Schueller Stephen M, Pérez-Stable Eliseo J, Muñoz Ricardo F
Department of Psychiatry, University of California, San Francisco ; Department of Psychiatry, San Francisco General Hospital ; Department of Preventive Medicine, Northwestern University.
Division of General Internal Medicine, University of California, San Francisco.
Clin Psychol Sci. 2013 Oct;1(4):401-412. doi: 10.1177/2167702613484717.
Smoking and depression are related, and mood management interventions included in smoking cessation interventions can increase smoking abstinence rates. Could a mood management intervention embedded in an Internet-based smoking cessation intervention prevent major depressive episodes? Spanish- and English-speaking smokers ( = 17,430) from 191 countries were randomized to one of four online self-help intervention conditions (two with mood management). We analyzed preventive effects among those participants without a major depressive episode at baseline. The mood management intervention did not reduce the incidence of major depressive episodes in the following 12 months. However, we found a mood management by depression risk interaction ( = 1.77, = .004), such that high-risk participants who received the mood management intervention had an increased occurrence of major depressive episodes (32.8% vs. 26.6%), but not low-risk participants (11.6% vs. 10.8%). Further research on whether mood management interventions may have deleterious effects on subsets of smokers appears warranted.
吸烟与抑郁有关，戒烟干预中包含的情绪管理干预措施可提高戒烟率。基于互联网的戒烟干预中嵌入的情绪管理干预能否预防重度抑郁发作？来自191个国家的讲西班牙语和英语的吸烟者（n = 17430）被随机分配到四种在线自助干预条件之一（两种包含情绪管理）。我们分析了基线时无重度抑郁发作的参与者中的预防效果。情绪管理干预在接下来的12个月中并未降低重度抑郁发作的发生率。然而，我们发现了情绪管理与抑郁风险的交互作用（β = 1.77，p = 0.004），即接受情绪管理干预的高风险参与者重度抑郁发作的发生率增加（32.8%对26.6%），但低风险参与者未增加（11.6%对10.8%）。对于情绪管理干预是否可能对部分吸烟者产生有害影响，似乎有必要进行进一步研究。
