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Auteur Lirio S. Covey |
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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 !
Titre : Smoking cessation and the course of major depression : a follow-up study Type de document : texte imprimé Auteurs : Alexander H. Glassman, Auteur ; Lirio S. Covey, Auteur ; F. Stetner, Auteur ; S. Rivelli, Auteur Editeur : Lancet Année de publication : 2001 Collection : The Lancet num. 357(9272) Importance : p. 1929-32 Langues : Anglais (eng) Catégories : [TABAC] étude:recherche:recherche clinique:essai clinique randomisé
[TABAC] sevrage tabagique:effet du sevrage
[TABAC] tabagisme:effet du tabac:effet psychiatrique:dépressionIndex. décimale : TA 6.10 Conséquences / effets à long-terme du sevrage Résumé :
Background: Smokers with a history of major depression who attempt to stop smoking have a higher risk of failure than non-depressed smokers. Anecdotal and post-hoc data suggest that those who successfully abstain are at increased risk of depression compared with individuals who continue to smoke. However, these studies confound effects of abstinence and history of depression. We aimed to assess whether there is an increased risk of depression and for how long that increase lasts.
Methods: We enrolled 100 smokers (>1 pack per day) with a history of major depression, but who were currently free from major depression and had not been on antidepressant medicine for at least 6 months, in a 2-month smoking-cessation trial. The primary outcome was recurrence of major depression, which we assessed by structured clinical interviews 3 and 6 months after the end of treatment. We verified smoking status by serum-sample cotinine concentrations.
Findings: 76 participants (42 successful abstainers, 34 smokers) were followed up. 13 abstainers and two smokers had an episode of major depression (odds ratio 7.17 [95% CI 1.5-34.5]; Kaplan-Meier survival curve, log-rank statistic 9.11 [p=003]). Risk of major depression was similar between the first and second 3 months of follow-up.
Interpretations: Smokers with a history of depression who abstain from smoking are at significantly increased risk of developing a new episode of major depression. This risk remains high for at least 6 months.
En ligne : https://doi.org/10.1016/s0140-6736(00)05064-9 Format de la ressource électronique : Article en ligne Permalink : https://biblio.fares.be/opac_css/index.php?lvl=notice_display&id=10405 Aucun avis, veuillez vous identifier pour ajouter le vôtre !
