Cognitive-behavioral treatment for depression in smoking cessation

Richard A. Brown, Christopher W. Kahler, Raymond Niaura, David B. Abrams, Suzanne D. Sales, Susan E. Ramsey, Michael G. Goldstein, Ellen S. Burgess, Ivan W. Miller

Research output: Contribution to journalArticlepeer-review

191 Scopus citations


Cigarette smokers with past major depressive disorder (MDD) received 8 group sessions of standard, cognitive-behavioral smoking cessation treatment (ST; n = 93) or standard, cognitive-behavioral smoking cessation treatment plus cognitive-behavioral treatment for depression (CBT-D; n = 86). Although abstinence rates were high in both conditions (ST, 24.7%; CBT-D, 32.5%, at 1 year) for these nonpharmacological treatments, no main effect of treatment was found. However, secondary analyses revealed significant interactions between treatment condition and both recurrent depression history and heavy smoking (≥25 cigarettes a day) at baseline. Smokers with recurrent MDD and heavy smokers who received CBT-D were significantly more likely to be abstinent than those receiving ST (odds ratios = 2.3 and 2.6, respectively). Results suggest that CBT-D provides specific benefits for some, but not all, smokers with a history of MDD.

Original languageEnglish (US)
Pages (from-to)471-480
Number of pages10
JournalJournal of Consulting and Clinical Psychology
Issue number3
StatePublished - 2001
Externally publishedYes

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health


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