Treatment for cigarette smoking among depressed mental health outpatients: a randomized clinical trial.

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Title: Treatment for cigarette smoking among depressed mental health outpatients: a randomized clinical trial.
Authors: Hall SM (AUTHOR), Tsoh JY (AUTHOR), Prochaska JJ (AUTHOR), Eisendrath S (AUTHOR), Rossi JS (AUTHOR), Redding CA (AUTHOR), Rosen AB (AUTHOR), Meisner M (AUTHOR), Humfleet GL (AUTHOR), Gorecki JA (AUTHOR)
Source: American Journal of Public Health. Oct2006, Vol. 96 Issue 10, p1808-1814. 7p.
Subjects: Smoking cessation, Psychotherapy patients, Depressed persons, Outpatient substance abuse treatment facilities, Nicotine addiction treatment, Randomized controlled trials, Clinical medicine research
Abstract: OBJECTIVES: Using a brief contact control, we tested the efficacy of a staged care intervention to reduce cigarette smoking among psychiatric patients in outpatient treatment for depression. METHODS: We conducted a randomized clinical trial that included assessments at baseline and at months 3, 6, 12, and 18. Three hundred twenty-two patients in mental health outpatient treatment who were diagnosed with depression and smoked > or =1 cigarette per day participated. The desire to quit smoking was not a prerequisite for participation. Staged care intervention participants received computerized motivational feedback at baseline and at 3, 6, and 12 months and were offered a 6-session psychological counseling and pharmacological cessation treatment program. Brief contact control participants received a self-help guide and referral list of local smoking-treatment providers. RESULTS: As we hypothesized, abstinence rates among staged care intervention participants exceeded those of brief contact control participants at months 12 and 18. Significant differences favoring staged care intervention also were found in occurrence of a quit attempt and stringency of abstinence goal. CONCLUSION: The data suggest that individuals in psychiatric treatment for depression can be aided in quitting smoking through use of staged care interventions and that smoking cessation interventions used in the general population can be implemented in psychiatric outpatient settings. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Treatment for cigarette smoking among depressed mental health outpatients: a randomized clinical trial.
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  Data: <searchLink fieldCode="AR" term="%22Hall+SM%22">Hall SM</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tsoh+JY%22">Tsoh JY</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Prochaska+JJ%22">Prochaska JJ</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Eisendrath+S%22">Eisendrath S</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rossi+JS%22">Rossi JS</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Redding+CA%22">Redding CA</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rosen+AB%22">Rosen AB</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Meisner+M%22">Meisner M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Humfleet+GL%22">Humfleet GL</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gorecki+JA%22">Gorecki JA</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. Oct2006, Vol. 96 Issue 10, p1808-1814. 7p.
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  Data: <searchLink fieldCode="DE" term="%22Smoking+cessation%22">Smoking cessation</searchLink><br /><searchLink fieldCode="DE" term="%22Psychotherapy+patients%22">Psychotherapy patients</searchLink><br /><searchLink fieldCode="DE" term="%22Depressed+persons%22">Depressed persons</searchLink><br /><searchLink fieldCode="DE" term="%22Outpatient+substance+abuse+treatment+facilities%22">Outpatient substance abuse treatment facilities</searchLink><br /><searchLink fieldCode="DE" term="%22Nicotine+addiction+treatment%22">Nicotine addiction treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Clinical+medicine+research%22">Clinical medicine research</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: OBJECTIVES: Using a brief contact control, we tested the efficacy of a staged care intervention to reduce cigarette smoking among psychiatric patients in outpatient treatment for depression. METHODS: We conducted a randomized clinical trial that included assessments at baseline and at months 3, 6, 12, and 18. Three hundred twenty-two patients in mental health outpatient treatment who were diagnosed with depression and smoked > or =1 cigarette per day participated. The desire to quit smoking was not a prerequisite for participation. Staged care intervention participants received computerized motivational feedback at baseline and at 3, 6, and 12 months and were offered a 6-session psychological counseling and pharmacological cessation treatment program. Brief contact control participants received a self-help guide and referral list of local smoking-treatment providers. RESULTS: As we hypothesized, abstinence rates among staged care intervention participants exceeded those of brief contact control participants at months 12 and 18. Significant differences favoring staged care intervention also were found in occurrence of a quit attempt and stringency of abstinence goal. CONCLUSION: The data suggest that individuals in psychiatric treatment for depression can be aided in quitting smoking through use of staged care interventions and that smoking cessation interventions used in the general population can be implemented in psychiatric outpatient settings. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.2105/AJPH.2005.080382
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      – Code: eng
        Text: English
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    Subjects:
      – SubjectFull: Smoking cessation
        Type: general
      – SubjectFull: Psychotherapy patients
        Type: general
      – SubjectFull: Depressed persons
        Type: general
      – SubjectFull: Outpatient substance abuse treatment facilities
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      – SubjectFull: Nicotine addiction treatment
        Type: general
      – SubjectFull: Randomized controlled trials
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      – SubjectFull: Clinical medicine research
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      – TitleFull: Treatment for cigarette smoking among depressed mental health outpatients: a randomized clinical trial.
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              M: 10
              Text: Oct2006
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              Y: 2006
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