尼古丁对抑郁倾向吸烟者情感反应的影响。

IF 3.5 3区 医学 Q2 NEUROSCIENCES
Psychopharmacology Pub Date : 2008-02-01 Epub Date: 2007-10-25 DOI:10.1007/s00213-007-0977-7
Bonnie Spring, Jessica Werth Cook, Bradley Appelhans, Anne Maloney, Malia Richmond, Jocelyn Vaughn, Joseph Vanderveen, Donald Hedeker
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引用次数: 67

摘要

理论依据:吸烟和抑郁之间的共病被认为是由于容易抑郁的吸烟者自我服用尼古丁来改善情绪。然而,几乎没有证据支持这一观点,尼古丁对抑郁症患者积极情绪缺乏的影响在很大程度上仍未得到研究。目的:我们假设(1)尼古丁可以消除消极情绪,增强积极情绪;(2)尼古丁对易患抑郁症的吸烟者的影响更大,尤其是在抑郁状态下。材料和方法:从社区招募常规吸烟者(N = 165): 63人无重度抑郁症(MDD)病史,61人有复发性抑郁症病史,41人既有重度抑郁症病史,也有重度抑郁症病史。在四个阶段中,参与者在经历消极情绪诱导后或在经历积极情绪诱导时双盲抽含尼古丁(NIC+)或不含尼古丁(NIC-)的香烟。在基线和吸烟后的两个时间点测量积极和消极影响。结果:先前抑郁的吸烟者在吸含尼古丁的香烟时,对积极情绪诱导表现出更高的积极情绪反应。尼古丁还增加了抑郁易感吸烟者积极情绪诱导消除消极情绪的程度。最后,尼古丁加重了所有组对消极情绪诱导的消极影响反应。结论:自我服用尼古丁似乎可以改善抑郁倾向的吸烟者对愉快刺激的情绪反应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nicotine effects on affective response in depression-prone smokers.

Rationale: Comorbidity between cigarette smoking and depression is thought to arise because depression-prone smokers self-administer nicotine to improve mood. Yet little evidence supports this view, and nicotine's effect on positive affect deficiency in depression remains largely unstudied.

Objectives: We hypothesized that (1) nicotine would dispel negative affect and enhance positive affect and (2) effects would be stronger for smokers vulnerable to depression, particularly during a depressed state.

Materials and methods: Regular smokers (N = 165) were recruited from the community: 63 with no history of major depressive disorder (MDD), 61 with recurrent past but no current MDD, and 41 with both current and past MDD. During four sessions, participants smoked either a nicotinized (NIC+) or denicotinized (NIC-) cigarette double blind after experiencing a negative mood induction or while undergoing a positive mood induction. Positive and negative affects were measured at baseline and at two time points after smoking.

Results: Previously depressed smokers showed a heightened positive mood response to positive mood induction when smoking a nicotinized cigarette. Nicotine also increased the degree to which positive mood induction dispelled negative mood in depression-vulnerable smokers. Finally, nicotine worsened the negative affect response to negative mood induction for all groups.

Conclusion: Self-administering nicotine appears to improve depression-prone smokers' emotional response to a pleasant stimulus.

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来源期刊
Psychopharmacology
Psychopharmacology 医学-精神病学
CiteScore
7.10
自引率
5.90%
发文量
257
审稿时长
2-4 weeks
期刊介绍: Official Journal of the European Behavioural Pharmacology Society (EBPS) Psychopharmacology is an international journal that covers the broad topic of elucidating mechanisms by which drugs affect behavior. The scope of the journal encompasses the following fields: Human Psychopharmacology: Experimental This section includes manuscripts describing the effects of drugs on mood, behavior, cognition and physiology in humans. The journal encourages submissions that involve brain imaging, genetics, neuroendocrinology, and developmental topics. Usually manuscripts in this section describe studies conducted under controlled conditions, but occasionally descriptive or observational studies are also considered. Human Psychopharmacology: Clinical and Translational This section comprises studies addressing the broad intersection of drugs and psychiatric illness. This includes not only clinical trials and studies of drug usage and metabolism, drug surveillance, and pharmacoepidemiology, but also work utilizing the entire range of clinically relevant methodologies, including neuroimaging, pharmacogenetics, cognitive science, biomarkers, and others. Work directed toward the translation of preclinical to clinical knowledge is especially encouraged. The key feature of submissions to this section is that they involve a focus on clinical aspects. Preclinical psychopharmacology: Behavioral and Neural This section considers reports on the effects of compounds with defined chemical structures on any aspect of behavior, in particular when correlated with neurochemical effects, in species other than humans. Manuscripts containing neuroscientific techniques in combination with behavior are welcome. We encourage reports of studies that provide insight into the mechanisms of drug action, at the behavioral and molecular levels. Preclinical Psychopharmacology: Translational This section considers manuscripts that enhance the confidence in a central mechanism that could be of therapeutic value for psychiatric or neurological patients, using disease-relevant preclinical models and tests, or that report on preclinical manipulations and challenges that have the potential to be translated to the clinic. Studies aiming at the refinement of preclinical models based upon clinical findings (back-translation) will also be considered. The journal particularly encourages submissions that integrate measures of target tissue exposure, activity on the molecular target and/or modulation of the targeted biochemical pathways. Preclinical Psychopharmacology: Molecular, Genetic and Epigenetic This section focuses on the molecular and cellular actions of neuropharmacological agents / drugs, and the identification / validation of drug targets affecting the CNS in health and disease. We particularly encourage studies that provide insight into the mechanisms of drug action at the molecular level. Manuscripts containing evidence for genetic or epigenetic effects on neurochemistry or behavior are welcome.
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