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However, how previous quit attempts may affect the relationship between depressive symptoms and long-term smoking cessation has not been studied. This study aims to investigate the interactive effect of previous quit attempts in the relationship between depressive symptoms and cessation at the 12-month follow-up after a psychological intervention for smoking cessation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      The sample comprised 509 participants who smoked (\n                      <jats:italic toggle=\"yes\">M<\/jats:italic>\n                      <jats:sub>age<\/jats:sub>\n                      \u2009=\u200945.35, 61.7% female) requesting treatment to quit smoking. Depressive symptoms were assessed at baseline using the Beck Depression Inventory-II. Participants who did not smoke in the previous 30\u2009days were considered to have quit smoking at the 12-month follow-up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Regression analyses showed a significant interaction between depressive symptoms and previous quit attempts. Concretely, those participants with higher depressive symptoms and no previous quit experiences were less likely to report quitting at 12-month follow-up compared to those who reported two or more previous quit attempts (OR\u2009=\u20090.45,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.016). These findings were confirmed by stratified regression models, which showed that depressive symptoms were significantly negatively associated with cessation only among those participants without previous quit attempts (OR\u2009=\u20090.43,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.004).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Findings of the present study suggest that not having previous experience in quitting smoking may impact the relationship between depressive symptoms and long-term cessation in seeking-treatment people who smoke. These findings could be used in clinical practice to improve long-term smoking cessation success.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/29767342251370820","type":"journal-article","created":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T05:33:10Z","timestamp":1759555990000},"page":"337-344","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Depressive Symptoms and Smoking Cessation Success at 12-Month Follow-Up After a Smoking Cessation Treatment: The Moderating Role of Past Quit Attempts"],"prefix":"10.1177","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9010-9197","authenticated-orcid":false,"given":"Mar\u00eda","family":"Ramos-Carro","sequence":"first","affiliation":[{"name":"Smoking and Addictive Disorders Unit, Faculty of Psychology, University of Santiago de Compostela, Santiago de Compostela, Spain"},{"name":"Institute of Psychology (IPsiUS), University of Santiago de Compostela, Santiago de Compostela, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8503-1791","authenticated-orcid":false,"given":"Carmela","family":"Mart\u00ednez-Vispo","sequence":"additional","affiliation":[{"name":"Smoking and Addictive Disorders Unit, Faculty of Psychology, University of Santiago de Compostela, Santiago de Compostela, Spain"},{"name":"Institute of Psychology (IPsiUS), University of Santiago de Compostela, Santiago de Compostela, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7661-8972","authenticated-orcid":false,"given":"Ana","family":"L\u00f3pez-Dur\u00e1n","sequence":"additional","affiliation":[{"name":"Smoking and Addictive Disorders Unit, Faculty of Psychology, University of Santiago de Compostela, Santiago de Compostela, Spain"},{"name":"Institute of Psychology (IPsiUS), University of Santiago de Compostela, Santiago de Compostela, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6639-3834","authenticated-orcid":false,"given":"Elisardo","family":"Beco\u00f1a","sequence":"additional","affiliation":[{"name":"Smoking and Addictive Disorders Unit, Faculty of Psychology, University of Santiago de Compostela, Santiago de Compostela, Spain"},{"name":"Institute of Psychology (IPsiUS), University of Santiago de Compostela, Santiago de Compostela, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,3]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"World Health Organization. WHO global report on trends in prevalence of tobacco use 2000-2025 third edition. 2019. Accessed April 19 2024. https:\/\/www.who.int\/publications-detail-redirect\/who-global-report-on-trends-in-prevalence-of-tobacco-use-2000-2025-third-edition"},{"key":"e_1_3_2_3_2","unstructured":"Instituto Nacional de Estad\u00edstica [National Statistics Institute]. Notas de prensa: Encuesta Europea de Salud en Espa\u00f1a (EESE) A\u00f1o 2020 [Press releases: European Health Survey in Spain (EHSS) Year 2020]. Accessed April 19 2024. https:\/\/www.ine.es\/prensa\/eese_2020.pdf"},{"key":"e_1_3_2_4_2","unstructured":"National Center for Chronic Disease Prevention and Health Promotion (US) Office on Smoking and Health. The Health Consequences of Smoking\u201450 Years of Progress: A Report of the Surgeon General. Centers for Disease Control and Prevention (US); 2014. 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