Symptoms of depression and survival experience among three samples of smokers trying to quit

Symptoms of depression and survival experience among three samples of smokers trying to quit
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DOI:
10.1037/0893-164x.15.1.13
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发表时间:
2001-03-01
影响因子:
3.4
通讯作者:
Brown, R
Brown, R
中科院分区:
心理学2区
文献类型:
--
作者:
Niaura, R;Britt, DM;Brown, R

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在几项横断面和基于人群的研究中,抑郁症的症状与吸烟率增加和戒烟失败有关。然而,很少有研究前瞻性地检查抑郁症的当前症状预测治疗动机吸烟者戒烟失败的能力。在3个独立的样本中,通过3种不同的方法评估治疗前抑郁情绪,其中2个样本包括接受药物和行为联合治疗的吸烟者,第3个样本中吸烟者仅接受自助材料。在所有研究中,确定从戒烟日到第一支烟的天数,以记录生存率。生存分析表明,在所有3项研究中,生存时间显着负相关的措施,即使是非常低水平的治疗前抑郁情绪。结果在3个独立样本中重复,并且是稳健和一致明确的,表明基线时评估的低水平抑郁症状预测尝试戒烟后第一次吸烟的时间。
Symptoms of depression have been associated with increased smoking prevalence and failure to quit smoking in several cross-sectional and population-based studies. Few studies, however, have prospectively examined the ability of current symptoms of depression to predict failure to quit smoking in treatment-motivated smokers. Pretreatment depressed mood was assessed by 3 different methods in 3 separate samples, 2 of which comprised smokers receiving combined pharmacological and behavioral treatments and a 3rd in which smokers received self-help materials only. In all studies, time in days from quit day until the Ist cigarette was ascertained to document survival. Survival analyses showed that in all 3 studies survival time was significantly and negatively related to measures of even very low levels of pretreatment depressed mood. Results were replicated across 3 independent samples and were robust and uniformly clear, indicating that low levels of depressive symptoms assessed at baseline predict time to Ist cigarette smoked after attempted quitting.