Peer Reviewed

1

Document Type

Article

Publication Date

2015

Keywords

Systematic Review, Meta-Analysis, Depression, Smoking Cessation, Chronic Respiratory Disease

Comments

This article is also available at see http://www.sciencedirect.com/science/article/pii/S0163834315001036

For example: © 2015, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/

Abstract

Objective:

To systematically review the impact of depression on subsequent smoking cessation in prospective studies of chronic respiratory patients.

Method:

A systematic search of electronic databases (MEDLINE, Psychinfo, CINAHL) was conducted to identify prospective studies of chronic respiratory patients which measured depression at baseline and smoking status at follow-up, dating from 1st January 1990 to 21st February 2014. The standardised mean difference (SMD) and 95% confidence interval for the association between baseline depressive symptoms and subsequent smoking cessation was estimated from available data using random effects meta-analysis.

Results:

A total of 1314 citations were retrieved and 197 articles were further evaluated by two reviewers. Seven articles provided sufficient data to estimate the association between depressive symptoms and subsequent smoking cessation. Those with elevated depressive symptoms were significantly less likely to quit smoking at follow-up than those not reporting elevated depressive symptoms (SMD=-.31, 95%CI -.43 to -.19; I2=0%, p=.506).

Conclusions:

The association between depression and subsequent smoking was poorly reported or omitted in most studies. However, the available evidence suggests depression decreases the likelihood that patients with chronic respiratory conditions will quit smoking. Future research is needed to determine how best to manage depression and smoking cessation in this population.

Disciplines

Psychology

Citation

Ho SY, Alnashri N, Rohde D, Murphy P, Doyle F. Systematic review and meta-analysis of the impact of depression on subsequent smoking cessation in patients with chronic respiratory conditions. General Hospital Psychiatry. 2015 (in Press)

DOI Link

10.1016/j.genhosppsych.2015.05.002

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

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