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Effects of an intensive depression-focused intervention for smoking cessation in pregnancy.


ABSTRACT:

Objective

The objective of this study was to evaluate a depression-focused treatment for smoking cessation in pregnant women versus a time and contact health education control. We hypothesized that the depression-focused treatment would lead to improved abstinence and reduced depressive symptoms among women with high levels of depressive symptomatology. No significant main effects of treatment were hypothesized.

Method

Pregnant smokers (N = 257) were randomly assigned to a 10-week, intensive, depression-focused intervention (cognitive behavioral analysis system of psychotherapy; CBASP) or to a time and contact control focused on health and wellness (HW); both included equivalent amounts of behavioral and motivational smoking cessation counseling. Of the sample, 54% were African American, and 37% met criteria for major depression. Mean age was 25 years (SD = 5.9), and women averaged 19.5 weeks (SD = 8.5) gestation at study entry. We measured symptoms of depression using the Center for Epidemiological Studies-Depression Scale (Radloff, 1977).

Results

At 6 months posttreatment, women with higher levels of baseline depressive symptoms treated with CBASP were abstinent significantly more often, F(1, 253) = 5.61, p = .02, and had less depression, F(1, 2620) = 10.49, p = .001, than those treated with HW; those with low baseline depression fared better in HW. Differences in abstinence were not retained at 6 months postpartum.

Conclusions

The results suggest that pregnant women with high levels of depressive symptoms may benefit from a depression-focused treatment in terms of improved abstinence and depressive symptoms, both of which could have a combined positive effect on maternal and child health.

SUBMITTER: Cinciripini PM 

PROVIDER: S-EPMC2881321 | biostudies-literature | 2010 Feb

REPOSITORIES: biostudies-literature

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Publications

Effects of an intensive depression-focused intervention for smoking cessation in pregnancy.

Cinciripini Paul M PM   Blalock Janice A JA   Minnix Jennifer A JA   Robinson Jason D JD   Brown Victoria L VL   Lam Cho C   Wetter David W DW   Schreindorfer Lisa L   McCullough James P JP   Dolan-Mullen Patricia P   Stotts Angela L AL   Karam-Hage Maher M  

Journal of consulting and clinical psychology 20100201 1


<h4>Objective</h4>The objective of this study was to evaluate a depression-focused treatment for smoking cessation in pregnant women versus a time and contact health education control. We hypothesized that the depression-focused treatment would lead to improved abstinence and reduced depressive symptoms among women with high levels of depressive symptomatology. No significant main effects of treatment were hypothesized.<h4>Method</h4>Pregnant smokers (N = 257) were randomly assigned to a 10-week  ...[more]

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