心理干预在监狱人口中戒烟的有效性:系统性审查和元分析
Mélanie Rome1, Lucia Romo2, Thibault Hennequin3
1Université Paris Nanterre, Laboratoire CLIPSYD, Nanterre 92000, France; GHU Paris Psychiatrie et Neurosciences, Centre hospitalier Sainte-Anne, Service d'addictologie, Paris 75014, France.
Drug and alcohol dependence
|November 4, 2025
概括
心理干预表明,在被监禁的人中,戒烟是有希望的. 然而,高异质性和方法上的弱点需要更严格的研究来证实有效性.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 惩戒卫生卫生机构
背景情况:
- 吸烟率在惩戒设施内特别高.
- 在被监禁人群中解决戒烟问题是一个重大的公共卫生问题.
研究的目的:
- 系统地审查和对囚犯戒烟心理干预措施的有效性进行元分析.
- 评估心理干预对该人口中戒烟率的影响.
主要方法:
- 在四个主要数据库 (PubMed,PsycInfo,Web of Science,Embase) 进行系统搜索.
- 进行了两个元分析:将心理干预与RCT中的对照组进行比较,以及干预后的综合戒断率.
- 使用元回归来评估随访时间对戒断率的影响.
主要成果:
- 包括11项研究 (N=2688),包括7项RCT.
- 心理干预最初显示吸烟戒断的显著增加 (OR = 3.41),但在调整出版偏差后,这变得无意义.
- 综合后干预戒断率为18.8%,具有显著的异质性,随着时间的推移,戒断率下降.
结论:
- 心理干预表明在惩戒机构中戒烟的潜力.
- 目前,高异质性,小样本规模和方法限制阻碍了最终的结论.
- 为了确定这些干预措施的真正有效性,进一步的严格,充足的研究是必不可少的.
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