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There was a new depression/cessation study just released and this seems like a perfect opportunity to share the results. Having a bit of perspective on how rare or common a condition actually is can sometimes in and of itself be reassuring. Although just 4% of participants in the below study experienced the onset of major depression we each need to be alert to the possibility that 4% of our members may need medical help. It's not a large percentage but a very real percentage for which treatment - not nicotine - is warranted!
Addictive Behaviors 2003 May-Jun;28(3):461-70
Onset of major depression during treatment for nicotine dependence.
Killen JD, Fortmann SP, Schatzberg A, Hayward C, Varady A.
Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, 1000 Welch Road, 94304, Palo Alto, CA, USA
We monitored the emergence of major depression (MDD) during treatment for nicotine dependence among 224 smokers.MDD was assessed on three occasions during the course of treatment with the mood disorders portion of the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders (SCID), fourth edition (DSM-IV).Out of 224 participants, 20% had suffered a past episode of MDD, 18% of males and 22% of females. Four percent (n=10) experienced onset of MDD during the course of the study, four males and six females. Only 2 of the 10 cases managed to achieve abstinence at end of treatment. Those who reported large increases in depression symptoms between baseline and end of treatment (Week 10) were less likely to be abstinent at 26-week follow-up.The evidence indicates that those who treat nicotine dependence must be prepared to monitor and respond to the emergence of depression associated with treatment.
PMID: 12628619 [PubMed - in process]
Janet, only you know whether your holiday blues are historically seasonal or something more in need of treatment. If you see no joy in your day at 60 days please get seen. Medicating depression with the world's most addictive insecticide is self-destructive in itself. If needed, there are scores of non-addictive serotonin and dopamine manipulating medicines. With you in spirit. John