Title

The influence of quality of life and depressed mood on smoking cessation among medically ill smokers

UMMS Affiliation

Department of Medicine, Division of Preventive and Behavioral Medicine

Date

6-6-2010

Document Type

Article

Subjects

Adult; Aged; Aged, 80 and over; Chronic Disease; Depression; Female; Follow-Up Studies; Humans; Male; Middle Aged; Prospective Studies; Quality of Life; Smoking; Smoking Cessation; Time Factors; Young Adult

Disciplines

Behavioral Disciplines and Activities | Behavior and Behavior Mechanisms | Community Health and Preventive Medicine | Preventative Medicine

Abstract

Disease diagnosis and poor quality of life has been suggested as a "teachable moment" that facilitates smoking cessation, yet many patients continue to smoke. One reason for this inconsistency may be the potential moderating role of depressed mood. This study prospectively examined the role of depressed mood on the relationship between physical quality of life (PQoL) and smoking cessation among medically ill smokers. We hypothesized that poorer PQoL will be associated with smoking cessation, but only among those with little to no depressed mood. Nurses delivered smoking cessation counseling to medically ill patients (N = 273) who continued to smoke despite past hospitalization. Participants were assessed at baseline and at 2, 6, and 12-months later. The interaction between PQoL and depressed mood significantly predicted 1) 7-day point prevalence abstinence rates at both 2 and 12 months post-treatment [2 months: adjusted OR = 1.005, 95%CI 1.001-1.009, p < .05; 12 months: adjusted OR = 1.007, 95%CI 1.002-1.011, p < .005)] and 2) continuous abstinence rates at both 2 and 12 months post-treatment [2 months: adjusted OR = 1.011, 95%CI 1.004-1.019, p < .005; 12 months: adjusted OR = 1.006, 95%CI 1.001-1.011, p < .05] even after controlling for important covariates. The odds of quitting smoking increased for every one-unit decrease in PQoL, but only among those with little to no depressed mood. Medically ill smokers with poor quality of life may need more intensive smoking cessation interventions that include mood management to help them quit smoking.

Rights and Permissions

Citation: J Behav Med. 2010 Jun;33(3):209-18. Epub 2010 Mar 4. Link to article on publisher's site

Related Resources

Link to Article in PubMed

PubMed ID

20204491