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Comparative Effectiveness of Smoking Cessation Treatments for Patients With Depression: A Systematic Review and Meta-analysis of the Evidence

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Comparative Effectiveness of Smoking Cessation Treatments for Patients With Depression: A Systematic Review and Meta-analysis of the Evidence (November 2010)

Investigators: Jennifer M. Gierisch, PhD, MPH, Lori A. Bastian, MD, MHSc, Patrick S. Calhoun, PhD, Jennifer R. McDuffie, PhD, John W. Williams, Jr., MD, MHSc.

Evidence-based Synthesis Program (ESP) Center, Durham VA Medical Center

Washington (DC): Department of Veterans Affairs; November 2010.

Download PDF: Complete Report, Executive Summary, Report, Appendices

Summary / Overview

In this systematic literature review, the following key questions were addressed:

Key Question #1: For patients with a history of a depressive disorder or current significant depressive symptoms, what is the comparative effectiveness of different smoking cessation strategies on smoking abstinence rates? Key Question #2: For patients with a history of a depressive disorder or current significant depressive symptoms, are there differential effects of smoking cessation strategies by depression status (i.e., history of MDD, current depressive symptoms, current MDD)? Key Question #3: For patients with a history of a depressive disorder or current significant depressive symptoms, are there differential effects of smoking cessation strategies by gender? Key Question #4: For patients with a history of a depressive disorder or current significant depressive symptoms, does treatment effectiveness differ by whether smoking cessation/ depression treatments are delivered concurrently or sequentially? Key Question #5: What is the nature and frequency of adverse effects of smoking cessation treatments in patients with a history of a depressive disorder or current significant depressive symptoms?

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