Treatment for cigarette smoking among depressed mental health outpatients: A randomized clinical trial

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

Research output: Contribution to journalArticle

137 Citations (Scopus)

Abstract

Objectives. Using a brief contact control, we tested the efficacy of a staged care intervention to reduce cigarette smoking among psychiatric patients in outpatient treatment for depression. Methods. We conducted a randomized clinical trial that included assessments at baseline and at months 3, 6, 12, and 18. Three hundred twenty-two patients in mental health outpatient treatment who were diagnosed with depression and smoked ≥1 cigarette per day participated. The desire to quit smoking was not a prerequisite for participation. Staged care intervention participants received computerized motivational feedback at baseline and at 3, 6, and 12 months and were offered a 6-session psychological counseling and pharmacological cessation treatment program. Brief contact control participants received a self-help guide and referral list of local smoking-treatment providers. Results. As we hypothesized, abstinence rates among staged care intervention participants exceeded those of brief contact control participants at months 12 and 18. Significant differences favoring staged care intervention also were found in occurrence of a quit attempt and stringency of abstinence goal. Conclusion. The data suggest that individuals in psychiatric treatment for depression can be aided in quitting smoking through use of staged care interventions and that smoking cessation interventions used in the general population can be implemented in psychiatric outpatient settings.

Original languageEnglish (US)
Pages (from-to)1808-1814
Number of pages7
JournalAmerican Journal of Public Health
Volume96
Issue number10
DOIs
StatePublished - Oct 2006

Fingerprint

Mental Health
Outpatients
Randomized Controlled Trials
Smoking
Psychiatry
Depression
Withholding Treatment
Smoking Cessation
Therapeutics
Tobacco Products
Counseling
Referral and Consultation
Pharmacology
Psychology
Population

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Hall, S. M., Tsoh, J. Y., Prochaska, J. J., Eisendrath, S., Rossi, J. S., Redding, C. A., ... Gorecki, J. A. (2006). Treatment for cigarette smoking among depressed mental health outpatients: A randomized clinical trial. American Journal of Public Health, 96(10), 1808-1814. https://doi.org/10.2105/AJPH.2005.080382

Treatment for cigarette smoking among depressed mental health outpatients : A randomized clinical trial. / Hall, Sharon M.; Tsoh, Janice Y.; Prochaska, Judith J.; Eisendrath, Stuart; Rossi, Joseph S.; Redding, Colleen A.; Rosen, Amy B.; Meisner, Marc; Humfleet, Gary L.; Gorecki, Julie A.

In: American Journal of Public Health, Vol. 96, No. 10, 10.2006, p. 1808-1814.

Research output: Contribution to journalArticle

Hall, SM, Tsoh, JY, Prochaska, JJ, Eisendrath, S, Rossi, JS, Redding, CA, Rosen, AB, Meisner, M, Humfleet, GL & Gorecki, JA 2006, 'Treatment for cigarette smoking among depressed mental health outpatients: A randomized clinical trial', American Journal of Public Health, vol. 96, no. 10, pp. 1808-1814. https://doi.org/10.2105/AJPH.2005.080382
Hall, Sharon M. ; Tsoh, Janice Y. ; Prochaska, Judith J. ; Eisendrath, Stuart ; Rossi, Joseph S. ; Redding, Colleen A. ; Rosen, Amy B. ; Meisner, Marc ; Humfleet, Gary L. ; Gorecki, Julie A. / Treatment for cigarette smoking among depressed mental health outpatients : A randomized clinical trial. In: American Journal of Public Health. 2006 ; Vol. 96, No. 10. pp. 1808-1814.
@article{f6f167b2944146f59a15f5008e72e3bd,
title = "Treatment for cigarette smoking among depressed mental health outpatients: A randomized clinical trial",
abstract = "Objectives. Using a brief contact control, we tested the efficacy of a staged care intervention to reduce cigarette smoking among psychiatric patients in outpatient treatment for depression. Methods. We conducted a randomized clinical trial that included assessments at baseline and at months 3, 6, 12, and 18. Three hundred twenty-two patients in mental health outpatient treatment who were diagnosed with depression and smoked ≥1 cigarette per day participated. The desire to quit smoking was not a prerequisite for participation. Staged care intervention participants received computerized motivational feedback at baseline and at 3, 6, and 12 months and were offered a 6-session psychological counseling and pharmacological cessation treatment program. Brief contact control participants received a self-help guide and referral list of local smoking-treatment providers. Results. As we hypothesized, abstinence rates among staged care intervention participants exceeded those of brief contact control participants at months 12 and 18. Significant differences favoring staged care intervention also were found in occurrence of a quit attempt and stringency of abstinence goal. Conclusion. The data suggest that individuals in psychiatric treatment for depression can be aided in quitting smoking through use of staged care interventions and that smoking cessation interventions used in the general population can be implemented in psychiatric outpatient settings.",
author = "Hall, {Sharon M.} and Tsoh, {Janice Y.} and Prochaska, {Judith J.} and Stuart Eisendrath and Rossi, {Joseph S.} and Redding, {Colleen A.} and Rosen, {Amy B.} and Marc Meisner and Humfleet, {Gary L.} and Gorecki, {Julie A.}",
year = "2006",
month = "10",
doi = "10.2105/AJPH.2005.080382",
language = "English (US)",
volume = "96",
pages = "1808--1814",
journal = "American Journal of Public Health",
issn = "0090-0036",
publisher = "American Public Health Association Inc.",
number = "10",

}

TY - JOUR

T1 - Treatment for cigarette smoking among depressed mental health outpatients

T2 - A randomized clinical trial

AU - Hall, Sharon M.

AU - Tsoh, Janice Y.

AU - Prochaska, Judith J.

AU - Eisendrath, Stuart

AU - Rossi, Joseph S.

AU - Redding, Colleen A.

AU - Rosen, Amy B.

AU - Meisner, Marc

AU - Humfleet, Gary L.

AU - Gorecki, Julie A.

PY - 2006/10

Y1 - 2006/10

N2 - Objectives. Using a brief contact control, we tested the efficacy of a staged care intervention to reduce cigarette smoking among psychiatric patients in outpatient treatment for depression. Methods. We conducted a randomized clinical trial that included assessments at baseline and at months 3, 6, 12, and 18. Three hundred twenty-two patients in mental health outpatient treatment who were diagnosed with depression and smoked ≥1 cigarette per day participated. The desire to quit smoking was not a prerequisite for participation. Staged care intervention participants received computerized motivational feedback at baseline and at 3, 6, and 12 months and were offered a 6-session psychological counseling and pharmacological cessation treatment program. Brief contact control participants received a self-help guide and referral list of local smoking-treatment providers. Results. As we hypothesized, abstinence rates among staged care intervention participants exceeded those of brief contact control participants at months 12 and 18. Significant differences favoring staged care intervention also were found in occurrence of a quit attempt and stringency of abstinence goal. Conclusion. The data suggest that individuals in psychiatric treatment for depression can be aided in quitting smoking through use of staged care interventions and that smoking cessation interventions used in the general population can be implemented in psychiatric outpatient settings.

AB - Objectives. Using a brief contact control, we tested the efficacy of a staged care intervention to reduce cigarette smoking among psychiatric patients in outpatient treatment for depression. Methods. We conducted a randomized clinical trial that included assessments at baseline and at months 3, 6, 12, and 18. Three hundred twenty-two patients in mental health outpatient treatment who were diagnosed with depression and smoked ≥1 cigarette per day participated. The desire to quit smoking was not a prerequisite for participation. Staged care intervention participants received computerized motivational feedback at baseline and at 3, 6, and 12 months and were offered a 6-session psychological counseling and pharmacological cessation treatment program. Brief contact control participants received a self-help guide and referral list of local smoking-treatment providers. Results. As we hypothesized, abstinence rates among staged care intervention participants exceeded those of brief contact control participants at months 12 and 18. Significant differences favoring staged care intervention also were found in occurrence of a quit attempt and stringency of abstinence goal. Conclusion. The data suggest that individuals in psychiatric treatment for depression can be aided in quitting smoking through use of staged care interventions and that smoking cessation interventions used in the general population can be implemented in psychiatric outpatient settings.

UR - http://www.scopus.com/inward/record.url?scp=33749358313&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33749358313&partnerID=8YFLogxK

U2 - 10.2105/AJPH.2005.080382

DO - 10.2105/AJPH.2005.080382

M3 - Article

C2 - 17008577

AN - SCOPUS:33749358313

VL - 96

SP - 1808

EP - 1814

JO - American Journal of Public Health

JF - American Journal of Public Health

SN - 0090-0036

IS - 10

ER -