Evidence map›Paper›PMID 31219152›Full record

Trial reportAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2020

Depressive Symptoms Assessed Near the End of Pregnancy Predict Differential Response to Postpartum Smoking Relapse Prevention Intervention.

Michele D Levine, Rebecca L Emery, Rachel P Kolko Conlon, Marsha D Marcus, Lisa J Germeroth, Rachel H Salk, Yu Cheng

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00757068 (Addressing Postpartum Mood and Weight Concerns to Sustain Smoking Cessation), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.4field-weighted citation impact, top 30% 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.

NCT00757068 nacompletednot on this map

Addressing Postpartum Mood and Weight Concerns to Sustain Smoking Cessation

TypeinterventionalSponsorUniversity of PittsburghRan2007 to 2014Enrolled300ConditionsSmokingArmsCBT addressing postpartum mood and weight concerns, Supportive Behavioral Therapy
3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 3 citations in OpenAlex.

No citing paper in PubMed yet.

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 1 institution in 1 country.

Michele D LevineDepartment of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Rebecca L EmeryDepartment of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Rachel P Kolko ConlonDepartment of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Marsha D MarcusDepartment of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Lisa J GermerothDepartment of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Rachel H SalkDepartment of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Yu ChengDepartment of Statistics and Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
University of Pittsburgh · US

Funding

CARDIOVASCULAR BEHAVIORAL MEDICINE RESEARCH TRAININGT32HL007560 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Peter J Gianaros, REBECCA C THURSTON · 1985 to 2026
$11.3M
Addressing Postpartum Mood and Weight Concerns to Sustain Smoking CessationR01DA021608 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LEVINE, MICHELE D · 2007 to 2011
$2.6M
NICOTINE, ENERGY BALANCE, AND PREVENTION OF WEIGHT GAINR01DA004174 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MARCUS, MARSHA D · 1986 to 2004
$1.5M
NHLBI NIH HHS T32 HL007560NIDA NIH HHS R01 DA004174NIDA NIH HHS R01 DA021608
6 · The paper itself

Abstract

backgroundDepressive symptoms are prevalent during pregnancy and the postpartum period and affect risk for smoking relapse. Whether and how depression affects response to postpartum interventions designed to sustain smoking abstinence is unknown. PURPOSE: We examined end-of-pregnancy depressive symptoms as a moderator of response to two postpartum-adapted smoking relapse prevention interventions.

methodsWomen (N = 300) who quit smoking during pregnancy were randomized to receive either a postpartum intervention focused on psychosocial factors linked to postpartum smoking (Strategies to Avoid Returning to Smoking [STARTS]) or an attention-controlled comparison intervention (SUPPORT). Women completed the Edinburgh Postnatal Depression Scale at the end of pregnancy. Smoking status was biochemically assessed at the end of pregnancy and at 12, 24, and 52 weeks postpartum.

resultsEnd-of-pregnancy depressive symptoms moderated response to postpartum smoking relapse prevention interventions (χ2 = 10.18, p = .001). After controlling for variables previously linked to postpartum smoking relapse, women with clinically significant end-of-pregnancy depressive symptoms (20%) were more likely to sustain abstinence through 52 weeks postpartum if they received STARTS. In contrast, women with few end-of-pregnancy depressive symptoms were more likely to sustain abstinence through 52 weeks postpartum if they received SUPPORT. Changes in the psychosocial factors addressed in the STARTS intervention did not mediate this moderation effect.

conclusionAssessment of end-of-pregnancy depressive symptoms may help determine success following postpartum smoking relapse prevention interventions. Women with elevated end-of-pregnancy depressive symptoms benefited from postpartum relapse prevention intervention tailored to their psychosocial needs, while those with few symptoms were more successful in postpartum intervention that used standard behavioral components. CLINICAL

trial registrationNCT00757068.

Indexed as

DepressionOutcome and Process Assessment, Health CarePostpartum PeriodPregnancy ComplicationsAdultFemaleFollow-Up StudiesHumansPregnancyPregnancy Trimester, ThirdSecondary PreventionSmoking PreventionDepressive symptomsPostpartumRelapse preventionSmoking cessation

Identifiers

PMID31219152
PMCPMC7170725
OpenAlexW2952938389

What OpenQuestion holds

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Registered trials

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.