戒烟和严重抑郁的过程:一项后续研究
A H Glassman1, L S Covey, F Stetner
1Department of Clinical Psychopharmacology, New York State Psychiatric Institute, 1051 Riverside Drive, 10032, New York, NY, USA. ahg1@columbia.edu
Lancet (London, England)
|June 27, 2001
概括
吸烟者有重大抑郁病史,但戒烟后面临的风险更高,患上新的重大抑郁病例的风险更高. 这种高风险在戒烟后至少持续6个月.
科学领域:
- 精神病学是一个精神病学.
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
背景情况:
- 吸烟者有重大抑郁病史有更高的戒烟失败率.
- 以前的研究表明,成功的戒断可能会增加抑郁症的风险,但存在混因素.
- 在这个人群中戒烟后,抑郁症的长期风险还不清楚.
研究的目的:
- 为了调查吸烟者在试图戒烟后患有抑郁症史后患有严重抑郁症的风险.
- 为了确定这种抑郁症风险增加的持续时间,停止后.
主要方法:
- 一个为期2个月的戒烟试验招募了100名有重大抑郁病史的吸烟者.
- 在治疗后3个月和6个月,通过结构化临床访谈评估参与者是否出现重度抑郁症复发.
- 吸烟状态通过使用血清中丁氨酸水平进行生物化学验证.
主要成果:
- 在76名参与者中,13名成功戒烟者和2名吸烟者经历了严重抑郁症.
- 成功戒烟与严重抑郁症的几率显著增加有关 (OR 7.17).
- 在第一个和第二个3个月的随访期间,严重抑郁症的风险保持一致.
结论:
- 吸烟者有重大抑郁病史,但已经戒烟,他们面临新的重大抑郁病发作的风险显著增加.
- 这种抑郁症的风险增加在戒烟后至少持续6个月.
更多相关视频
相关概念视频
Long-term Depression
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
Calcium Ion Concentration Mechanism
If over time, all...
Calcium Ion Concentration Mechanism
If over time, all...
CNS Depressants: Alcohol and Nicotine
Ethanol, a clear colorless alcohol, has been consumed by humans for millennia, but its effects on the body are far from benign. At lower doses, it induces decreased inhibitions and loquaciousness, leading to its social appeal. However, it can cause severe consequences at higher doses, such as coma and respiratory depression, due to its zero-order elimination kinetics. Chronic ethanol abuse wreaks havoc on multiple organ systems, particularly the CNS and the liver. Abrupt cessation of ethanol...
Antidepressant Drugs: MAOIs and Other Agents
Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
Stress and Mental Health
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
Stress Prevention and Stress Management Techniques IV
Stress often leads to unhealthy habits like smoking, excessive drinking, and overeating, which offer short-term relief but ultimately increase long-term health risks. These behaviors create a cycle that temporarily lowers stress levels but can result in severe long-term health consequences. Breaking these habits is essential to reduce the risk of chronic diseases and improve overall well-being. Three primary changes that support better health include quitting smoking, reducing alcohol intake,...
Depressive Disorders: Etiology
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...


