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Auteur Lirio S. Covey |
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Pre-cessation depressive mood predicts failure to quit smoking / Ivan Berlin (2006)
Titre : Pre-cessation depressive mood predicts failure to quit smoking : the role of coping and personality traits Type de document : document électronique Auteurs : Ivan Berlin, Auteur ; Lirio S. Covey, Auteur Année de publication : 2006 Importance : p. 1814-1821 Présentation : tab.,graph. Langues : Anglais (eng) Catégories : [TABAC] étude
[TABAC] sevrage tabagique
[TABAC] tabagisme:effet du tabac:effet psychiatrique:dépressionIndex. décimale : TA 6.4 Prévision et pronostic Résumé : Aims
To examine whether mood, personality and coping predict smoking cessation and whether the associations of personality and coping are mediated through depressed mood. Setting Multicenter (n = 8) smoking cessation trial. Participants A total of 600 smokers ( 15 cigarettes/day) without current depressionwho participated in a smoking cessation study.
Measurements
The outcome was continuous abstinence during the last 4 weeks of the 3-month trial: depressed mood was measured by the Beck Depression Inventory (BDI), personality by the Revised NEO Personality Inventory (NEO-PI-R) and coping by the Revised Ways of Coping Checklist (RWCC).
Findings
A total of 14.7% (88/600) were abstainers. Controlling for potential confounders, baseline BDI independently predicted smoking cessation. Smokers with BDI 10 were less likely to quit than those with BDI < 10 (odds ratio: 6.39, 95% CI: 1.44–28.3, P = 0.01). Compared to BDI < 10 smokers, BDI 10 smokers had significantly higher scores for neuroticism and lower scores for extraversion and conscientiousness (NEO-PI-R). On the RWCC, BDI 10 smokers scored higher for blame self, wishful thinking and problem avoidance and they scored lower on problem focus than smokers with BDI < 10. A mediational analysis showed that neither personality traits nor coping skills predicted directly smoking cessation. However, low level of problem focusing and social support seeking predicted a negative outcome via depressed mood.
Conclusion
A BDI score 10, even in smokers who do not meet a current diagnosis of major depression, directly predicts inability to quit. This suggests the utility of assessing depression symptoms in routine smoking cessation care.Permalink : https://biblio.fares.be/opac_css/index.php?lvl=notice_display&id=9550 Aucun avis, veuillez vous identifier pour ajouter le vôtre !