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Coping Strategies in the Association Between Depression and Smoking Urges

Differential Results According to Sex

Bibliographic Data

ID21645644
AuthorsElizabeth Moss-Alonso (0009-0008-0782-4893, Universidade de Santiago de Compostela, corresponding author), Carmela Martínez Vispo (0000-0002-8503-1791, Universidade de Santiago de Compostela), Ana López‐Durán (0000-0001-7661-8972, Universidade de Santiago de Compostela), Elisardo Becoña (0000-0002-6639-3834, Universidade de Santiago de Compostela)
Year2026
Volume61
Issue4
Pages563-570
Publication date2026-03-21
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueSubstance Use & Misuse (JOURNAL)
Journal identifiersISSN: 1082-6084 • E-ISSN: 1532-2491
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/10826084.2025.2568152
PMID41083206
OpenAlexW4415177279
LanguageEN
References cited47

BACKGROUND: The association of coping strategies with smoking-related variables according to sex has been understudied. Women experience greater difficulties than men to quit smoking and remain abstinent. Considering the impact of smoking on women's health, it is important to identify factors that may promote cessation. The goal was to analyze the differential association according to sex between depressive episode history and smoking urges through the impact of coping strategies. METHODS: = 45.34, 61.2% women). Two sex-stratified multiple mediation models were conducted. All measures were taken at baseline. Depressive episode history was assessed using the MDE screener, coping strategies using the brief COPE, and smoking urges with the QSU. RESULTS: The mediation analyses showed a significant indirect effect of depressive episode history on negative-affect-related craving (QSU F2) through maladaptive coping strategies both in women and men. Furthermore, in the case of women, a significant indirect effect of depressive episode history on desire-related craving (QSU F1) through maladaptive coping was found. CONCLUSION: Maladaptive coping strategies influence the relationship between depressive episode history and cigarette craving. These results have the potential to inform tailored smoking cessation strategies. Therefore, assessing maladaptive coping and including techniques to reduce its use in smoking cessation interventions, considering sex and the different types of craving, may improve abstinence rates

Abstinence · Cigarette smoking · Depressive symptoms · Differential association · Smoking cessation · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · Posttraumatic Stress Disorder Research · Smoking Behavior and Cessation

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  • Depressive symptoms affect changes in nicotine withdrawal and smoking urges throughout smoking cessation treatment

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Citation velocityhistorical
Highly citedNo

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