Predictors of smoking cessation among persons in remission from substance-use disorders

Abstract

Though remission of substance-use disorders (SUDs) has been correlated with increased odds of smoking cessation, a subgroup of remitters continues to smoke. However, information regarding this population is lacking. Data from the National Epidemiologic Survey on Alcohol and Related Conditions were analyzed. The sample included 1417 smokers with SUDs who completed Wave 1 (Baseline) and Wave 2 (Follow-up) assessments. Results indicated that the presence of generalized anxiety disorder, Cluster A personality disorders, major depression/dysthymic disorder, or manic depression/hypomanic disorder since Wave 1 was associated with a reduced likelihood of smoking cessation. These data suggest that healthcare providers who treat smokers in remission from SUDs should carefully assess for the presence of mood disorders and provide appropriate treatment, as well as offering adjunctive evidence-based smoking cessation treatments.

Keywords:

• comorbidity
• dual diagnosis
• mood disorder