Cognitive coping skills and depression vulnerability among cigarette smokers
Cognitive coping skills and depression vulnerability among cigarette smokers
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DOI：
10.1016/j.addbeh.2004.03.026
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发表时间：
2004-08-01
影响因子：
4.4
通讯作者：
Wernicke, RA
中科院分区：
文献类型：
--
作者：
Haaga, DAF;Thorndike, FP;Wernicke, RA
容易患抑郁症的吸烟者在戒烟时遇到相当大的困难，可能是因为他们使用吸烟来管理负面影响，并且拥有不发达的替代应对技能。努力适应抑郁症的认知行为疗法（CBT）的治疗抑郁症易感吸烟者取得了不一致的结果。这项研究测试了这些混合结果的一种可能解释，即易患抑郁症的吸烟者实际上并不缺乏CBT所教授的技能的可能性。有重度抑郁症病史但目前没有抑郁发作的经常吸烟者（n = 66）在应对方式[WOR;行为]上的得分比从未抑郁过的吸烟者（n = 68）差。评估。14（1992）93]应对消极情绪和自动思维的技能测试。结果是类似的分析使用自评抑郁倾向，而不是基于访谈的诊断过去的抑郁症，作为抑郁症脆弱性的标志。结果是（非显着）更强的白人（n = 54）比非洲裔美国人（n = 73）吸烟者。未来的研究认知应对，CBT和吸烟的影响进行了讨论。(C)2004爱思唯尔有限公司保留所有权利。
Cigarette smokers vulnerable to depression experience considerable difficulty in quitting smoking, possibly because they use smoking to manage negative affect and possess underdeveloped alternative coping skills for doing so. Efforts to adapt cognitive behavior therapy (CBT) of depression to the treatment of depression-vulnerable smokers have achieved inconsistent results. This research tested one possible explanation for these mixed results, the possibility that depression-vulnerable smokers are not actually deficient in the skills taught in CBT. Regular smokers with a history of major depression, but not currently in a depressive episode (n = 66), scored worse than did the never-depressed smokers (n = 68) on the Ways of Responding [WOR; Behav. Assess. 14 (1992) 93] test of skills for coping with negative moods and automatic thoughts. Results were similar in analyses using self-rated depression proneness, rather than interview-based diagnosis of past major depression, as the marker of depression vulnerability. Results were (nonsignificantly) stronger for Caucasian (n = 54) than for African-American (n = 73) smokers. Implications for future research on cognitive coping, CBT, and smoking are discussed. (C) 2004 Elsevier Ltd. All rights reserved.