Rabois D, Haaga D A
American University, Washington, DC 20016-8062, USA.
Addict Behav. 1997 Nov-Dec;22(6):789-96. doi: 10.1016/s0306-4603(97)00062-2.
People with a history of depression are less likely to succeed in quitting smoking than are those with no depression history. Efforts to help formerly depressed smokers by incorporating the principles and techniques of cognitive behavior therapy (CBT) of depression have yielded mixed results. This study tested a major premise of such treatment programs, that formerly depressed smokers are indeed lacking in cognitive coping skills taught in CBT. Four groups (Positive vs. Negative Depression History x Current Smoker vs. Never Smoker) completed the Ways of Responding (WOR) as a test of cognitive coping. History of depression was associated with use of significantly more "negative" (considered maladaptive by expert cognitive therapists) responses on the WOR. Smokers gave WOR responses lower in quality, as rated by independent coders, than those of nonsmokers. Results are discussed in relation to implications for treatment and for future research.
有抑郁症病史的人戒烟成功的可能性低于没有抑郁症病史的人。通过纳入抑郁症认知行为疗法（CBT）的原则和技术来帮助曾经患过抑郁症的吸烟者的努力，取得了喜忧参半的结果。本研究检验了此类治疗项目的一个主要前提，即曾经患过抑郁症的吸烟者确实缺乏CBT中教授的认知应对技能。四组（有积极或消极抑郁症病史×当前吸烟者与从不吸烟者）完成了应对方式（WOR）测试，作为认知应对的一项测试。抑郁症病史与在WOR上使用显著更多“消极”（专业认知治疗师认为是适应不良的）反应相关。独立编码员评定，吸烟者的WOR反应质量低于非吸烟者。讨论了这些结果对治疗和未来研究的启示。
