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Gepubliceerd in: Journal of Behavioral Medicine 5/2009

01-10-2009

The association among depressive symptoms, smoking status and antidepressant use in cardiac outpatients

Auteurs: Shannon Gravely-Witte, Donna E. Stewart, Neville Suskin, Sherry L. Grace

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 5/2009

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Abstract

Both depression and smoking are highly prevalent and related to poorer outcomes in cardiac patients. In this study, the authors examined the association between depressive symptoms and smoking status, described the frequency and type of antidepressant use, and prospectively tested the effects of antidepressant use in smokers on smoking status and psychosocial outcomes. Participants comprised 1,498 coronary artery disease (CAD) outpatients who completed a baseline survey which assessed depressive symptoms, current medications, and smoking status. A second survey was mailed 9 months later that assessed depressive symptoms, anxiety, insomnia and smoking status. Results showed that current and former-smokers had significantly greater depressive symptoms than non-smokers. Ten percent of patients were taking antidepressants, most frequently SSRIs, with significantly more smokers on antidepressants than former and non-smokers. At follow-up, smokers on antidepressants were less likely to have quit, had greater anxiety, depressive symptoms and insomnia than smokers not using antidepressants. This study demonstrated that smokers and quitters with CAD had greater depressive symptoms and use of antidepressants than non-smokers, but that the antidepressants utilized may not be optimizing outcomes.
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Metagegevens
Titel
The association among depressive symptoms, smoking status and antidepressant use in cardiac outpatients
Auteurs
Shannon Gravely-Witte
Donna E. Stewart
Neville Suskin
Sherry L. Grace
Publicatiedatum
01-10-2009
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 5/2009
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-009-9218-3

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