Electronic Thesis/Dissertation
 

Relationships Between Perinatal Depression and Smoking Behaviors in Medicaid-Funded Women

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This study examined the relationship between depressive symptoms and a number of smoking behaviors and intervention acceptance and outcomes. Specifically, we examined the degree to which depressive symptoms predicted smoking cessation, as partially mediated by self efficacy regarding quitting smoking. Participants were from the Smoking Cessation and Reduction in Pregnancy Treatment (SCRIPT) Program, which focused on smoking cessation in Medicaid funded women in West Virginia. A sample of 2,230 white, pregnant Medicaid recipients comprise the study's participants. Results indicated that depressive symptoms did not predict smoking cessation, but that Self efficacy to quit smoking was predictive of cessation in the overall sample. Severe symptoms were predictive of lower program completion. Women experiencing greater depressive symptoms self reported smoking greater amounts of cigarettes than those not experiencing symptoms, though biochemical reports indicated that they did not in fact smoke more than non symptomatic smokers. These results have clinical and public health implications, especially in the realm of smoking cessation interventions aimed at pregnant smokers.

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