Florida State University, United States.
Florida State University, United States.
Addict Behav. 2014 Apr;39(4):782-8. doi: 10.1016/j.addbeh.2013.12.014. Epub 2013 Dec 26.
Research on the mental health effects of quitting smoking is limited. Smokers with mental illness appear to be at a higher risk of unsuccessful smoking cessation. Recent work suggests they are at elevated risk for post-cessation increases in anxiety, depression and suicidal ideation. The current study tested the effects of successful and unsuccessful smoking cessation on short-term psychopathology in 192 community participants. Smoking cessation outcomes were classified using expired carbon monoxide levels that were taken at quit week, 1 and 2 week follow-up and 1 month follow-up. We found no psychopathology increases in participants who successfully quit smoking. For individuals struggling to quit our results partially supported a recently proposed struggling quitters hypothesis. However, the vast majority of individuals posited to be vulnerable by the struggling quitters hypothesis did not experience clinically significant increases in psychopathology. These findings have implications for clinicians whose clients are interested in smoking cessation.
关于戒烟对心理健康影响的研究很有限。患有精神疾病的吸烟者似乎戒烟失败的风险更高。最近的研究表明，他们在戒烟后焦虑、抑郁和自杀意念增加的风险更高。本研究在 192 名社区参与者中测试了成功和不成功戒烟对短期精神病理学的影响。使用在戒烟周、1 周和 2 周随访以及 1 个月随访时采集的呼出一氧化碳水平对戒烟结果进行分类。我们发现成功戒烟的参与者没有出现精神病理学增加的情况。对于那些难以戒烟的人，我们的结果部分支持了最近提出的挣扎戒烟者假说。然而，绝大多数被挣扎戒烟者假说认为易受影响的人并没有经历显著增加的精神病理学。这些发现对那些客户有戒烟意愿的临床医生具有重要意义。
