School of Public Health and Community Medicine, University of New South Wales, Sydney, Australia.
Fam Pract. 2013 Oct;30(5):587-92. doi: 10.1093/fampra/cmt032. Epub 2013 Jul 8.
A high proportion of smokers suffer from mental health problems including depression. Despite many of them wanting to stop smoking, low mood adversely affects their ability to quit.
To explore the experiences of smokers with self-reported depression, the relationship of smoking with mental health problems and the experiences of smokers while trying to quit. The study also explored what help within the primary care setting could assist in quitting.
Participants were recruited from a large general-practice-based smoking cessation trial. Participants who had indicated they were suffering from depression on a self-reported baseline survey were invited to participate. Semi-structured interviews were conducted over the telephone and digitally recorded. The interviews were transcribed and analysed using a phenomenological qualitative approach.
Sixteen interviews were conducted (11 females, 5 males). Mood disturbances were frequently reported as triggers for smoking and low mood was seen as a barrier to quitting. Perceived benefits of smoking when depressed were limited and for many, it was a learned response. A sense of hopelessness, lack of control over one's life and a lack of meaningful activities all emerged as important factors contributing to continued smoking. Participants felt that their quit attempts would be aided by better mood management, increased self-confidence and motivation and additional professional support.
Smoking and depression were found to be strongly interconnected. Depressed smokers interested in quitting may benefit from increased psychological help to enhance self-confidence, motivation and mood management, as well as a supportive general practice environment.
相当比例的吸烟者患有心理健康问题，包括抑郁症。尽管他们中的许多人都想戒烟，但情绪低落会影响他们戒烟的能力。
探索报告有抑郁症的吸烟者的经历、吸烟与心理健康问题的关系以及吸烟者在尝试戒烟时的经历。该研究还探讨了在初级保健环境中提供哪些帮助可以帮助他们戒烟。
参与者是从一项大型基于普通实践的戒烟试验中招募的。邀请那些在自我报告的基线调查中表示自己患有抑郁症的参与者参加。通过电话和数字录音进行半结构化访谈。使用现象学定性方法对访谈进行转录和分析。
共进行了 16 次访谈（11 名女性，5 名男性）。情绪障碍经常被报告为吸烟的诱因，而情绪低落被视为戒烟的障碍。当感到沮丧时，吸烟的好处被认为是有限的，对许多人来说，这是一种习得的反应。绝望感、对生活失去控制感以及缺乏有意义的活动，这些都被认为是导致继续吸烟的重要因素。参与者认为，更好的情绪管理、增强自信心和动力以及额外的专业支持会帮助他们戒烟。
吸烟和抑郁症被发现是紧密相关的。有戒烟意愿的抑郁吸烟者可能会受益于增加心理帮助，以增强自信心、动力和情绪管理能力，以及支持性的普通实践环境。
