Effects of an Intensive Depression-Focused Intervention for Smoking Cessation in Pregnancy
Effects of an Intensive Depression-Focused Intervention for Smoking Cessation in Pregnancy
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DOI：
10.1037/a0018168
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发表时间：
2010-02-01
影响因子：
5.9
通讯作者：
Karam-Hage, Maher
中科院分区：
文献类型：
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作者：
Cinciripini, Paul M.;Blalock, Janice A.;Karam-Hage, Maher
目的：本研究的目的是评价以抑郁为中心的戒烟治疗与时间和接触健康教育对照的孕妇戒烟方法。我们假设，专注于抑郁症的治疗将导致高度抑郁症状的女性的禁欲改善和抑郁症状的减少。没有假设治疗的显著主要影响。方法。孕妇吸烟者(N=257)被随机分配到为期10周的以抑郁为重点的强化干预(心理治疗的认知行为分析系统；CBASP)或专注于健康和健康(HW)的时间和接触控制：两者都包括等量的行为和激励性戒烟咨询。在样本中，54%的人是非裔美国人，37%的人符合严重抑郁症的标准。研究开始时，平均年龄为25岁(SD=5.9)，女性平均怀孕19.5周(SD=8.5)。我们使用流行病学研究中心抑郁量表(Radloff，1977)测量抑郁症状。结果：在治疗6个月后，接受CBASP治疗的基线抑郁症状水平较高的女性戒断的频率显著高于接受HW治疗的女性，F(i，253)=5.61，p=0.02，而抑郁程度较低的女性，F(i，2620)=10.49，p=.001：那些基线抑郁水平较低的女性在HW治疗中表现更好。产后6个月禁欲的差异没有保留。结论：研究结果表明，有高度抑郁症状的孕妇可能会从改善禁欲和抑郁症状方面受益于以抑郁为重点的治疗，这两者可能对母婴健康产生共同的积极影响。
Objective: The objective of this study was to evaluate a depression-focused treatment for smoking cessation in pregnant women versus a time and contact health education control. We hypothesized that the depression-focused treatment would lead to improved abstinence and reduced depressive symptoms among women with high levels of depressive symptomatology. No significant main effects of treatment were hypothesized. Method. Pregnant smokers (N = 257) were randomly assigned to a 10-week, intensive, depression-focused intervention (cognitive behavioral analysis system of psychotherapy; CBASP) or to a time and contact control focused on health and wellness (HW): both included equivalent amounts of behavioral and motivational smoking cessation counseling. Of the sample, 54% were African American, and 37% met criteria for major depression. Mean age was 25 years (SD = 5.9), and women averaged 19.5 weeks (SD = 8.5) gestation at study entry. We measured symptoms of depression using the Center for Epidemiological Studies-Depression Scale (Radloff, 1977). Results: At 6 months posttreatment, women with higher levels of baseline depressive symptoms treated with CBASP were abstinent significantly more often, F(I, 253) = 5.61, p = .02, and had less depression, F(I, 2620) = 10.49, p = .001, than those treated with HW: those with low baseline depression fared better in HW. Differences in abstinence were not retained at 6 months postpartum. Conclusions: The results suggest that pregnant women with high levels of depressive symptoms may benefit from a depression-focused treatment in terms of improved abstinence and depressive symptoms, both of which could have a combined positive effect on maternal and child health.