Effects of an Intensive Depression-Focused Intervention for Smoking Cessation in Pregnancy

Paul M. Cinciripini, Janice A. Blalock, Jennifer A. Minnix, Jason D. Robinson, Victoria L. Brown, Cho Lam, David W. Wetter, Lisa Schreindorfer, James P. McCullough, Patricia Dolan-Mullen, Angela L. Stotts, Maher Karam-Hage

Research output: Contribution to journalArticlepeer-review

69 Scopus citations

Abstract

Objective: The objective of this study was to evaluate a depression-focused treatment for smoking cessation in pregnant women versus a time and contact health education control. We hypothesized that the depression-focused treatment would lead to improved abstinence and reduced depressive symptoms among women with high levels of depressive symptomatology. No significant main effects of treatment were hypothesized. Method: Pregnant smokers (N = 257) were randomly assigned to a 10-week, intensive, depression-focused intervention (cognitive behavioral analysis system of psychotherapy; CBASP) or to a time and contact control focused on health and wellness (HW); both included equivalent amounts of behavioral and motivational smoking cessation counseling. Of the sample, 54% were African American, and 37% met criteria for major depression. Mean age was 25 years (SD = 5.9), and women averaged 19.5 weeks (SD = 8.5) gestation at study entry. We measured symptoms of depression using the Center for Epidemiological Studies-Depression Scale (Radloff, 1977). Results: At 6 months posttreatment, women with higher levels of baseline depressive symptoms treated with CBASP were abstinent significantly more often, F(1, 253) = 5.61, p = .02, and had less depression, F(1, 2620) = 10.49, p = .001, than those treated with HW; those with low baseline depression fared better in HW. Differences in abstinence were not retained at 6 months postpartum. Conclusions: The results suggest that pregnant women with high levels of depressive symptoms may benefit from a depression-focused treatment in terms of improved abstinence and depressive symptoms, both of which could have a combined positive effect on maternal and child health.

Original languageEnglish (US)
Pages (from-to)44-54
Number of pages11
JournalJournal of Consulting and Clinical Psychology
Volume78
Issue number1
DOIs
StatePublished - Feb 2010

Keywords

  • cognitive behavioral therapy
  • depression
  • pregnancy
  • smoking cessation
  • women

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

MD Anderson CCSG core facilities

  • Assessment, Intervention, and Measurement

Fingerprint

Dive into the research topics of 'Effects of an Intensive Depression-Focused Intervention for Smoking Cessation in Pregnancy'. Together they form a unique fingerprint.

Cite this