ; Hall, Sharon M. / Depressed smokers and stage of change : Implications for treatment interventions. In: Drug and Alcohol Dependence. 2004 ; Vol. 76, No. 2. pp. 143-151.
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