Differences in smoking expectancies in smokers with and without a history of major depression.
Differences in smoking expectancies in smokers with and without a history of major depression.
复制标题
有和没有重度抑郁症病史的吸烟者的吸烟预期差异。
DOI：
10.1016/j.addbeh.2010.12.024
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发表时间：
2011
影响因子：
4.4
通讯作者：
McKee,SherryA
中科院分区：
文献类型：
--
作者：
Weinberger,AndreaH;George,TonyP;McKee,SherryA
与没有抑郁症的成年人相比，患有抑郁症的成年人吸烟率更高，戒烟率更低。人们对抑郁和吸烟信念之间的关系知之甚少，而吸烟信念又与吸烟和戒烟行为有关。这项研究的主要目的是检查有和没有严重抑郁障碍(MDD)病史的成年吸烟者在他们对吸烟预期的认可上是否存在差异。这项研究的第二个目的是检验抑郁和性别在预期认可上是否存在交互作用。参加盐酸司来吉兰戒烟临床试验的成年吸烟者被分为有抑郁史(MDD+，n=26)和无抑郁史(MDD−，n=75)。在随机进入临床试验之前，对抑郁史和吸烟预期进行了评估。在评估的10种信仰中，有7种是抑郁症的主要影响因素。与−吸烟者相比，吸烟+吸烟者更强烈地支持这样的信念：吸烟减少负面影响、无聊和渴望；吸烟增加刺激和社交便利；吸烟有助于控制渴望和体重；并且吸烟的味道是愉快的。性别的主效应和抑郁与性别的交互作用不显著。对于有抑郁病史的吸烟者来说，将期望纳入戒烟的认知行为疗法可能是有用的。
Adults with depression evidence higher rates of smoking and lower quit rates than adults without depression. Little is known about the relationship between depression and smoking beliefs which are associated with both smoking and smoking cessation behavior. The primary aim of this study was to examine whether adult smokers with and without a history of major depressive disorder (MDD) differ in their endorsement of smoking expectancies. The secondary aim of the study was to examine whether there were interactions of depression and gender on the endorsement of expectancies. Adult cigarette smokers participating in a clinical trial of Selegiline hydrochloride for smoking cessation were classified as having a history of depression (MDD+, n=26) or no history of depression (MDD−, n=75). History of depression and smoking expectancies were assessed prior to randomization into the clinical trial. There was a main effect of depression on 7 out of 10 of the assessed beliefs. MDD+ smokers, compared to MDD− smokers, more strongly endorsed beliefs that smoking reduces negative affect, boredom, and cravings; smoking increases stimulation and social facilitation; smoking helps to manage cravings and weight; and that the taste is enjoyable. The main effect of gender and the interactive effect of depression and gender were not significant. Incorporating expectancies into cognitive–behavioral treatments for smoking cessation may be useful for smokers with a history of depression.