Communicating the benefits of quitting smoking on mental health increases motivation to quit in people with anxiety and/or depression

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL Addictive behaviors Pub Date : 2023-10-31 DOI:10.1016/j.addbeh.2023.107903

Marc L. Steinberg , Rachel L. Rosen , Ollie Ganz , Olivia A. Wackowski , Michelle Jeong , Cristine D. Delnevo

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Abstract

Background

Although smoking rates have declined over time, this decline has not been observed among those with mental health concerns. It is therefore important to develop effective messaging to support quitting in this population.

Methods

We conducted an online experiment with 419 adults who smoke cigarettes daily. Participants with, or without a lifetime history of anxiety and/or depression were randomized to view a message focused on the benefits of quitting smoking on mental or physical health. Participants then reported motivation to quit smoking, mental health concerns about quitting, and perceived effectiveness of the message.

Results

Participants with a lifetime history of anxiety and/or depression who saw the message focused on the benefits of quitting smoking on mental health reported greater motivation to quit than when they saw a message focused on the benefits to physical health. This was not replicated when examining current symptoms instead of lifetime history. Pre-existing beliefs that smoking improves one’s mood were greater in those experiencing current symptoms and in those with a lifetime history of anxiety and/or depression. There was no main or interaction (message type X mental health status) effect of message type received on mental health related concerns about quitting.

Conclusions

This study is one of the first to evaluate a smoking cessation message with content specifically targeted to those with mental health concerns about quitting smoking. Additional work is needed to determine how to best target those with mental health concerns with messages focused on the benefits of quitting on mental health.

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传达戒烟对心理健康的好处会增加焦虑和/或抑郁患者的戒烟动机。

背景：尽管吸烟率随着时间的推移而下降，但在那些有心理健康问题的人中并没有观察到这种下降。因此，重要的是要制定有效的信息来支持这一人群的戒烟。方法：我们对419名每天吸烟的成年人进行了一项在线实验。有或没有焦虑和/或抑郁病史的参与者被随机分组，查看一条关于戒烟对心理或身体健康益处的信息。然后，参与者报告了戒烟的动机、对戒烟的心理健康担忧以及对信息有效性的感知。结果：有终身焦虑和/或抑郁史的参与者，如果看到了关注戒烟对心理健康的益处的信息，他们报告说，与看到关注身体健康益处的信息相比，他们有更大的戒烟动机。在检查当前症状而不是终生病史时，没有重复这种情况。在那些经历过当前症状的人和那些一生都有焦虑和/或抑郁史的人中，先前存在的吸烟可以改善情绪的信念更大。收到的信息类型对戒烟的心理健康相关担忧没有主要或交互作用（信息类型X心理健康状态）。结论：这项研究是第一批评估戒烟信息的研究之一，其内容专门针对那些对戒烟有心理健康问题的人。还需要做更多的工作来确定如何最好地针对那些有心理健康问题的人，并将信息集中在戒烟对心理健康的好处上。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.