COGNITIVE COPING AND DEPRESSION AMONG CIGARETTE SMOKERS

吸烟者的认知应对和抑郁

• 批准号: 6140662
• 负责人: DAVID A. HAAGA
• 金额: $ 1.51万
• 依托单位: AMERICAN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-08-01 至 2001-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6140662
• 关键词: behavioral /social science research tag; clinical research; cognitive behavior therapy; coping; disease /disorder proneness /risk; human subject; human therapy evaluation; major depression; psychometrics; smoking; smoking cessation

DESCRIPTION: Improved methods of cigarette smoking cessation may result from increased understanding of the reasons for mixed results of prior attempts to target specific treatments to subgroups of smokers. This project addresses one such attempt, the incorporation of cognitive behavior therapy (CBT) for depression into smoking cessation programs for depression- history-positive smokers, who are otherwise at high risk for failure. Clinical trials of this strategy have yielded mixed findings. To illuminate the causes of these mixed findings, the proposed project will test two possible explanations for them: (a) depression vulnerability needs to be measured more directly, rather than inferred from a history of major depression, and (b) depression-vulnerable smokers are not in fact especially deficient in the mood management skills taught in cognitive behavior therapy, so that teaching these skills is unlikely to be a specifically useful treatment component for this subgroup of smokers. One hundred and sixty nondepressed adult smokers (80 with a history of major depression, 80 without) will participate in a cross-sectional comparison of general cognitive coping skills (as measured by the Ways of Responding test) and smoking-specific cognitive coping skills (as measured via articulated thoughts in smoking temptation situations). Besides history of depression, self-rated depression proneness will be used as a second marker of depression vulnerability to determine whether this distinction can account for inconsistent results in clinical trials of CBT. This research will provide critical data concerning (a) how best to measure depression vulnerability in future smoking cessation research and (b) whether the primary premise of efforts to match CBT to specific subgroups of smokers is accurate and therefore whether such matching efforts should be a high priority for additional clinical trials.

描述：改进的戒烟方法可能会导致 由于对先前的结果好坏参半的原因有了更多的了解， 尝试针对吸烟者亚群的特定治疗。 这 项目解决了这样一个尝试，纳入认知行为 将抑郁症的CBT治疗纳入抑郁症的戒烟计划- 吸烟史呈阳性，否则失败的风险很高。 这一策略的临床试验结果喜忧参半。 以照亮 这些混合调查结果的原因，拟议的项目将测试两个 可能的解释：（a）抑郁症的脆弱性需要 更直接地衡量，而不是从主要的历史推断， 抑郁症，和（B）抑郁症易感吸烟者实际上并不是特别 缺乏认知行为中教授的情绪管理技能， 因此，教授这些技能不太可能是一种特殊的治疗方法。 对这一吸烟者亚组有用的治疗成分。 160名非抑郁的成年吸烟者（80名有严重吸烟史） 抑郁症，80没有）将参加一个横截面比较， 一般认知应对技能（通过应对方式测试测量） 和特定于吸烟的认知应对技能（通过 在吸烟诱惑的情况下思考）。 除了抑郁症史， 自评抑郁倾向将被用作第二个标记， 抑郁症的脆弱性，以确定这种区别是否可以解释 CBT临床试验的不一致结果 这项研究将提供关键数据，涉及（a）如何最好地衡量 未来戒烟研究中的抑郁脆弱性和（B） 将CBT与特定亚组相匹配的努力的主要前提是否 吸烟者是准确的，因此，这种匹配的努力是否应该是一个 更多临床试验的优先级。