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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 |
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creator | Arana-Chicas, Evelyn Cupertino, Ana Paula Goggin, Kathy Richter, Kimber P. Harris, Kari J. Catley, Delwyn |
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 |
format | article |
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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 < 0.01 for depressive symptoms and r = 0.136, p < 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. The results can be viewed as encouraging in that interventions to encourage quit attempts do not appear counter-productive for individuals higher in stress and depressive symptoms, but these patients very likely will need additional supports to sustain abstinence.</description><identifier>ISSN: 1082-6084</identifier><identifier>EISSN: 1532-2491</identifier><identifier>DOI: 10.1080/10826084.2021.1936053</identifier><identifier>PMID: 34130595</identifier><language>eng</language><publisher>Philadelphia: Taylor & Francis</publisher><subject>Abstinence ; Clinical research ; Clinical trials ; Health education ; Induction ; Interviews ; Mental depression ; Motivation ; Motivational interviewing ; Smoking ; Smoking cessation ; Stress ; Symptoms ; Tobacco control</subject><ispartof>Substance use & misuse, 2021, Vol.56 (10), p.1564-1568</ispartof><rights>2021 Taylor & Francis Group, LLC 2021</rights><rights>2021 Taylor & Francis Group, LLC</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c473t-85fb656d624f16ad5cbcd260d1ecca0af6237ebf94a19990cab315188eb13ce43</citedby><cites>FETCH-LOGICAL-c473t-85fb656d624f16ad5cbcd260d1ecca0af6237ebf94a19990cab315188eb13ce43</cites><orcidid>0000-0001-8666-6468</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,4024,27923,27924,27925,30999,33774</link.rule.ids></links><search><creatorcontrib>Arana-Chicas, Evelyn</creatorcontrib><creatorcontrib>Cupertino, Ana Paula</creatorcontrib><creatorcontrib>Goggin, Kathy</creatorcontrib><creatorcontrib>Richter, Kimber P.</creatorcontrib><creatorcontrib>Harris, Kari J.</creatorcontrib><creatorcontrib>Catley, Delwyn</creatorcontrib><title>Stress, Depression and Quit Attempt Outcomes among Unmotivated Smokers</title><title>Substance use & misuse</title><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 < 0.01 for depressive symptoms and r = 0.136, p < 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. The results can be viewed as encouraging in that interventions to encourage quit attempts do not appear counter-productive for individuals higher in stress and depressive symptoms, but these patients very likely will need additional supports to sustain abstinence.</description><subject>Abstinence</subject><subject>Clinical research</subject><subject>Clinical trials</subject><subject>Health education</subject><subject>Induction</subject><subject>Interviews</subject><subject>Mental depression</subject><subject>Motivation</subject><subject>Motivational interviewing</subject><subject>Smoking</subject><subject>Smoking cessation</subject><subject>Stress</subject><subject>Symptoms</subject><subject>Tobacco control</subject><issn>1082-6084</issn><issn>1532-2491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp9kV9LHTEQxUNpqdb2IxQWfOlD95rZ_NnkRSpWqyCIWJ9DNpu10U1ym2Qtfnt3e28F--DLzMD85nCGg9BnwCvAAh_MpeFY0FWDG1iBJBwz8gbtAiNN3VAJb-d5ZuoF2kEfcr7DGAQQeI92CAWCmWS76PS6JJvz1-q7XS-Di6HSoa-uJleqo1KsX5fqciomepsr7WO4rW6Cj8U96GL76trHe5vyR_Ru0GO2n7Z9D92cnvw8PqsvLn-cHx9d1Ia2pNSCDR1nvOcNHYDrnpnO9PMbPVhjNNYDb0hru0FSDVJKbHRHgIEQtgNiLCV76HCju546b3tjQ0l6VOvkvE6PKmqnXm6C-6Vu44MSRAiQfBb4shVI8fdkc1HeZWPHUQcbp6waRqEVrfyL7v-H3sUphfm9mWKEE9qKxRHbUCbFnJMdns0AVktS6l9SaklKbZOa775t7lwYYvL6T0xjr4p-HGMakg7GZUVel3gCSHyZgg</recordid><startdate>2021</startdate><enddate>2021</enddate><creator>Arana-Chicas, Evelyn</creator><creator>Cupertino, Ana Paula</creator><creator>Goggin, Kathy</creator><creator>Richter, Kimber P.</creator><creator>Harris, Kari J.</creator><creator>Catley, Delwyn</creator><general>Taylor & Francis</general><general>Taylor & Francis Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7U3</scope><scope>BHHNA</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-8666-6468</orcidid></search><sort><creationdate>2021</creationdate><title>Stress, Depression and Quit Attempt Outcomes among Unmotivated Smokers</title><author>Arana-Chicas, Evelyn ; Cupertino, Ana Paula ; Goggin, Kathy ; Richter, Kimber P. ; Harris, Kari J. ; Catley, Delwyn</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c473t-85fb656d624f16ad5cbcd260d1ecca0af6237ebf94a19990cab315188eb13ce43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Abstinence</topic><topic>Clinical research</topic><topic>Clinical trials</topic><topic>Health education</topic><topic>Induction</topic><topic>Interviews</topic><topic>Mental depression</topic><topic>Motivation</topic><topic>Motivational interviewing</topic><topic>Smoking</topic><topic>Smoking cessation</topic><topic>Stress</topic><topic>Symptoms</topic><topic>Tobacco control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arana-Chicas, Evelyn</creatorcontrib><creatorcontrib>Cupertino, Ana Paula</creatorcontrib><creatorcontrib>Goggin, Kathy</creatorcontrib><creatorcontrib>Richter, Kimber P.</creatorcontrib><creatorcontrib>Harris, Kari J.</creatorcontrib><creatorcontrib>Catley, Delwyn</creatorcontrib><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Substance use & misuse</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arana-Chicas, Evelyn</au><au>Cupertino, Ana Paula</au><au>Goggin, Kathy</au><au>Richter, Kimber P.</au><au>Harris, Kari J.</au><au>Catley, Delwyn</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stress, Depression and Quit Attempt Outcomes among Unmotivated Smokers</atitle><jtitle>Substance use & misuse</jtitle><date>2021</date><risdate>2021</risdate><volume>56</volume><issue>10</issue><spage>1564</spage><epage>1568</epage><pages>1564-1568</pages><issn>1082-6084</issn><eissn>1532-2491</eissn><abstract>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 < 0.01 for depressive symptoms and r = 0.136, p < 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. The results can be viewed as encouraging in that interventions to encourage quit attempts do not appear counter-productive for individuals higher in stress and depressive symptoms, but these patients very likely will need additional supports to sustain abstinence.</abstract><cop>Philadelphia</cop><pub>Taylor & Francis</pub><pmid>34130595</pmid><doi>10.1080/10826084.2021.1936053</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0001-8666-6468</orcidid><oa>free_for_read</oa></addata></record> |
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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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