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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
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]