Depression and stages of change for smoking in psychiatric outpatients
Depression and stages of change for smoking in psychiatric outpatients
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DOI：
10.1016/s0306-4603(01)00178-2
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发表时间：
2001-09-01
影响因子：
4.4
通讯作者：
Hall, SM
中科院分区：
文献类型：
--
作者：
Acton, GS;Prochaska, JJ;Hall, SM
本文报道了抑郁症和戒烟阶段之间的关系。205名精神科门诊患者（68%为女性，平均年龄41岁）的便利样本完成了抑郁症的测量，包括精神疾病的初级保健评估[PRIME-MD]和贝克抑郁量表-II [BDI-II]），所有与吸烟相关的跨理论模型结构（改变的阶段和过程，吸烟的利弊，以及情境诱惑），以及关于戒烟的想法。正如假设的那样，从未吸烟的患者目前被诊断为重度抑郁症（MDD）的比率明显低于曾经吸烟的患者。处于变化早期的患者没有表现出更多的MDD或抑郁症状，但正如假设的那样，表现出更多关于禁欲的负面想法。研究结果是一致的吸烟和抑郁症之间的关联记录，并建议适当的建设戒烟干预的基础上，用于精神病患者的跨理论模型的变化。(C)2001爱思唯尔科技有限公司版权所有。
This article reports on the relations between depression and stages of change for smoking cessation. A convenience sample of 205 psychiatric outpatients (68% female, mean age 41) completed measures of depression Primary Care Evaluation of Mental Disorders [PRIME-MD] and Beck Depression Inventory-II [BDI-II]), all transtheoretical model constructs related to smoking (stages and processes of change, pros and cons of smoking, and situational temptations), and thoughts about abstinence. As hypothesized, patients who had never smoked showed substantially lower rates of currently diagnosed major depressive disorder (MDD) than those who had ever smoked. Patients in early stages of change did not show more MDD or depressive symptoms but, as hypothesized, showed more negative thoughts about abstinence. Findings are consistent with the documented association between smoking and depression and suggest the appropriateness of building smoking cessation interventions based on the transtheoretical model of change for use with psychiatric populations. (C) 2001 Elsevier Science Ltd. All rights reserved.