{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T23:13:37Z","timestamp":1773011617689,"version":"3.50.1"},"reference-count":41,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T00:00:00Z","timestamp":1771459200000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite the known benefits of smoking cessation for head and neck cancer (HNC) patients, a significant proportion continue to use tobacco after treatment. Although the causes of this phenomenon are multifactorial, the underlying psychological mechanisms are still poorly understood.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Investigate the influence of sociodemographic, clinicopathological, and psychological factors on smoking cessation after treatment of HNC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study included 71 smoking HNC patients who had completed cancer treatment for at least 12\u00a0months. Clinicopathological characteristics and anxiety and depression symptoms extracted the Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI) were evaluated in the pre\u2010treatment period. Data on smoking history was assessed through a semi\u2010structured interview.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A proportion of patients with HNC patients (39.4%) continued to smoke immediately after completing cancer treatment, with this proportion rising to 43.7% after 12\u00a0months of treatment. Logistic regression analyses showed that the occurrence of the primary tumor in the oral cavity (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u00a0=\u00a06.891,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.008) and the psychological symptom of sadness measured by the BDI (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u00a0=\u00a05.279,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.023) were predictive of smoking maintenance 12\u00a0months after the end of cancer treatment. Feeling like a failure before cancer treatment was the only predictor variable for smoking maintenance immediately after and 12\u00a0months after the end of treatment (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u00a0=\u00a013.455,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001;\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u00a0=\u00a04.537,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.043; respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study presents exploratory insights that identifies pre\u2010treatment specific depressive symptoms and primary tumor location as promising predictive factors for continued tobacco use in patients treated for head and neck cancer.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70404","type":"journal-article","created":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T15:40:37Z","timestamp":1771515637000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Specific Depressive Symptoms and Primary Tumor Location as Potential Predictors of Smoking Maintenance After Head and Neck Cancer Treatment"],"prefix":"10.1002","volume":"35","author":[{"given":"Ana Daniela","family":"Sp\u00ednola\u2010Silva","sequence":"first","affiliation":[{"name":"Psychosomatic and Education Research Center Oral Oncology Center S\u00e3o Paulo State University (Unesp) School of Dentistry  Ara\u00e7atuba S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00e9ssica Soares","family":"Bugiga","sequence":"additional","affiliation":[{"name":"Psychosomatic and Education Research Center Oral Oncology Center S\u00e3o Paulo State University (Unesp) School of Dentistry  Ara\u00e7atuba S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5705-9877","authenticated-orcid":false,"given":"Bruna Am\u00e9lia Moreira","family":"Sarafim\u2010Costa","sequence":"additional","affiliation":[{"name":"Psychosomatic and Education Research Center Oral Oncology Center S\u00e3o Paulo State University (Unesp) School of Dentistry  Ara\u00e7atuba S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabrielle Dias","family":"Duarte","sequence":"additional","affiliation":[{"name":"Psychosomatic and Education Research Center Oral Oncology Center S\u00e3o Paulo State University (Unesp) School of Dentistry  Ara\u00e7atuba S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4035-4228","authenticated-orcid":false,"given":"Ana L\u00edvia","family":"Santos\u2010Sousa","sequence":"additional","affiliation":[{"name":"Psychosomatic and Education Research Center Oral Oncology Center S\u00e3o Paulo State University (Unesp) School of Dentistry  Ara\u00e7atuba S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael Akira Tzanno","family":"Murayama","sequence":"additional","affiliation":[{"name":"Psychosomatic and Education Research Center Oral Oncology Center S\u00e3o Paulo State University (Unesp) School of Dentistry  Ara\u00e7atuba S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4631-6559","authenticated-orcid":false,"given":"Aline Satie","family":"Takamiya","sequence":"additional","affiliation":[{"name":"Psychosomatic and Education Research Center Oral Oncology Center S\u00e3o Paulo State University (Unesp) School of Dentistry  Ara\u00e7atuba S\u00e3o Paulo Brazil"},{"name":"Department of Diagnosis and Surgery S\u00e3o Paulo State University (Unesp) School of Dentistry  Ara\u00e7atuba S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c9der Ricardo","family":"Biasoli","sequence":"additional","affiliation":[{"name":"Psychosomatic and Education Research Center Oral Oncology Center S\u00e3o Paulo State University (Unesp) School of Dentistry  Ara\u00e7atuba S\u00e3o Paulo Brazil"},{"name":"Department of Diagnosis and Surgery S\u00e3o Paulo State University (Unesp) School of Dentistry  Ara\u00e7atuba S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4434-6057","authenticated-orcid":false,"given":"Vitor Bonetti","family":"Valente","sequence":"additional","affiliation":[{"name":"Psychosomatic and Education Research Center Oral Oncology Center S\u00e3o Paulo State University (Unesp) School of Dentistry  Ara\u00e7atuba S\u00e3o Paulo Brazil"},{"name":"Department of Diagnosis and Surgery 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