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This digital document is an article from Journal of Studies on Alcohol, published by Alcohol Research Documentation, Inc. on May 1, 1998. The length of the article is 7022 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser.
From the author: Objective: Alcohol dependence and major depression have been associated with heavy cigarette use and poor smoking-treatment outcomes. This preliminary study examined the efficacy of a mood management intervention for smoking cessation in abstinent alcoholics with a history of major depression. Method: Participants were 29 (15 female, 14 male) heavy smokers (mean cigs/day = 30.2), with an average of 6.8 years of continuous abstinence from alcohol and drugs, randomized to behavioral counseling (BC) (n = 16) or behavioral counseling + cognitive-behavioral mood management (CBT) (n = 13). A 2 X 5 repeated measures design was used to evaluate the effectiveness of the interventions on smoking outcome at baseline, posttreatment and at 1-, 3- and 12-month-follow-up. Self-reported smoking status was verified with biochemical (COa) and informant report. Results: Verified self-report indicated that significantly more smokers in CBT quit by posttreatment (69.2%; 9 of 13) than in BC (31.3%; 5 of 16) ([chi square] = 4.14, 1 df, P = .04). These abstinence rates remained unchanged at 1-month follow-up. At 3-month follow-up, differences in smoking abstinence rates were nonsignificant between CBT (46.2%; 6 of 13) and BC (25.0%; 4 of 16) conditions. However, at 12-month follow-up, significantly more participants in CBT were abstinent from smoking (46.2%; 6 of 13) than in BC (12.5%; 2 of 16) ([chi square] = 4.07, 1 df, p = .04). Conclusions: The results suggest that interventions focused on managing negative mood may benefit these high-risk, comorbid smokers. (J. Stud. Alcohol 59: 327-335, 1998)
From the supplier: Alcohol dependence and major depression have been linked with heavy cigarette smoking and unsuccessful treatment outcomes. Evidence shows that alcoholics are more likely to smoke than the general population and are generally heavily addicted to nicotine. The results of a study revealed that physical exercise, nicotine replacement therapy, and antidepressant therapies are useful in reducing the morbidity and mortality associated with smoking.
Citation Details
Title: Effectiveness of cognitive-behavioral therapy for smokers with histories of alcohol dependence and depression.
Author: Christi A. Patten
Publication: Journal of Studies on Alcohol (Refereed)
Date: May 1, 1998
Publisher: Alcohol Research Documentation, Inc.
Volume: v59 Issue: n3 Page: p327(9)
Distributed by Thomson Gale