Individualized Treatment for Tobacco Dependence in Addictions Treatment Settings: The Role of Current Depressive Symptoms on Outcomes at 3 and 6 Months

Article


Zawertailo, Laurie A., Baliunas, Dolly, Ivanova, Anna and Selby, Peter L.. 2015. "Individualized Treatment for Tobacco Dependence in Addictions Treatment Settings: The Role of Current Depressive Symptoms on Outcomes at 3 and 6 Months." Nicotine and Tobacco Research. 17 (8), pp. 937-45. https://doi.org/10.1093/ntr/ntv013
Article Title

Individualized Treatment for Tobacco Dependence in Addictions Treatment Settings: The Role of Current Depressive Symptoms on Outcomes at 3 and 6 Months

ERA Journal ID13722
Article CategoryArticle
AuthorsZawertailo, Laurie A., Baliunas, Dolly, Ivanova, Anna and Selby, Peter L.
Journal TitleNicotine and Tobacco Research
Journal Citation17 (8), pp. 937-45
Number of Pages937-45
Year2015
PublisherOxford University Press
Place of PublicationUnited Kingdom
ISSN1462-2203
1469-994X
Digital Object Identifier (DOI)https://doi.org/10.1093/ntr/ntv013
Web Address (URL)https://academic.oup.com/ntr/article-abstract/17/8/937/1039790?redirectedFrom=fulltext
Abstract

Introduction:
Individuals with concurrent tobacco dependence and other addictions often report symptoms of low mood and depression and as such may have more difficulty quitting smoking. We hypothesized that current symptoms of depression would be a significant predictor of quit success among a group of smokers receiving individualized treatment for tobacco dependence within addiction treatment settings.

Methods:
Individuals in treatment for other addictions were enrolled in a smoking cessation program involving brief behavioral counseling and individualized dosing of nicotine replacement therapy. The baseline assessment included the Patient Health Questionnaire (PHQ9) for depression. Smoking cessation outcomes were measured at 3 and 6 months post-enrollment. Bivariate associations between cessation outcomes and PHQ9 score were analyzed.

Results:
Of the 1,196 subjects enrolled to date, 1,171 (98%) completed the PHQ9. Moderate to severe depression (score >9) was reported by 28% of the sample, and another 29% reported mild depression (score between 5 and 9). Contrary to the extant literature and other findings by our own group, there was no association between current depression and cessation outcome at either 3 months (n = 1,171) (17.0% in those with PHQ9 > 9 vs. 19.8% in those with PHQ9 < 5, p = .32) or 6 months (n = 834) (17.8% vs. 18.9%, p = .74).

Conclusions:
Contrary to our hypothesis, depression severity as measured by the PHQ9 did not predict cessation outcome in this clinical population. A possible explanation may be the individualized treatment and supportive environment of an addictions treatment setting. These data indicate that patients in an addictions treatment setting can successfully quit smoking regardless of current depressive symptoms.

KeywordsTobacco; Addictions Treatment
ANZSRC Field of Research 2020420313. Mental health services
Public NotesFiles associated with this item cannot be displayed due to copyright restrictions.
Byline AffiliationsUniversity of Toronto, Canada
Centre for Addiction and Mental Health, Canada
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