Year of Award

2010

Document Type

Dissertation

Degree Type

Doctor of Philosophy (PhD)

Degree Name

Clinical Psychology

Department or School/College

Department of Psychology

Committee Co-chair

Duncan Campbell, Kari Harris

Commitee Members

David Schuldberg, Bryan Cochran, David Brown

Keywords

Cognitive-behavioral Therapy, College Students, Depression, Smoking

Abstract

College smoking correlates positively with depressive symptoms, and given the relation between smoking and mood regulation, cigarette smoking is a major health concern among depressed college smokers. This randomized clinical trial examined smoking reduction and cessation among college smokers with elevated depressive symptoms participating in a group-based multi-component intervention including mood management, behavioral counseling, and motivational enhancement (CBT). Fifty-eight smokers (smoked 6 or more days in the past 30) were randomized to six sessions of the experimental intervention (n = 29) or a nutrition-focused attention-matched control group (CG; n = 29). Relative to CG participants, a significantly greater proportion of CBT participants reduced smoking intensity by 50 percent or more at end of treatment. In addition, confidence to reduce smoking increased significantly among CBT participants and decreased among CG participants from baseline to end of treatment. Overall, CBT participants maintained these changes at 3-month follow-up even though group differences were no longer statistically significant. Study findings demonstrate the feasibility of this intervention and support its utility for smoking reduction among depressed college students.

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© Copyright 2010 Holly E. Schleicher