Depression among smokers of a web-based intervention to quit smoking: a cross-sectional study
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Abstract
Introduction. Web-based interventions for smoking cessation are an innovative strategy to reduce the burden of smoking. Although many web-based interventions are freely available in many languages and have proven to be effective, so far no study has covered in detail the association between depression and smoking.
Objective. The aim of this study was to evaluate the prevalence of depression among users of the Viva sem Tabaco, a web-based intervention for smoking cessation.
Method. This was a retrospective cross-sectional study. In the internet-based intervention participated 1 433. Inclusion criteria were: being 18 years or older and a smoker; exclusion criteria were: omitting to fill out two questions of the screening depression questionnaire PHQ-2 and having made multiple accesses within a limited time span, characterizing invalid access. At the end, the sample had 461 participants. Participants answered questions related to sociodemographic characteristics, tobacco history, depression (PHQ-2 and PHQ-9), alcohol use, and intervention use.
Results. Participants average age was 42.3 years (SD = 12.1). Most participants were female (67%), and 70% were employed during the time of the study. From the total sample, 36.4% of the participants presented depression according to PHQ-2. Being screened with depression was associated with tobacco dependence (OR = 1.10; 95% CI = 1.00, 1.20), and associated with not having a job (OR = .53; 95% CI = .29, .97).
Discussion and conclusion. Depression may be a factor to be considered in programs that offer support to quit smoking through the internet for Portuguese Speakers.
References
Andrade, A. L. M., de Lacerda, R. B., Gomide, H. P., Ronzani, T. M., Sartes, L. M. A., Martins, L. F., … Souza-Formigoni, M. L. O. (2016). Web-based self-help intervention reduces alcohol consumption in both heavy-drinking and dependent alcohol users: A pilot study. Addictive Behaviors. https://doi.org/10.1016/j.addbeh.2016.06.027
Breslau, N. (1995). Psychiatric Comorbidity of Smoking and Nicotine Dependence. Behavior Genetics, 25(2).
Breslau, N., Peterson, E., Schultz, L., Andreski, P., & Chilcoat, H. (1996). Are Smokers with Alcohol Disorders Less Likely to Quit? American Journal of Public Health, 86(7), 985–985.
Bricker, J., Wyszynski, C., Comstock, B., & Heffner, J. L. (2013). Pilot Randomized Controlled Trial of Web-Based Acceptance and Commitment Therapy for Smoking Cessation. Nicotine & Tobacco Research, 15(10), 1756–1764. https://doi.org/10.1093/ntr/ntt056
Buuren, S. van, & Groothuis-Oudshoorn, K. (2011). mice: Multivariate Imputation by Chained Equations in R. Journal of Statistical Software, 45(3), 1–67. Recuperado de http://www.jstatsoft.org/v45/i03/
Cahill, K., Lancaster, T., & Green, N. (1996). Stage-based interventions for smoking cessation. In Cochrane Database of Systematic Reviews. John Wiley & Sons, Ltd. Recuperado de http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004492.pub4/abstract
Civljak, M., Stead, L. F., Hartmann-Boyce, J., Sheikh, A., & Car, J. (2013). Internet-based interventions for smoking cessation. In Cochrane Database of Systematic Reviews. John Wiley & Sons, Ltd. Recuperado de http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007078.pub4/abstract
Covey, L. S., Glassman, A. H., & Stetner, F. (1990). Depression and depressive symptoms in smoking cessation. Comprehensive Psychiatry, 31(4), 350–354. https://doi.org/10.1016/0010-440X(90)90042-Q
Croissant, Y. (2013). mlogit: multinomial logit model. Recuperado de https://CRAN.R-project.org/package=mlogit
De Meneses-Gaya, C., Zuardi, A. W., Marques, J. M. de A., Souza, R. M., Loureiro, S. R., & Crippa, J. A. S. (2009). Psychometric qualities of the Brazilian versions of the Fagerström Test for Nicotine Dependence and the Heaviness of Smoking Index. Nicotine & Tobacco Research, 11(10), 1160–1165. https://doi.org/10.1093/ntr/ntp114
Farrell, M., Howes, S., Bebbington, P., Brugha, T., Jenkins, R., Lewis, G., … Meltzer, H. (2001). Nicotine, alcohol and drug dependence and psychiatric comorbidity. Results of a national household survey. The British Journal of Psychiatry: The Journal of Mental Science, 179, 432–437.
Global Adult Tobacco Survey Collaborative Group. (2010).
Global Adult Tobacco Survey (GATS): Core Questionnaire with Optional Questions. Centers for DiseaseControl and Prevention. Recuperado de http://www.who.int/tobacco/surveillance/en_tfi_gats_corequestionnairewithoptionalquestions_v2_FINAL_03Nov2010.pdf?ua=1
Gomide, H. P., Bernardino, H. S., Richter, K., Martins, L. F., & Ronzani, T. M. (2016). Development of an open-source web-based intervention for Brazilian smokers – Viva sem Tabaco. BMC Medical Informatics and Decision Making, 16, 103. https://doi.org/10.1186/s12911-016-0339-7
Hartmann-Boyce, J., Stead, L. F., Cahill, K., & Lancaster, T. (2013). Efficacy of interventions to combat tobacco addiction: Cochrane update of 2012 reviews. Addiction, 108(10), 1711–1721. https://doi.org/10.1111/add.12291
Heatherton, T. F., Kozlowski, L. T., Frecker, R. C., & Fagerstrom, K.-O. (1991). The Fagerstrom Test for Nicotine Dependence: a revision of the Fagerstrom Tolerance Questionnaire. British Journal of Addiction, 86(9), 1119–1127.
Hitsman, B., Borrelli, B., McChargue, D. E., Spring, B., & Niaura, R. (2003). History of depression and smoking cessation outcome: a meta-analysis. Journal of Consulting and Clinical Psychology, 71(4), 657–663.
Husky, M. M., Mazure, C. M., Paliwal, P., & McKee, S. A. (2008). Gender differences in the comorbidity of smoking behavior and major depression. Drug and alcohol dependence, 93(1–2), 176–179. https://doi.org/10.1016/j.drugalcdep.2007.07.015
Kendler, K. S., Neale, M. C., MacLean, C. J., Heath, A. C., Eaves, L. J., & Kessler, R. C. (1993). Smoking and major depression. A causal analysis. Archives of General Psychiatry, 50(1), 36–43.
Kessler, R. C., Greenberg, P. E., Mickelson, K. D., Meneades, L. M., & Wang, P. S. (2001). The effects of chronic medical conditions on work loss and work cutback. Journal of Occupational and Environmental Medicine, 43(3), 218–225.
Manea, L., Gilbody, S., & McMillan, D. (2015). A diagnostic meta-analysis of the Patient Health Questionnaire-9 (PHQ-9) algorithm scoring method as a screen for depression. General Hospital Psychiatry, 37(1), 67–75. https://doi.org/10.1016/j.genhosppsych.2014.09.009
McClave, A. K., Dube, S. R., Strine, T. W., Kroenke, K., Caraballo, R. S., & Mokdad, A. H. (2009). Associations between smoking cessation and anxiety and depression among U.S. adults. Addictive Behaviors, 34(6–7), 491–497. https://doi.org/10.1016/j.addbeh.2009.01.005
Meneses-Gaya, C., Zuardi, A. W., Loureiro, S. R., Hallak, J. E. C., Trzesniak, C., De Azevedo Marques, J. M., … Crippa, J. A. S. (2010). Is the Full Version of the AUDIT Really Necessary? Study of the Validity and Internal Construct of Its Abbreviated Versions: STUDY OF VALIDITY AND INTERNAL CONSTRUCT. Alcoholism: Clinical and Experimental Research, no-no. https://doi.org/10.1111/j.1530-0277.2010.01225.x
Morozova, M., Rabin, R. A., & George, T. P. (2015). Co-morbid tobacco use disorder and depression: A re-evaluation of smoking cessation therapy in depressed smokers: Smoking Cessation in Depression. The American Journal on Addictions, 24(8), 687–694. https://doi.org/10.1111/ajad.12277
Muñoz, R., Barrera, A. Z., Delucchi, K., Penilla, C., Torres, L. D., & Pérez-Stable, E. J. (2009). International Spanish/English Internet smoking cessation trial yields 20% abstinence rates at 1 year. Nicotine & tobacco research: official journal of the Society for Research on Nicotine and Tobacco, 11(9), 1025–1034. https://doi.org/10.1093/ntr/ntp090
Muñoz, R. F. (2010). Using Evidence-Based Internet Interventions to Reduce Health Disparities Worldwide. Journal of Medical Internet Research, 12(5), e60. https://doi.org/10.2196/jmir.1463
Muñoz, R., Lenert, L., Delucchi, K., Stoddard, J., Perez, J., Penilla, C., & Pérez‐Stable, E. (2006). Toward evidence‐based Internet interventions: A Spanish/English Web site for international smoking cessation trials. Nicotine & Tobacco Research, 8(1), 77–87. https://doi.org/10.1080/14622200500431940
Pettersson, A., Boström, K. B., Gustavsson, P., &
Ekselius, L. (2015). Which instruments to support diagnosis of depression have sufficient accuracy? A systematic review. Nordic Journal of Psychiatry, 1–12. https://doi.org/10.3109/08039488.2015.1008568
Rabius, V., Pike, K. J., Wiatrek, D., & McAlister, A. L. (2008). Comparing Internet Assistance for Smoking Cessation: 13-Month Follow-Up of a Six-Arm Randomized Controlled Trial. Journal of Medical Internet Research, 10(5), e45. https://doi.org/10.2196/jmir.1008
R Core Team. (2017). R: A Language and Environment for Statistical Computing. Vienna, Austria: R Foundation for Statistical Computing. Recuperado de https://www.R-project.org/
Reid, H. H., & Ledgerwood, D. M. (2016). Depressive symptoms affect changes in nicotine withdrawal and smoking urges throughout smoking cessation treatment: Preliminary results. Addiction Research & Theory, 24(1), 48–53. https://doi.org/10.3109/16066359.2015.1060967
Rubin, D. B. (1987). Multiple imputation for nonresponse in surveys. New York: Wiley.
Santos, I. S., Tavares, B. F., Munhoz, T. N., Almeida, L. S. P. de, Silva, N. T. B. da, Tams, B. D., … Matijasevich, A. (2013). Sensitivity and specificity of the Patient Health Questionnaire-9 (PHQ-9) among adults from the general population. Cadernos de Saúde Pública, 29(8), 1533–1543. https://doi.org/10.1590/0102-311X00144612
Taylor, G., McNeill, A., Girling, A., Farley, A., Lindson-Hawley, N., & Aveyard, P. (2014). Change in mental health after smoking cessation: systematic review and meta-analysis. BMJ, 348(feb13 1), g1151–g1151. https://doi.org/10.1136/bmj.g1151
Terra, M. B., Silveira, D. X. da, Moreira, T. de C., Ferigolo, M., Mazoni, C., Arena, F. X., & Barros, H. M. T. (2009). Convergent validation study of the Contemplation Ladder for application via telephone in tobacco users. Jornal Brasileiro de Psiquiatria, 58(3), 143–149. https://doi.org/10.1590/S0047-20852009000300001
U.S Department of Health Services. (2008). Treating Tobacco Use and Dependence: 2008 Update.
van der Meer, R. M., Willemsen, M. C., Smit, F., & Cuijpers, P. (2013). Smoking cessation interventions for smokers with current or past depression. Cochrane Database of Systematic Reviews. Recuperado de http://doi.wiley.com/10.1002/14651858.CD006102.pub2
Wilhelm, K., Mitchell, P., Slade, T., Brownhill, S., & Andrews, G. (2003). Prevalence and correlates of DSM-IV major depression in an Australian national survey. Journal of Affective Disorders, 75(2), 155–162. https://doi.org/10.1016/S0165-0327(02)00040-X
World Health Organization. (2008). WHO Report on the Global Tobacco Epidemic: The MPOWER package. Geneva: World Health Organization.
Zimmerman, F. J., & Katon, W. (2005). Socioeconomic status, depression disparities, and financial strain: what lies behind the income-depression relationship? Health Economics, 14(12), 1197–1215. https://doi.org/10.1002/hec.1011
Zvolensky, M. J., Bakhshaie, J., Sheffer, C., Perez, A., & Goodwin, R. D. (2015). Major depressive disorder and smoking relapse among adults in the United States: A 10-year, prospective investigation. Psychiatry Research, 226(1), 73–77. https://doi.org/10.1016/j.psychres.2014.11.064
