哮喘联盟

   摘要
   背景：较大比例的吸烟者具有包括抑郁症在内的心理健康问题。尽管他们中的很多人想要戒烟，但情绪低落对他们的戒烟能力产生了不利影响。
   目的：探究自我报告抑郁的吸烟者的经验感受，吸烟伴随的心理健康问题与尝试戒烟的吸烟者的经验感受之间的相关性。本研究也探索了在初级保健机构什么可以帮助戒烟。
   方法：受试者招募自一项大型的以全科医师为基础的戒烟试验。基线自我报告抑郁的受试者被纳入到本研究中。通过电话和数码录音进行半结构式访谈。使用现象学定性方法记录和分析这些访谈结果。
   结果：共纳入16名被访谈者 (11名女性, 5名男性)。情感障碍常被报道为因吸烟所诱发，而情绪低落又被视为戒烟的障碍。抑郁时吸烟的主观觉察收益是受限的，并且对于多数人而言，这是一个习得反应。一种无望的感觉，生活缺乏控制和缺乏有意义的活动都是导致继续吸烟的重要因素。受试者感觉他们认为管理好情绪、增强自信和积极额外的专业支持可以帮助戒烟。
   结论：结果发现吸烟和抑郁有很强的相互关系。对于立志戒烟的抑郁的吸烟者，可能受益于增强自信，积极性和情绪管理等心理帮助，同时需要一个综合的实践环境支持。
 

（林江涛 审校）
Fam Pract. 2013 Jul 8. [Epub ahead of print]

 

Depression, smoking and smoking cessation: a qualitative study.
 

Clancy N, Zwar N, Richmond R.
 

Abstract
BACKGROUND:A high proportion of smokers suffer from mental health problems including depression. Despite many of them wanting to stop smoking, low mood adversely affects their ability to quit.
OBJECTIVE:To explore the experiences of smokers with self-reported depression, the relationship of smoking with mental health problems and the experiences of smokers while trying to quit. The study also explored what help within the primary care setting could assist in quitting.
METHODS:Participants were recruited from a large general-practice-based smoking cessation trial. Participants who had indicated they were suffering from depression on a self-reported baseline survey were invited to participate. Semi-structured interviews were conducted over the telephone and digitally recorded. The interviews were transcribed and analysed using a phenomenological qualitative approach.
RESULTS:Sixteen interviews were conducted (11 females, 5 males). Mood disturbances were frequently reported as triggers for smoking and low mood was seen as a barrier to quitting. Perceived benefits of smoking when depressed were limited and for many, it was a learned response. A sense of hopelessness, lack of control over one's life and a lack of meaningful activities all emerged as important factors contributing to continued smoking. Participants felt that their quit attempts would be aided by better mood management, increased self-confidence and motivation and additional professional support.
CONCLUSIONS:Smoking and depression were found to be strongly interconnected. Depressed smokers interested in quitting may benefit from increased psychological help to enhance self-confidence, motivation and mood management, as well as a supportive general practice environment.
 

Fam Pract. 2013 Jul 8. [Epub ahead of print]