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@article{1382646,
author = {Stepankova, Lenka and Kralikova, Eva and Zvolska, Kamila and Pankova, Alexandra and Ovesná, Petra and Blaha, Milan and Brose, Leonie S.},
article_location = {New York},
article_number = {3},
doi = {http://dx.doi.org/10.1007/s12160-016-9869-6},
keywords = {Smoking cessation; Depression; Cohort study; Preventive health services; Effectiveness; Evidence-based practice},
language = {eng},
issn = {0883-6612},
journal = {ANNALS OF BEHAVIORAL MEDICINE},
title = {Depression and Smoking Cessation: Evidence from a Smoking Cessation Clinic with 1-Year Follow-Up},
volume = {51},
year = {2017}
}
TY - JOUR
ID - 1382646
AU - Stepankova, Lenka - Kralikova, Eva - Zvolska, Kamila - Pankova, Alexandra - Ovesná, Petra - Blaha, Milan - Brose, Leonie S.
PY - 2017
TI - Depression and Smoking Cessation: Evidence from a Smoking Cessation Clinic with 1-Year Follow-Up
JF - ANNALS OF BEHAVIORAL MEDICINE
VL - 51
IS - 3
SP - 454-463
EP - 454-463
PB - Springer
SN - 08836612
KW - Smoking cessation
KW - Depression
KW - Cohort study
KW - Preventive health services
KW - Effectiveness
KW - Evidence-based practice
N2 - Smoking is more prevalent among people with depression. Depression may make cessation more difficult and cessation may affect depression symptoms. The aims of this study were to assess the associations between (1) baseline depression and 1-year smoking abstinence and (2) abstinence and change in depression. Observational study using data collected routinely in a smoking cessation clinic in the Czech Republic from 2008 to 2014. Aim 1: N = 3775 patients; 14.3% reported mild and 15.4% moderate/severe baseline depression levels measured using Beck's Depression Inventory (BDI-II). Logistic regressions assessed if depression level predicted 1-year biochemically verified abstinence while adjusting for patient and treatment characteristics. Aim 2: N = 835 patients abstinent at 1 year; change in depression was analysed using Chi-square statistics, t test and mixed method analyses of variance. Rate of abstinence was lower for patients with mild (32.5%, OR = 0.68; 95% CI: 0.54 to 0.87, p = 0.002) and moderate/severe depression (25.8%; OR = 0.57, 95% CI: 0.45 to 0.74, p < 0.001) compared with patients without depression (40.5%). Across abstinent patients, the majority with baseline depression reported lower depression levels at follow-up. Overall mean (SD) BDI-II scores improved from 9.2 (8.6) to 5.3 (6.1); t(834) = 14.6, p < 0.001. There were significant main effects of time (F(1832) = 880.8, p < 0.001, partial eta(2) = 0.51) and baseline depression level (F(2832) = 666.4, p < 0.001, partial eta(2) = 0.62) on follow-up depression and a significant depression * time interaction (F(2832) = 296.5, p < 0.001, partial eta(2) = 0.42). In this effective smoking cessation clinic, depression at the start of treatment predicted reduced smoking abstinence 1 year later. Patients abstinent from smoking experienced considerable improvement in depression.
ER -
STEPANKOVA, Lenka, Eva KRALIKOVA, Kamila ZVOLSKA, Alexandra PANKOVA, Petra OVESNÁ, Milan BLAHA a Leonie S. BROSE. Depression and Smoking Cessation: Evidence from a Smoking Cessation Clinic with 1-Year Follow-Up. \textit{ANNALS OF BEHAVIORAL MEDICINE}. New York: Springer, roč.~51, č.~3, s.~454-463. ISSN~0883-6612. doi:10.1007/s12160-016-9869-6. 2017.
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