| 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:dépression
|
| Index. 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. |
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Pre-cessation depressive mood predicts failure to quit smoking (2006)
