Levin E D, Westman E C, Stein R M, Carnahan E, Sanchez M, Herman S, Behm F M, Rose J E
Department of Psychiatry, Duke University Medical Center, Durham, North Carolina 27710.
J Clin Psychopharmacol. 1994 Feb;14(1):41-9.
A variety of studies have shown that nicotine skin patches are effective in promoting smoking cessation. This study replicated this effect, in addition, nicotine skin patches were found to decrease a variety of withdrawal effects, including craving for cigarettes, negative affect, hypoarousal, and increased appetite. This study also assessed the depressive symptoms shown by smokers before and after they quit smoking. Control subjects showed a significant increase in depressive symptoms after smoking cessation, whereas the subjects given the nicotine skin patch were not as affected. If the subjects slipped and smoked a cigarette during the time they were wearing the patch, they were asked to rate the effects of that cigarette. These "slip" cigarettes were rated significantly lower in satisfaction and good taste by subjects in the nicotine patch group than by controls. The nicotine skin patch may improve smoking cessation rates both by reducing nicotine withdrawal effects and by reducing the reward of slips back to smoking. This latter effect may prove to be effective in preventing slips from turning into relapses.
多项研究表明,尼古丁皮肤贴片在促进戒烟方面是有效的。本研究重现了这一效果,此外,还发现尼古丁皮肤贴片能减轻多种戒断反应,包括对香烟的渴望、消极情绪、觉醒不足和食欲增加。本研究还评估了吸烟者戒烟前后出现的抑郁症状。对照组在戒烟后抑郁症状显著增加,而使用尼古丁皮肤贴片的受试者则未受此影响。如果受试者在佩戴贴片期间不小心抽了一支烟,他们会被要求对那支烟的效果进行评分。尼古丁贴片组的受试者对这些“失误”烟的满意度和口感评价明显低于对照组。尼古丁皮肤贴片可能通过减轻尼古丁戒断反应以及降低复吸的回报来提高戒烟率。后一种效果可能在防止失误转变为复吸方面有效。