Cognitive-behavioral treatment for depression in smoking cessation.
Cigarette smokers with past major depressive disorder (MDD) received 8 group sessions of standard, cognitive-behavioral smoking cessation treatment (ST; n = 93) or standard, cognitive-behavioral smokiig cessation treatment plus cognitive-behavioral treatment for depression (CBT-D; n = 86). Although abstinence rates were high in both conditions (ST, 24.7%; CBT-D, 32.5%, at 1 year) for these nonpharmacological treatments, no main effect of treatment was found. However, secondary analyses revealed significant interactions between treatment condition and both recurrent depression history and heavy smoking ( > or =25 cigarettes a day) at baseline. Smokers with recurrent MDD and heavy smokers who received CBT-D were significantly more likely to be abstinent than those receiving ST (odds ratios = 2.3 and 2.6, respectively). Results suggest that CBT-D provides specific benefits for some, but not all, smokers with a history of MDD.
Brown
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Department of Psychiatry and Human Behavior, Brown University School of Medicine, Butler Hospital, Providence, Rhode Island 02906, USA. richard_brown@brown.edu
Kahler
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CW
Niaura
R
R
Abrams
D B
DB
Sales
S D
SD
Ramsey
S E
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Goldstein
M G
MG
Burgess
E S
ES
Miller
I W
IW
D000328:Adult; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D003865:Major Depressive Disorder / Q000523:psychology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010552:Personality Assessment; D011615:Psychotherapy, Group; D012008:Recurrence; D016540:Smoking Cessation / Q000523:psychology*; D016896:Treatment Outcome