Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Clinical Trial
. 2001 Jun;69(3):471-80.
doi: 10.1037//0022-006x.69.3.471.

Cognitive-behavioral treatment for depression in smoking cessation

R A Brown  1 , C W Kahler, R Niaura, D B Abrams, S D Sales, S E Ramsey, M G Goldstein, E S Burgess, I W Miller
Affiliations
Clinical Trial

Cognitive-behavioral treatment for depression in smoking cessation

R A Brown et al. J Consult Clin Psychol. 2001 Jun.

Abstract

Cigarette smokers with past major depressive disorder (MDD) received 8 group sessions of standard, cognitive-behavioral smoking cessation treatment (ST; n = 93) or standard, cognitive-behavioral smokiig cessation treatment plus cognitive-behavioral treatment for depression (CBT-D; n = 86). Although abstinence rates were high in both conditions (ST, 24.7%; CBT-D, 32.5%, at 1 year) for these nonpharmacological treatments, no main effect of treatment was found. However, secondary analyses revealed significant interactions between treatment condition and both recurrent depression history and heavy smoking ( > or =25 cigarettes a day) at baseline. Smokers with recurrent MDD and heavy smokers who received CBT-D were significantly more likely to be abstinent than those receiving ST (odds ratios = 2.3 and 2.6, respectively). Results suggest that CBT-D provides specific benefits for some, but not all, smokers with a history of MDD.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Observed point prevalence abstinence rates by treatment condition for smokers with and without a history of recurrent major depressive disorder. Valid data on number of depressive episodes were not available for 2 participants. Open circles = standard, cognitive–behavioral smoking cessation treatment (ST-condition) with nonrecurrent depression (n = 43); filled circles = ST-condition with recurrent depression (n = 48); open triangles = ST-condition plus cognitive–behavioral treatment for depression (CBT-D condition) with nonre-current depression (n = 36); filled triangles = CBT-D condition with recurrent depression (n = 50).
Figure 2
Figure 2
Observed point prevalence abstinence rates by treatment condition for light (<25 cigarettes per day) and heavy (≥25 cigarettes per day) smokers. Open circles = standard, cognitive–behavioral smoking cessation treatment (ST-condition) for light smokers (n = 47); filled circles = ST-condition for heavy smokers (n = 46); open triangles = ST-condition plus cognitive–behavioral treatment for depression (CBT-D condition) for light smokers (n = 40); filled triangles = CBT-D condition for heavy smokers (n = 46).
See this image and copyright information in PMC

References

    1. American Psychiatric Association . Diagnostic and statistical manual of mental disorders. 3rd ed. Author; Washington, DC: 1987.
    1. Anda RF, Williamson DF, Escobedo LG, Mast EE, Giovino GA, Remington PL. Depression and the dynamics of smoking: A national perspective. Journal of the American Medical Association. 1990;264:1541–1545. - PubMed
    1. Beck AT, Rush AJ, Shaw BF, Emery G. Cognitive therapy of depression. Guilford Press; New York: 1978.
    1. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Archives of General Psychiatry. 1961;4:561–571. - PubMed
    1. Bliss RE, Garvey AJ, Heinold JW, Hitchcock JL. The influence of situation and coping on relapse crisis outcomes after smoking cessation. Journal of Consulting and Clinical Psychology. 1989;57:443–449. - PubMed

Publication types