Hall S M, Muñoz R F, Reus V I, Sees K L, Duncan C, Humfleet G L, Hartz D T
Department of Psychology, University of California, San Francisco, USA.
J Consult Clin Psychol. 1996 Oct;64(5):1003-9. doi: 10.1037//0022-006x.64.5.1003.
Earlier research indicated that a 10-session mood management (MM) intervention was more effective than a 5-session standard intervention for smokers with a history of major depressive disorder (MDD). In a 2 x 2 factorial design, the present study compared MM intervention to a contact-equivalent health education intervention (HE) and 2 mg to 0 mg of nicotine gum for smokers with a history of MDD. Participants were 201 smokers, 22% with a history of MDD. Contrary to the earlier findings, the MM and HE interventions produced similar abstinence rates: 2 mg gum was no more effective than placebo. History-positive participants had a greater increase in mood disturbance after the quit attempt. Independent of depression diagnosis, increases in negative mood immediately after quitting predicted smoking. No treatment differences were found in trends over time for measures of mood, withdrawal symptoms, pleasant activities and events, self-efficacy, and optimism and pessimism. History-positive smokers may be best treated by interventions providing additional support and contact, independent of therapeutic content.
早期研究表明，对于有重度抑郁症（MDD）病史的吸烟者，10节情绪管理（MM）干预课程比5节标准干预课程更有效。在一项2×2析因设计中，本研究将MM干预与接触等效的健康教育干预（HE）以及2毫克至0毫克的尼古丁口香糖，用于有MDD病史的吸烟者。参与者为201名吸烟者，其中22%有MDD病史。与早期研究结果相反，MM和HE干预产生了相似的戒烟率：2毫克口香糖并不比安慰剂更有效。有MDD病史的参与者在戒烟尝试后情绪干扰有更大的增加。与抑郁症诊断无关，戒烟后立即出现的负面情绪增加预示着复吸。在情绪、戒断症状、愉快活动和事件、自我效能感以及乐观和悲观情绪的测量指标随时间的变化趋势上，未发现治疗差异。有MDD病史的吸烟者可能最好通过提供额外支持和接触的干预措施来治疗，而与治疗内容无关。
