孕妇的抑郁症状能预测吸烟状态
2009/07/10
本研究对得知自己怀孕后主动戒烟或者仍持续吸烟的女性自我报告的精神病理症状进行评价，验证校正混杂因素后是否仍存在差异。
所有参与者（77名吸烟者和50名自发戒烟者）在进行戒烟或预防复吸研究前均完成3个心理功能评价，评价工具包括简易症状问卷（BSI）；Beck抑郁问卷（BDI）和成人自我评测量表（ASR）。
吸烟者和自发戒烟者在社会人口统计学及吸烟特征上有一定差异。基于心理学功能检测，BSI 和ASR显示，与自发性戒烟者相比，吸烟者中主诉有更多的抑郁/焦虑症状和退缩行为。BSI中较高的抑郁评分与持续吸烟的优势比增加相关，即使在多变量分析中对社会人口统计学及吸烟变量进行控制后这些结果仍保持不变。
上述结果显示，抑郁症状是怀孕后仍持续吸烟的一个独立预测因子，可能对怀孕女性的戒烟干预有一定影响。
（刘国梁 审校）
Linares Scott TJ, et al. Addict Behav. 2009 Apr 19. [Epub ahead of print]
Depressive symptoms predict smoking status among pregnant women.
Linares Scott TJ, Heil SH, Higgins ST, Badger GJ, Bernstein IM.
Department of Psychiatry, University of Vermont, Burlington, VT 05401, USA.
The current study assessed self-reported psychopathology in women who spontaneously quit or continued smoking after learning that they are pregnant and examined whether any potential differences remained after control for confounding variables. All participants (77 smokers and 50 spontaneous quitters) completed 3 assessments of psychological functioning prior to enrollment in either smoking cessation or relapse prevention studies. Assessments included the Brief Symptom Inventory (BSI); the Beck Depression Inventory (BDI); and the Adult Self-Report (ASR). Smokers and spontaneous quitters differed on sociodemographic and smoking characteristics. In terms of psychological functioning, smokers reported significantly more depression/anxiety symptoms and withdrawn behavior than spontaneous quitters on the BSI and the ASR. Higher depression scores on the BSI were associated with increased odds of continued smoking, even after controlling for sociodemographic and smoking variables in multivariate analyses. These results suggest that depressive symptoms may be an independent contributor to the problem of continued smoking during pregnancy, which may have implications for smoking-cessation interventions among pregnant women.
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