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Quitting smoking does not increase the risk of major depressive episodes among users of Internet smoking cessation interventions

  • L. D. Torres (a1), A. Z. Barrera (a1), K. Delucchi (a1), C. Penilla (a1), E. J. Pérez-Stable (a2) and R. F. Muñoz (a1)
  • DOI: http://dx.doi.org/10.1017/S0033291709990560
  • Published online: 23 July 2009
Abstract
Background

Limited evidence has suggested that quitting smoking increases the incidence of major depressive episodes (MDEs), particularly for smokers with a history of depression. Further evidence for this increase would have important implications for guiding smoking cessation.

Method

Spanish- and English-speaking smokers without a current MDE (n=3056) from an international, online smoking cessation trial were assessed for abstinence 1 month after their initial quit date and followed for a total of 12 months. Incidence of screened MDE was examined as a function of abstinence and depression history.

Results

Continued smoking, not abstinence, predicted MDE screened at 1 month [smoking 11.5% v. abstinence 7.8%, odds ratio (OR) 1.36, 95% confidence interval (CI) 1.04–1.78, p=0.02] but not afterwards (smoking 11.1% v. abstinence 9.8%, OR 1.05, 95% CI 0.77–1.45, p=0.74). Depression history predicted MDE screened at 1 month (history 17.1% v. no history 8.6%, OR 1.71, 95% CI 1.29–2.27, p<0.001) and afterwards (history 21.7% v. no history 8.3%, OR 3.87, 95% CI 2.25–6.65, p<0.001), although the interaction between history and abstinence did not.

Conclusions

Quitting smoking was not associated with increased MDE, even for smokers with a history of depression, although a history of depression was. Instead, not quitting was associated with increased MDE shortly following a quit attempt. Results from this online, large, international sample of smokers converge with similar findings from smaller, clinic-based samples, suggesting that in general, quitting smoking does not increase the incidence of MDEs.

Copyright
Corresponding author
*Address for correspondence: R. F. Muñoz, University of California, San Francisco, Department of Psychiatry at San Francisco General Hospital, 1001 Potrero Avenue, Suite 7M, San Francisco, CA94110, USA. (Email: ricardo.munoz@ucsf.edu)
Linked references
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This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

J Audrain-McGovern , C Lerman , EP Wileyto , D Rodriguez , PG Shields (2004). Interacting effects of genetic predisposition and depression on adolescent smoking progression. American Journal of Psychiatry 161, 12241230.

JA Blalock , JD Robinson , DW Wetter , LS Schreindorf , PM Cincirpini (2008). Nicotine withdrawal in smokers with current depressive disorders undergoing intensive smoking cessation treatment. Psychology of Addictive Behaviors 22, 122128.

BC Bock , MG Goldstein , BH Marcus (1996). Depression following smoking cessation in women. Journal of Substance Abuse 8, 137144.

N Breslau , EL Peterson , LR Schultz , HD Chilcoat , P Andreski (1998). Major depression and stages of smoking. A longitudinal investigation. Archives of General Psychiatry 55, 161166.

RA Brown , PM Lewinsohn , JR Seeley , EF Wagner (1996). Cigarette smoking, major depression, and other psychiatric disorders among adolescents. Journal of the American Academy of Child and Adolescent Psychiatry 35, 16021610.

ES Burgess , RA Brown , CW Kahler , R Niaura , DB Abrams , MG Goldstein , IW Miller (2002). Patterns of change in depressive symptoms during smoking cessation: who's at risk for relapse. Journal of Consulting and Clinical Psychology 70, 356361.

LS Covey , AH Glassman , F Stetner (1990). Depression and depressive symptoms in smoking cessation. Comprehensive Psychiatry 31, 350354.

LS Covey , AH Glassman , F Stetner , S Rivelli , K Stage (2002). A randomized trial of sertraline as a cessation aid for smokers with a history of major depression. American Journal of Psychiatry 159, 17311737.

LC Dierker , S Avenevoli , M Stolar , KR Merikangas (2002). Smoking and depression: an examination of mechanisms of comorbidity. American Journal of Psychiatry 159, 947953.

G Eysenbach (2005). The law of attrition. Journal of Medicine Internet Research 7, e11.


AH Glassman , LS Covey , F Stetner , S Rivelli (2001). Smoking cessation and the course of major depression: a follow-up study. Lancet 357, 19291932.

AL Graham , GD Papandonatos , BC Bock , NK Cobb , A Baskin-Sommers , R Niaura , DB Abrams (2006). Internet- vs. telephone-administered questionnaires in a randomized trial of smoking cessation. Nicotine and Tobacco Research 8, s49s57.

DS Hasin , RD Goodwin , FS Stinson , BF Grant (2005). Epidemiology of major depressive disorder: results from the National Epidemiologic Survey on Alcoholism and Related Conditions. Archive of General Psychiatry 62, 10971106.

TF Heatherton , LT Kozlowski , RC Frecker , KO Fagerstrom (1991). The Fagerstrom Test for Nicotine Dependence: a revision of the Fagerstrom Tolerance Questionnaire. British Journal of Addiction 86, 11191127.

J Herrero , J Meneses (2004). Short Web-based versions of the perceived stress (PSS) and Center for Epidemiological Studies-Depression (CESD) scales: a comparison to pencil and paper responses among Internet users. Computers in Human Behavior 22, 830846.

JR Hughes , JP Keely , RS Niaura , DJ Ossip-Klein , RL Richmond , GE Swan (2003). Measures of abstinence in clinical trials: issues and recommendations. Nicotine and Tobacco Research 5, 1325.

CW Kahler , RA Brown , SE Ramsey , R Niaura , DB Abrams , MG Goldstein , TI Mueller , IW Miller (2002). Negative mood, depressive symptoms, and major depression after smoking cessation treatment in smokers with a history of major depressive disorder. Journal of Abnormal Psychology 111, 670675.

KS Kendler , MC Neale , CJ Maclean , AC Heath , LJ Eaves , RC Kessler (1993). Smoking and major depression. A causal analysis. Archives of General Psychiatry 50, 3643.

RC Kessler , S Zhao , DG Blazer , M Swartz (1997). Prevalence, correlates, and course of minor depression and major depression in the National Comorbidity Survey. Journal of Affective Disorders 45, 1930.

O Klungsøyr , JF Nygård , T Sørensen , I Sandanger (2006). Cigarette smoking and incidence of first depressive episode: an 11-year, population-based follow-up study. American Journal of Epidemiology 163, 421432.

K Lasser , JW Boyd , S Woolhandler , DU Himmelstein , D McCormick , DH Bor (2000). Smoking and mental illness: a population-based prevalence study. Journal of the American Medical Association 284, 26062610.

C Lerman , N Caporaso , D Main , J Audrain , NR Boyd , ED Bowman , PG Shields (1998). Depression and self-medication with nicotine: the modifying influence of the dopamine D4 receptor gene. Health Psychology 17, 5662.

PM Lewinsohn , HM Hoberman , M Rosenbaum (1988). A prospective study of risk factors for unipolar depression. Journal of Abnormal Psychology 97, 251264.

MR Munafò , B Hitsman , R Rende , C Metcalfe , R Niaura (2008). Effects of progression to cigarette smoking on depressed mood in adolescents: evidence from the National Longitudinal Study of Adolescent Health. Addiction 103, 162171.

RF Muñoz , JR McQuaid , G González , J Dimas , V Rosales (1999). Depression screening in a women's clinic: using automated Spanish- and English-language voice recognition. Journal of Clinical and Clinical Psychology 67, 502510.

CJ Murray , AD Lopez (1997). Global mortality, disability, and the contribution of risk factors: Global Burden of Disease Study. Lancet 349, 14361442.

CJ Murray , AD Lopez (1999). On the comparable quantification of health risks: lessons from the Global Burden of Disease Study. Epidemiology 10, 594605.

TM Piasecki , R Niaura , WG Shadel , D Abrams , M Goldstein , M Fiore , T Baker (2000). Smoking dynamics in unaided quitters. Journal of Abnormal Psychology 109, 7486.

LS Radloff (1977). The CES-D Scale: a self-report depression scale for research in the general population. Applied Psychological Measurement 1, 385401.

DA Solomon , MB Keller , AC Leon , TI Mueller , PW Lavori , MT Shea , W Coryell , M Warshaw , C Turvey , JD Maser , J Endicott (2000). Multiple recurrences of major depressive disorder. American Journal of Psychiatry 157, 229233.

RL Spitzer , JB Williams , K Kroenke , M Linzer , FV deGruy III, SR Hahn , D Brody , J Johnson (1994). Utility of a new procedure in diagnosing mental disorders in primary care: The PRIME-MD 1000 Study. Journal of the American Medical Association 272, 17491756.

KB Stage , AH Glassman , LS Covey (1996). Depression after smoking cessation: case reports. Journal of Clinical Psychiatry 57, 467469.

JY Tsoh , GL Humfleet , RF Muñoz , VI Reus , DT Hartz , SM Hall (2000). Development of major depression after treatment for smoking cessation. American Journal of Psychiatry 157, 368374.

TB Üstün , JL Ayuso-Mateos , S Chatterji , C Mathers , CJ Murray (2004). Global burden of depressive disorders in the year 2000. British Journal of Psychiatry 184, 386392.

FL Vázquez , RF Muñoz , V Blanco , M López (2008). Validation of Muñoz's Mood Screener in a nonclinical Spanish population. European Journal of Psychological Assessment 24, 5764.

WF Velicer , JO Prochaska , JS Rossi , MG Snow (1992). Assessing outcome in smoking cessation studies. Psychological Bulletin 111, 2341.

LT Wu , JC Anthony (1999). Tobacco smoking and depressed mood in late childhood and early adolescence. American Journal of Public Health 89, 18371840.

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