Relationship of depression to smoking outcomes in a methadone-maintained population

J Addict Dis. 2007;26(1):35-40. doi: 10.1300/J069v26n01_05.

Abstract

The association of depression and successful smoking cessation efforts is inconsistent. We test the hypothesis that higher levels of depression complicate efforts to quit smoking in a methadone-maintained (MM) population offered nicotine replacement and a brief behavioral intervention. We recruited 383 participants from 2/02 to 5/04; 340 (88.8%) were assessed at follow- up. Current depressive symptoms were measured using the Psychiatric Diagnostic Screening Questionnaire (PDSQ). Participants were 53% male, 78% Caucasian, with a mean MM duration of 153 weeks. Twenty-seven percent met PDSQ screening criteria for Major Depressive Disorder (MDD). Participants with higher levels of depressive symptoms were significantly less likely to set a quit date (p = .02) but depression was not associated significantly with motivation to quit smoking at baseline, time to first cigarette, or any behavioral indicator of smoking during the follow-up period. Depressive symptoms have little influence on smoking cessation outcomes in this population.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Administration, Cutaneous
  • Adolescent
  • Adult
  • Depressive Disorder, Major / diagnosis
  • Depressive Disorder, Major / epidemiology*
  • Depressive Disorder, Major / psychology*
  • Diagnostic and Statistical Manual of Mental Disorders
  • Female
  • Humans
  • Male
  • Mass Screening / methods
  • Methadone / therapeutic use*
  • Motivation
  • Narcotics / therapeutic use*
  • Nicotine / administration & dosage
  • Nicotine / therapeutic use*
  • Nicotinic Agonists / administration & dosage
  • Nicotinic Agonists / therapeutic use*
  • Opioid-Related Disorders / epidemiology*
  • Opioid-Related Disorders / rehabilitation*
  • Prevalence
  • Severity of Illness Index
  • Smoking / epidemiology*
  • Smoking Cessation / methods*
  • Smoking Cessation / statistics & numerical data*
  • Smoking Prevention*
  • Surveys and Questionnaires
  • Treatment Outcome

Substances

  • Narcotics
  • Nicotinic Agonists
  • Nicotine
  • Methadone