Change in mental health after smoking cessation: systematic review and meta-analysis.
Change in mental health after smoking cessation: systematic review and meta-analysis.
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DOI：
10.1136/bmj.g1151
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发表时间：
2014-02-13
期刊：
影响因子：
--
通讯作者：
Aveyard P
中科院分区：
文献类型：
--
作者：
Taylor G;McNeill A;Girling A;Farley A;Lindson-Hawley N;Aveyard P
目的探讨戒烟与继续吸烟对心理健康的影响。设计观察性研究的系统回顾和荟萃分析。数据来源：Web of Science、科克伦对照试验中心注册中心、Medline、Embase和PsycINFO，用于从开始到2012年4月的相关研究。手动检索纳入研究的参考文献列表，并在报告数据不足时联系作者。选择研究的资格标准：对健康和临床人群进行戒烟前和戒烟后至少6周或基线的成人心理健康状况进行评估的纵向研究。结果共纳入26篇采用问卷调查的研究，包括焦虑、抑郁、焦虑抑郁混合型、心理生活质量、积极情感和压力。在基线后7周至9年之间测量了随访心理健康评分。戒烟者与持续吸烟者相比，焦虑、抑郁、混合焦虑和抑郁以及压力在基线和随访期间显著降低：标准化平均差异（95%置信区间）为焦虑-0.37（95%置信区间为-0.70至-0.03）;抑郁-0.25（-0.37至-0.12）;焦虑和抑郁混合型-0.31（-0.47至-0.14）;压力-0.27（-0.40至-0.13）。戒烟者的心理生活质量和积极情感在基线和随访期间均显著高于持续吸烟者，分别为0.22（0.09至0.36）和0.40（0.09至0.71）。没有证据表明一般人群和身体或精神疾病人群之间的效应量不同。结论：与继续吸烟相比，戒烟与减少抑郁、焦虑和压力以及改善积极情绪和生活质量有关。对于那些患有精神疾病的人来说，效果大小似乎和没有精神疾病的人一样大。效果大小等于或大于情绪和焦虑障碍的抗抑郁药治疗。
Objective To investigate change in mental health after smoking cessation compared with continuing to smoke. Design Systematic review and meta-analysis of observational studies. Data sources Web of Science, Cochrane Central Register of Controlled Trials, Medline, Embase, and PsycINFO for relevant studies from inception to April 2012. Reference lists of included studies were hand searched, and authors were contacted when insufficient data were reported. Eligibility criteria for selecting studies Longitudinal studies of adults that assessed mental health before smoking cessation and at least six weeks after cessation or baseline in healthy and clinical populations. Results 26 studies that assessed mental health with questionnaires designed to measure anxiety, depression, mixed anxiety and depression, psychological quality of life, positive affect, and stress were included. Follow-up mental health scores were measured between seven weeks and nine years after baseline. Anxiety, depression, mixed anxiety and depression, and stress significantly decreased between baseline and follow-up in quitters compared with continuing smokers: the standardised mean differences (95% confidence intervals) were anxiety −0.37 (95% confidence interval −0.70 to −0.03); depression −0.25 (−0.37 to −0.12); mixed anxiety and depression −0.31 (−0.47 to −0.14); stress −0.27 (−0.40 to −0.13). Both psychological quality of life and positive affect significantly increased between baseline and follow-up in quitters compared with continuing smokers 0.22 (0.09 to 0.36) and 0.40 (0.09 to 0.71), respectively). There was no evidence that the effect size differed between the general population and populations with physical or psychiatric disorders. Conclusions Smoking cessation is associated with reduced depression, anxiety, and stress and improved positive mood and quality of life compared with continuing to smoke. The effect size seems as large for those with psychiatric disorders as those without. The effect sizes are equal or larger than those of antidepressant treatment for mood and anxiety disorders.
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影响因子：
2.4
作者：
Kerr, Susan;Watson, Hazel;Brown, Malcolm
通讯作者：
Brown, Malcolm
DOI：
10.1056/nejmra0809890
发表时间：
2010-06-17
期刊：
The New England journal of medicine
影响因子：
--
作者：
Benowitz NL
通讯作者：
Benowitz NL
影响因子：
6.9
作者：
Bjorngaard, J. H.;Gunnell, D.;Romundstad, P.
通讯作者：
Romundstad, P.
影响因子：
3.7
作者：
Chang CK;Hayes RD;Perera G;Broadbent MT;Fernandes AC;Lee WE;Hotopf M;Stewart R
通讯作者：
Stewart R
影响因子：
7.2
作者：
FOLLMANN, D;ELLIOTT, P;CUTLER, J
通讯作者：
CUTLER, J