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Stress, Depression and Quit Attempt Outcomes among Unmotivated Smokers

Stress and depressive symptoms have been linked to a reduced likelihood of sustaining smoking cessation. Because stress and depressive symptoms may negatively affect motivation to quit, stress and depression may also be important for whether or not smokers make a quit attempt. To examine the relatio...

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Published in:Substance use & misuse 2021, Vol.56 (10), p.1564-1568
Main Authors: Arana-Chicas, Evelyn, Cupertino, Ana Paula, Goggin, Kathy, Richter, Kimber P., Harris, Kari J., Catley, Delwyn
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container_title Substance use & misuse
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creator Arana-Chicas, Evelyn
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description Stress and depressive symptoms have been linked to a reduced likelihood of sustaining smoking cessation. Because stress and depressive symptoms may negatively affect motivation to quit, stress and depression may also be important for whether or not smokers make a quit attempt. To examine the relationship between perceived stress and depressive symptoms and initiating a quit attempt in a smoking cessation induction trial. We conducted a secondary analysis of existing data from a randomized clinical trial (N = 255) comparing motivational interviewing to health education and brief advice for smoking cessation induction in smokers with low motivation to quit. We observed positive associations between baseline predictors and quit attempts at week 12 (r = 0.192, p 
doi_str_mv 10.1080/10826084.2021.1936053
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Because stress and depressive symptoms may negatively affect motivation to quit, stress and depression may also be important for whether or not smokers make a quit attempt. To examine the relationship between perceived stress and depressive symptoms and initiating a quit attempt in a smoking cessation induction trial. We conducted a secondary analysis of existing data from a randomized clinical trial (N = 255) comparing motivational interviewing to health education and brief advice for smoking cessation induction in smokers with low motivation to quit. We observed positive associations between baseline predictors and quit attempts at week 12 (r = 0.192, p &lt; 0.01 for depressive symptoms and r = 0.136, p &lt; 0.05 for perceived stress). Logistic regression models revealed similar significant positive associations between baseline perceived stress and baseline depressive symptoms and making a quit attempt by week 12 (OR = 1.5, CI:1.03, 2.19 and OR = 1.03, 95% CI: 1.01, 1.06; respectively). Unexpectedly, this study found generally small but consistently positive associations between baseline depressive symptoms and baseline perceived stress and making a quit attempt by week 12. 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Logistic regression models revealed similar significant positive associations between baseline perceived stress and baseline depressive symptoms and making a quit attempt by week 12 (OR = 1.5, CI:1.03, 2.19 and OR = 1.03, 95% CI: 1.01, 1.06; respectively). Unexpectedly, this study found generally small but consistently positive associations between baseline depressive symptoms and baseline perceived stress and making a quit attempt by week 12. 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source Applied Social Sciences Index & Abstracts (ASSIA); EBSCOhost SPORTDiscus with Full Text; Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list); Sociological Abstracts
subjects Abstinence
Clinical research
Clinical trials
Health education
Induction
Interviews
Mental depression
Motivation
Motivational interviewing
Smoking
Smoking cessation
Stress
Symptoms
Tobacco control
title Stress, Depression and Quit Attempt Outcomes among Unmotivated Smokers
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