精神疾病患者的烟草使用和冲动性:系统性审查
Angela Praecht1,2, Shivahn Garvie1, Maryam Sorkhou1,2
1Addictions Division, Centre for Addiction and Mental Health (CAMH), Toronto, Ontario, Canada.
The American journal on addictions
|April 17, 2025
概括
冲动性与精神分裂症,严重抑郁症和双相情感障碍患者的烟草使用有关. 需要更多的研究来理解这种关系,并制定有针对性的戒烟策略.
科学领域:
- 精神病学是一个精神病学.
- 行为科学 行为科学
- 公共卫生 公共卫生
背景情况:
- 冲动性是吸烟的已知危险因素,特别是在患有同时出现精神疾病的人群中.
- 在精神病患者群体中,冲动性和吸烟之间的关系的确切性质尚不清楚.
研究的目的:
- 在被诊断患有精神疾病的个体中,系统地审查有关冲动性和烟草使用之间的联系的现有文献.
- 发现当前研究中的差距,并为未来的研究设计提供信息.
主要方法:
- 根据PRISMA的指导方针,在多个数据库 (PubMed,Google Scholar,ProQuest,Ovid,PsycINFO) 中进行了全面的文献搜索.
- 包括到2024年7月发表的原始同行评审文章.
主要成果:
- 在1192个已识别的文章中,16个符合审查的纳入标准.
- 在精神分裂症,重度抑郁症和双相情感障碍患者中,在吸烟和冲动性之间观察到一致的积极关联.
- 大多数纳入的研究是横截面的,限制了确定因果关系的能力.
结论:
- 烟草吸烟与精神分裂症,严重抑郁症和双相情感障碍患者的冲动性密切相关.
- 方法上的限制,主要是横截面设计的普遍性,阻止因果推理.
- 未来的前性和实验性研究对于确定冲动性是否是吸烟的风险因素,吸烟如何影响冲动性以及它作为戒烟治疗目标的潜力至关重要.
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