对抑郁的女性吸烟者进行运动咨询干预的可行性
2009/08/11
前言：抑郁症状对于戒烟具有负面影响。然而，针对有抑郁症状的吸烟者却较少进行干预治疗。运动能改善情绪，对抑郁的吸烟患者有益。本试验在有抑郁症状的女性吸烟者（流行病学研究中 心抑郁量表[CES-D]评分>/=16）中研究运动干预的可行性。
方法：参与者平均年龄为41岁，98％为白人，随机分为以下两组：第一组给予为期10周的个性化运动咨询（n＝30），第二组为健康教育对照组（n＝30）。所有参与者均接受尼古丁贴剂治疗和针对戒烟的行为学咨询。
结果：结果显示，受试者参与性较高、运动咨询的出勤率较高（平均7.6次，共10次）、运动频率增加以及治疗结束后（EOT）（第10周）较基线值的变化较大。显示该计划具有一定的可行性。参与者的缺勤率在第10周为35％，但两组缺勤率未见显著差异。意向处理分析显示，第10周的戒烟率在运动咨询组为17％，健康教育组为23％（p = .75）。
讨论：在有抑郁症状的女性吸烟者中进行运动咨询干预具有一定可行性。为增加戒烟率，需强化干预措施，且运动方法需要进行改进以降低参与者负担和缺勤率。
（陈欣 审校）
Vickers KS, et al. Nicotine Tob Res. 2009 Jun 18. [Epub ahead of print]
Feasibility of an exercise counseling intervention for depressed women smokers.
Vickers KS, Patten CA, Lewis BA, Clark MM, Ussher M, Ebbert JO, Croghan IT, Decker PA, Hathaway J, Marcus BH, Hurt RD.
Department of Psychiatry and Psychology, Mayo Clinic Rochester, 200 First Street South West, Rochester, MN 55905 USA. vickersdouglas.kristin@mayo.edu.
Introduction: Depressive symptoms negatively impact smoking abstinence. However, few interventions have been targeted to smokers with current depression. Exercise improves mood and may benefit depressed smokers. This pilot study investigated the feasibility of an exercise intervention for depressed female smokers (Center for Epidemiological Studies Depression Scale [CES-D] score >/=16).
Methods: Participants (M = 41 years, 98% White) were randomized to 10 weeks of individually delivered exercise counseling (n = 30) or a health education contact control condition (n = 30). All participants received nicotine patch therapy and behavioral counseling for smoking cessation.
Results: The intervention was feasible as indicated by ability to recruit participants, exercise counseling session attendance (M = 7.6 of 10 sessions attended), and significant increase in exercise frequency and stage of change from baseline to end of treatment (EOT) (Week 10). Participant attrition rate was 35% by Week 10 but did not differ significantly between groups. Smoking abstinence rates at Week 10, using intention-to-treat analysis, were 17% for exercise counseling participants and 23% for health education participants (p = .75).
Discussion: An exercise counseling intervention was found to be feasible for depressed women smokers. More intensive intervention may be needed to increase smoking abstinence rates, and methods should be refined to reduce participant burden and attrition.
上一篇：
纵向分析戒烟特异性社会支持和戒烟
下一篇：
采用短信对戒烟者进行持续个体化支持：初步试验性研究
