Hall S M, Muñoz R F, Reus V I
Department of Psychiatry, University of California, San Francisco.
J Consult Clin Psychol. 1994 Feb;62(1):141-6. doi: 10.1037//0022-006x.62.1.141.
This article describes the test of the hypothesis that a cognitive-behavioral mood management intervention would be effective for smokers with a history of major depressive disorder (MDD). The method was randomized trial; the assessments occurred at Weeks 0, 8, 12, 26, and 52. Ss were 149 smokers; 31% had a history of MDD. All received 2 mg of nicotine gum. Mood management was provided in 10 group sessions over 8 weeks. Standard treatment was provided in 5 group sessions over 8 weeks. Outcome was continuous abstinence. History-positive Ss were more likely to be abstinent when treated with mood management. Treatment condition differences were not significant for history-negative Ss. For history-positive Ss, less anger at baseline predicted abstinence. For history-negative Ss, more years smoked and higher baseline carbon monoxide (CO) predicted abstinence. Cognitive-behavioral therapy did not affect mood after quitting. Abstinence predictors differed as a function of baseline diagnosis.
本文描述了一项关于认知行为情绪管理干预对有重度抑郁症（MDD）病史的吸烟者是否有效的假设检验。方法为随机试验；评估在第0、8、12、26和52周进行。受试者为149名吸烟者；31%有MDD病史。所有人都接受2毫克尼古丁口香糖。情绪管理在8周内通过10次小组会议提供。标准治疗在8周内通过5次小组会议提供。结果是持续戒烟。有病史的受试者在接受情绪管理治疗时更有可能戒烟。对于无病史的受试者，治疗条件差异不显著。对于有病史的受试者，基线时较少的愤怒情绪预示着戒烟。对于无病史的受试者，吸烟年限越长和基线一氧化碳（CO）水平越高预示着戒烟。认知行为疗法在戒烟后对情绪没有影响。戒烟预测因素因基线诊断而异。
