Institute for Epidemiology and Social Medicine, Ernst-Moritz-Arndt-University, Greifswald, Germany.
Int J Behav Med. 2009;16(4):347-54. doi: 10.1007/s12529-008-9012-6.
We examined the association between daily smokers' mental health according to the five-item Mental Health Inventory and the core constructs of the transtheoretical model (TTM): stage of change, processes of change, smoking cessation self-efficacy, and decisional balance.
Questionnaire data from 1,334 daily smoking primary care patients were used for multinomial logistic, linear, and ordinal logistic regression analyses controlling for effects of sociodemographic characteristics.
Smokers with lower levels of mental health had increased odds to contemplate quitting within the next 6 months compared to not intending to quit at all. In addition, they reported an elevated use of change processes as well as an enhanced endorsement of positive and negative aspects of nonsmoking. However, in a subsample analysis performed on smokers in contemplation stage, low mental health was related to lower self-efficacy expectancies in negative affect situations.
Mental health does not appear to constitute a precondition for readiness to change smoking behavior in daily smokers. Nonetheless, smokers with low mental health might require support to deal with negative affect situations.
我们根据五分量表心理健康量表（MHI-5）和跨理论模型（TTM）的核心构念（改变阶段、改变过程、戒烟自我效能和决策平衡）来研究每日吸烟者心理健康状况与这些构念之间的关系。
使用来自 1334 名初级保健门诊每日吸烟者的问卷调查数据，采用多项逻辑回归、线性和有序逻辑回归分析，控制社会人口特征的影响。
与完全没有戒烟打算的人相比，心理健康水平较低的吸烟者在未来 6 个月内更有可能考虑戒烟。此外，他们报告说，他们更频繁地使用改变过程，并更强烈地认同不吸烟的积极和消极方面。然而，在对处于考虑阶段的吸烟者进行的亚组分析中，心理健康水平较低与负面情绪情境下的戒烟自我效能期望较低有关。
心理健康似乎不是每日吸烟者改变吸烟行为准备状态的前提条件。尽管如此，心理健康水平较低的吸烟者可能需要支持来应对负面情绪情境。
