title: Effect of depressive symptoms on smoking abstinence and treatment adherence among smokers with a history of alcohol dependence.
abstract: This study examined the effect of depressive symptoms on smoking abstinence and treatment adherence among smokers with a past history of alcohol dependence. Participants (24 women, 27 men) were randomly assigned to behavioral counseling (BC) or behavioral counseling plus cognitive-behavioral mood management training (CBT). The Hamilton Rating Scale for Depression (HRSD; M. Hamilton, 1967) was administered to assess baseline depressive symptoms. Participants who received CBT and had higher HRSD scores were more likely to achieve short-term abstinence from smoking and attend more treatment sessions than those with lower depression scores, whereas for BC participants the effect of HRSD scores was the opposite. Smokers with a history of alcohol dependence reporting high levels of depressive symptoms may benefit from a mood management intervention.
authors.affiliation: Nicotine Research Center, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota 55905, USA. patten.christi@mayo.edu
authors.forename: Christi A
authors.initials: CA
authors.lastname: Patten
authors.forename: Amanda A
authors.initials: AA
authors.lastname: Drews
authors.forename: Mark G
authors.initials: MG
authors.lastname: Myers
authors.forename: John E
authors.initials: JE
authors.lastname: Martin
authors.forename: Troy D
authors.initials: TD
authors.lastname: Wolter
mesh_terms: D000293:Adolescent; D000328:Adult; D000437:Alcoholism / Q000150:complications / Q000175:diagnosis / Q000523:psychology*; D001521:Behavior Therapy; D015928:Cognitive Behavioral Therapy; D003863:Depression / Q000150:complications / Q000175:diagnosis / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D010349:Patient Compliance; D011569:Psychiatric Status Rating Scales; D012907:Smoking / Q000523:psychology / Q000628:therapy*; D016540:Smoking Cessation / Q000379:methods / Q000523:psychology*; D013315:Stress, Psychological; D016896:Treatment Outcome