Kahler Christopher W, Brown Richard A, Ramsey Susan E, Niaura Raymond, Abrams David B, Goldstein Michael G, Mueller Timothy I, Miller Ivan W
Department of Psychiatry and Human Behavior, Brown Medical School/Butler Hospital, Providence, Rhode Island, USA.
J Abnorm Psychol. 2002 Nov;111(4):670-5. doi: 10.1037//0021-843x.111.4.670.
Negative mood, depressive symptoms, and major depressive episodes (MDEs) were examined in 179 smokers with a history of major depression in a trial comparing standard smoking cessation treatment to treatment incorporating cognitive-behavioral therapy for depression (CBT-D). Early lapses were associated with relatively large increases in negative mood on quit date. Mood improved in the 2 weeks after quit date among those returning to regular smoking but not among those smoking moderately. Continuous abstinence was associated with short- and long-term reductions in depressive symptoms. MDE incidence during follow-up was 15.3% and was not associated with abstinence. Unexpected was that CBT-D was associated with greater negative mood and depressive symptoms and increased MDE risk. Results suggest complex bidirectional associations between affect and smoking outcomes.
在一项将标准戒烟治疗与纳入抑郁症认知行为疗法（CBT-D）的治疗进行比较的试验中，对179名有重度抑郁病史的吸烟者的负面情绪、抑郁症状和重度抑郁发作（MDEs）进行了检查。早期复吸与戒烟日当天负面情绪的相对大幅增加有关。在恢复正常吸烟的人群中，戒烟日后两周情绪有所改善，但适度吸烟的人群中则没有。持续戒烟与抑郁症状的短期和长期减轻有关。随访期间MDE的发生率为15.3%，且与戒烟无关。出乎意料的是，CBT-D与更大的负面情绪和抑郁症状以及MDE风险增加有关。结果表明情感与吸烟结果之间存在复杂的双向关联。
