Interactive effects of depression symptoms, nicotine dependence, and weight change on late smoking relapse.
Interactive effects of depression symptoms, nicotine dependence, and weight change on late smoking relapse.
复制标题
DOI：
10.1037//0022-006x.64.5.1060
复制
发表时间：
1996-10
影响因子：
5.9
通讯作者：
J. Killen;S. Fortmann;H. Kraemer;A. Varady;Laurie Davis;B. Newman
中科院分区：
文献类型：
--
作者：
J. Killen;S. Fortmann;H. Kraemer;A. Varady;Laurie Davis;B. Newman
信号检测方法被用来开发一种算法，用于区分那些有晚期复发风险的人和那些可能保持禁欲的人。确定了四个亚组，24个月生存率（无复发）范围为79%至33%。在抑郁症状从基线到治疗结束下降的参与者中，尼古丁依赖水平较低与24个月随访时复发率较低相关（比值比= 2.77; 95%置信区间：1.36-5.62）。在抑郁症状从基线到治疗结束增加的参与者中，体重增加越多，随访时复发越少（比值比= 2.90; 95%置信区间：1.41-5.96）。这项研究表明，使用基线和治疗信息来“滴定”干预措施是可能的。
Signal detection methods were used to develop an algorithm useful in distinguishing those at risk for late relapse from those likely to maintain abstinence. Four subgroups with 24-month survival (nonrelapse) rates ranging from 79% to 33% were identified. Among participants whose depression symptoms decreased from baseline to the end of treatment, lower levels of nicotine dependence were associated with less relapse at the 24-month follow-up (odds ratio = 2.77; 95% confidence interval: 1.36-5.62). Among participants whose depression symptoms increased from baseline to the end of treatment, greater weight gain was associated with less relapse at follow-up (odds ratio = 2.90; 95% confidence interval: 1.41-5.96). This study suggested that it may become possible to use both baseline and treatment information to "titrate" interventions.