Evidence map›Paper›PMID 24057928›Full record

Trial reportNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2014

Efficacy of sequential use of fluoxetine for smoking cessation in elevated depressive symptom smokers.

Richard A Brown, Ana M Abrantes, David R Strong, Raymond Niaura, Christopher W Kahler, Ivan W Miller, Lawrence H Price

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 5 pooled it
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 5 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Smoking cessation for improving mental health.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Antidepressants for smoking cessation.The Cochrane database of systematic reviews · 2020
    Pooled it
  4. Antidepressants for smoking cessation.The Cochrane database of systematic reviews · 2014
    Pooled it
  5. Smoking cessation interventions for smokers with current or past depression.The Cochrane database of systematic reviews · 2013
    Pooled it
  6. Trial
  7. Trial
  8. Supervised, Vigorous Intensity Exercise Intervention for Depressed Female Smokers: A Pilot Study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2017
    Trial
  9. Antidepressants for smoking cessation.The Cochrane database of systematic reviews · 2023
    Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Richard A BrownDepartment of Psychiatry and Human Behavior, Butler Hospital/Alpert Medical School of Brown University, Providence, RI;
Ana M Abrantes
David R Strong
Raymond Niaura
Christopher W Kahler
Ivan W Miller
Lawrence H Price
Brown University · USAmerican Legacy Foundation · USButler Hospital · USUniversity of California, San Diego · US

Funding

Sequential Use of Fluoxetine for Smokers with Elevated Depressive SymptomsR01DA023190 · NIDA · BUTLER HOSPITAL (PROVIDENCE, RI) · PI BROWN, RICHARD A · 2007 to 2011
$2.3M
NIDA NIH HHS R01 DA023190
6 · The paper itself

Abstract

introductionFluoxetine, a selective serotonin reuptake inhibitor, was examined in the treatment of smokers with elevated depressive symptoms. Specifically, this randomized, open-label clinical trial was designed to evaluate the efficacy of three logical, real-world alternatives for providing smoking cessation treatment to smokers with elevated depressive symptoms.

methodsIn a sample of 216 smokers (mean Center for Epidemiological Studies Depression Scale score = 11.41), participants were randomly assigned to (a) transdermal nicotine patch (TNP), beginning on quit date and continuing for 8 weeks thereafter; (b) standard administration of antidepressant pharmacotherapy with fluoxetine (20mg), beginning 2 weeks before quit date and continuing for 8 weeks following quit date + TNP (ST-FLUOX); or (c) sequential administration of fluoxetine (20mg), beginning 8 weeks before quit date and continuing for 8 weeks following quit date + TNP (SEQ-FLUOX). All participants received 5 sessions of brief behavioral smoking cessation treatment.

resultsFindings indicate that SEQ-FLUOX resulted in significantly higher point prevalence abstinence than ST-FLUOX at 6-month follow-up (OR = 2.35; 95% CI = 1.10-5.02, p < .03), a difference that was reduced at the 12-month assessment. Furthermore, sequential fluoxetine treatment, compared with standard fluoxetine treatment, resulted in significantly lower levels of depressive symptoms throughout smoking cessation treatment (p < .025) and significantly lower nicotine withdrawal-related negative affect (p < .004) immediately after quitting.

conclusionsFindings suggest that if one is going to prescribe fluoxetine for smoking cessation in smokers with elevated depressive symptoms, it is best to begin prescribing fluoxetine well before the target quit date.

Indexed as

AdolescentAdultAgedAntidepressive Agents, Second-GenerationBehavior TherapyCombined Modality TherapyDepressionDose-Response Relationship, DrugDrug Administration ScheduleFemaleFluoxetineFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesAntidepressive Agents, Second-GenerationFluoxetine

Identifiers

PMID24057928
PMCPMC13411490
OpenAlexW2168198667

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.