在初级保健环境中减少吸烟和抑郁风险
Naveen Mahmood1, Shira Goldstein1, Alan Thiele1
1The University of Texas Health Science Center at Houston, Houston, TX, USA.
Journal of primary care & community health
|December 2, 2023
概括
吸烟与持久性抑郁症状的风险更高有关. 在有风险的个体中解决戒烟问题可能会改善心理健康结果.
科学领域:
- 公共卫生 公共卫生
- 临床心理学 临床心理学
- 行为医学是一种行为医学.
背景情况:
- 吸烟是各种疾病的重要危险因素.
- 吸烟和抑郁症之间存在着已知的关联.
- 与吸烟者相比,从不吸烟者通常患抑郁症的风险较低.
研究的目的:
- 研究吸烟对抑郁症风险降低的影响.
- 探索吸烟对高风险初级保健患者抑郁症的影响.
- 为那些有抑郁症风险的人提供戒烟策略的信息.
主要方法:
- 通过使用电子医疗记录进行了分析横截面研究.
- 包括18岁以上的患者,初始抑郁风险评分 (PHQ-9) 为5或更高.
- 逻辑回归分析了吸烟状态与抑郁症风险降低 (PHQ-9下降≥5个单位) 在6个月之间的关联.
主要成果:
- 该研究包括120名患者 (平均年龄55岁,74%为女性,57%为非裔美国人).
- 44%的患者有吸烟史.
- 吸烟者表现出抑郁症状改善的几率降低 (OR=0.32,95% CI:0.12-0.87).
结论:
- 吸烟者在6个月后更有可能存在抑郁症的风险.
- 针对吸烟行为的干预措施可能会对患抑郁症风险较高的个体有好处.
- 解决戒烟问题对于管理抑郁风险至关重要.
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