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Is thematic analysis used well in health psychology? A critical review of published research, with recommendations for quality practice and reporting. 主题分析在健康心理学中运用得好吗?对已发表的研究进行批判性审查,并对质量实践和报告提出建议。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-12-01 Epub Date: 2023-01-19 DOI: 10.1080/17437199.2022.2161594
Virginia Braun, Victoria Clarke

Despite the persistent dominance of a 'scientific psychology' paradigm in health psychology, the use of qualitative research continues to grow. Qualitative approaches are often based on fundamentally different values from (post)positivistempiricism, raising important considerations for quality, and whether qualitative work adheres to, and is judged by, appropriate publication standards. Thematic analysis (TA) has become a particularly popular method in qualitative health psychology, but poor practice is widespread. To support high quality, methodologically coherent TA practice and reporting, we critically reviewed 100 systematically selected papers reporting TA, published in five prominent health psychology journals. Our review assessed reported practice, and considered this in relation to methodological and quality recommendations. We identified 10 common areas of problematic practice in the reviewed papers, the majority citing reflexive TA. Considering the role of three 'arbiters of quality' in a peer review publication system - authors, reviewers, and editors - we developed 20 recommendations for authors, to support them in conducting and reporting high quality TA research, with associated questions for reviewers and editors to consider when evaluating TA manuscripts for publication. We end with considerations for facilitating better qualitative research, and enriching the understandings and knowledge base from which health psychology is practiced.

尽管“科学心理学”范式在健康心理学中一直占据主导地位,但定性研究的使用仍在继续增长。定性方法通常基于与(后)实证经验主义根本不同的价值观,提出了对质量的重要考虑,以及定性工作是否坚持适当的出版标准,并由适当的出版标准来判断。主题分析(TA)已成为定性健康心理学中特别流行的一种方法,但普遍存在不良实践。为了支持高质量的、方法上连贯的TA实践和报告,我们严格审查了100篇系统选择的报告TA的论文,这些论文发表在五个著名的健康心理学期刊上。我们的综述评估了报告的实践,并考虑了方法和质量建议。我们在审查的论文中确定了10个常见的问题实践领域,大多数引用了反思性助教。考虑到同行评议出版系统中三个“质量仲裁者”——作者、审稿人和编辑——的作用,我们为作者提出了20条建议,以支持他们进行和报告高质量的技术助理研究,并为审稿人和编辑在评估发表技术助理手稿时考虑相关问题。我们以促进更好的定性研究和丰富健康心理学实践的理解和知识基础的考虑结束。
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引用次数: 0
Subjective cognitive complaints in end-stage renal disease: a systematic review and meta-analysis. 终末期肾脏疾病的主观认知主诉:一项系统综述和荟萃分析。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-12-01 Epub Date: 2022-10-11 DOI: 10.1080/17437199.2022.2132980
Frederick H F Chan, Zack Z S Goh, Xiaoli Zhu, Lorainne Tudor Car, Stanton Newman, Behram A Khan, Konstadina Griva

Cognitive impairment is common in patients with end-stage renal disease (ESRD) and is associated with compromised quality of life and functional capacity, as well as worse clinical outcomes. Most previous research and reviews in this area were focused on objective cognitive impairment, whereas patients' subjective cognitive complaints (SCCs) have been less well-understood. This systematic review aimed to provide a broad overview of what is known about SCCs in adult ESRD patients. Electronic databases were searched from inception to January 2022, which identified 221 relevant studies. SCCs appear to be highly prevalent in dialysis patients and less so in those who received kidney transplantation. A random-effects meta-analysis also shows that haemodialysis patients reported significantly more SCCs than peritoneal dialysis patients (standardised mean difference -0.20, 95% confidence interval -0.38 to -0.03). Synthesis of longitudinal studies suggests that SCCs remain stable on maintenance dialysis treatment but may reduce upon receipt of kidney transplant. Furthermore, SCCs in ESRD patients have been consistently associated with hospitalisation, depression, anxiety, fatigue, and poorer quality of life. There is limited data supporting a strong relation between objective and subjective cognition but preliminary evidence suggests that this association may be domain-specific. Methodological limitations and future research directions are discussed.

认知障碍在终末期肾病(ESRD)患者中很常见,并与生活质量和功能能力受损以及较差的临床结果相关。以往在这一领域的大多数研究和综述都集中在客观认知障碍上,而患者的主观认知抱怨(SCCs)却知之甚少。本系统综述旨在提供关于成人ESRD患者SCCs已知情况的广泛概述。从成立到2022年1月,检索了电子数据库,确定了221项相关研究。SCCs似乎在透析患者中非常普遍,而在接受肾移植的患者中发病率较低。一项随机效应荟萃分析也显示,血液透析患者报告的SCCs明显多于腹膜透析患者(标准化平均差-0.20,95%可信区间-0.38至-0.03)。综合纵向研究表明,SCCs在维持性透析治疗中保持稳定,但在接受肾移植后可能会减少。此外,ESRD患者的SCCs一直与住院、抑郁、焦虑、疲劳和较差的生活质量相关。有限的数据支持客观认知和主观认知之间的紧密联系,但初步证据表明这种联系可能是特定领域的。讨论了方法的局限性和未来的研究方向。
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引用次数: 0
Why do people sit? A framework for targeted behavior change. 人们为什么要坐着?目标行为改变的框架。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-12-01 Epub Date: 2022-11-11 DOI: 10.1080/17437199.2022.2143851
Pam Ten Broeke, Benjamin Gardner, Debby G J Beckers, Sabine A E Geurts, Erik Bijleveld

To improve health and wellbeing, it is crucial that people regularly interrupt their sitting. In this paper, we propose a framework for examining and changing sitting behavior that addresses two key steps in the process towards developing effective interventions. First, we suggest that research should move away from its current focus on sitting time, which is an outcome of behavior. Rather, researchers should focus on stand-to-sit and sit-to-stand transitions, which are discrete units of behavior. Second, drawing on goal hierarchy models, we suggest that people rarely engage in stand-to-sit and sit-to-stand transitions for the purpose of being in a sitting or standing position; rather, we suggest that these transitions are means to higher-order goals (e.g., to complete work tasks, to watch television, to eat dinner). To improve adherence to and effectiveness of sitting behavior interventions, intervention designers should aim to increase the frequency of sit-to-stand (and stand-to-sit) transitions. To achieve this aim, intervention designers should capitalize on the higher-order goals that are typically served by these transitions. We suggest four concrete intervention strategies to increase sit-to-stand transitions in congruence with people's everyday goals. We also describe the implications of our framework for theory and methods in sitting behavior research.

为了改善健康和幸福,人们经常打断他们的坐姿是至关重要的。在本文中,我们提出了一个检查和改变坐姿行为的框架,该框架解决了开发有效干预措施过程中的两个关键步骤。首先,我们建议研究应该摆脱目前对坐着时间的关注,因为坐着时间是行为的结果。相反,研究人员应该关注从站到坐和从坐到站的转换,这是离散的行为单位。其次,根据目标层次模型,我们认为人们很少为了坐着或站着而进行站到坐和坐到站的转换;相反,我们认为这些转变是实现更高层次目标的手段(例如,完成工作任务,看电视,吃晚饭)。为了提高坐行为干预的依从性和有效性,干预设计者应该致力于增加从坐到站(或从站到坐)转变的频率。为了实现这一目标,干预设计者应该利用这些过渡通常服务的高阶目标。我们提出了四种具体的干预策略,以增加与人们日常目标一致的坐姿到站立的转变。我们还描述了我们的框架对坐着行为研究的理论和方法的影响。
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引用次数: 0
Sitting vs. standing: an urgent need to rebalance our world. 坐着还是站着:我们迫切需要重新平衡我们的世界。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-12-01 Epub Date: 2022-11-30 DOI: 10.1080/17437199.2022.2150673
Cédrick T Bonnet, Boris Cheval

During their activities of daily living, humans run, walk, stand, sit and lie down. Recent changes in our environment have favored sedentary behavior over more physically active behavior to such a degree that our health is in danger. Here, we sought to address the problem of excessive time spent seated from various theoretical viewpoints, including postural control, human factors engineering, human history and health psychology. If nothing is done now, the high prevalence of sitting will continue to increase. We make a case for the standing position by demonstrating that spending more time upright can mitigate the physiological and psychological problems associated with excessive sitting without lowering task performance and productivity. The psychological literature even highlights potential benefits of performing certain tasks in the standing position. We propose a number of recommendations on spending more time (but not too much) in the standing position and on more active, nonambulatory behaviors. There is a need to inform people about (i) harmful consequences of excessive sitting and (ii) benefits of spending more time performing active, nonambulatory behaviors. One clear benefit is to reduce detrimental health consequences of excessive sitting and to provide potential additional benefits in terms of productivity and performance.

在日常生活活动中,人类会跑、走、站、坐、躺。最近我们生活环境的变化使得久坐的行为超过了身体活动的行为,以至于我们的健康处于危险之中。在这里,我们试图从不同的理论观点,包括姿势控制、人因工程、人类历史和健康心理学来解决坐着的时间过长的问题。如果现在不采取任何措施,久坐的高流行率将继续增加。我们通过证明花更多的时间直立可以减轻与过度坐着相关的生理和心理问题,而不会降低任务表现和生产力,为站立姿势提供了一个案例。心理学文献甚至强调了以站立姿势执行某些任务的潜在好处。我们提出了一些建议,建议花更多的时间(但不要太多)在站立的位置上,以及更积极的、非移动的行为。有必要让人们了解(1)久坐的有害后果和(2)花更多时间进行积极的、非活动的行为的好处。一个明显的好处是减少久坐对健康的有害影响,并在生产力和表现方面提供潜在的额外好处。
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引用次数: 0
Associations between behaviour change technique clusters and weight loss outcomes of automated digital interventions: a systematic review and meta-regression. 行为改变技术集群与自动化数字干预的减肥结果之间的关联:系统综述和元回归。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-12-01 Epub Date: 2022-10-06 DOI: 10.1080/17437199.2022.2125038
Michael P Berry, Christina Chwyl, Abigail L Metzler, Jasmine H Sun, Hannah Dart, Evan M Forman

Automated digital interventions for weight loss represent a highly scalable and potentially cost-effective approach to treat obesity. However, current understanding of the active components of automated digital interventions is limited, hindering efforts to improve efficacy. Thus, the current systematic review and meta-analysis (preregistration: PROSPERO 2021-CRD42021238878) examined relationships between utilisation of behaviour change techniques (BCTs) and the efficacy of automated digital interventions for producing weight loss. Electronic database searches (December 2020 to March 2021) were used to identify trials of automated digital interventions reporting weight loss as an outcome. BCT clusters were coded using Michie's 93-item BCT taxonomy. Mixed-effects meta-regression was used to examine moderating effects of BCT clusters and techniques on both within-group and between-group measures of weight change. One hundred and eight conditions across sixty-six trials met inclusion criteria (13,672 participants). Random-effects meta-analysis revealed a small mean post-intervention weight loss of -1.37 kg (95% CI, -1.75 to -1.00) relative to control groups. Interventions utilised a median of five BCT clusters, with goal-setting, feedback and providing instruction on behaviour being most common. Use of Reward and Threat techniques, and specifically social incentive/reward BCTs, was associated with a higher between-group difference in efficacy, although results were not robust to sensitivity analyses.

用于减肥的自动化数字干预是一种高度可扩展且具有潜在成本效益的治疗肥胖的方法。然而,目前对自动化数字干预的主动成分的了解有限,阻碍了提高疗效的努力。因此,目前的系统综述和荟萃分析(预注册:PROSPERO 2021-CRD42021238878)研究了行为改变技术(BCT)的使用与自动数字干预减肥效果之间的关系。电子数据库搜索(2020年12月至2021年3月)用于确定报告减肥结果的自动化数字干预试验。BCT集群使用Michie的93项BCT分类法进行编码。混合效应元回归用于检验BCT聚类和技术对组内和组间体重变化测量的调节作用。六十六项试验中的108种条件符合纳入标准(13672名参与者)。随机效应荟萃分析显示,干预后的小平均体重减轻-1.37 kg(95%置信区间-1.75至-1.00)。干预措施使用了五个BCT集群,其中目标设定、反馈和提供行为指导最为常见。使用奖励和威胁技术,特别是社会激励/奖励BCT,与更高的组间疗效差异有关,尽管结果对敏感性分析并不可靠。
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引用次数: 0
Attractor landscapes: a unifying conceptual model for understanding behaviour change across scales of observation. 吸引子景观:一个统一的概念模型,用于理解跨观察尺度的行为变化。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-12-01 Epub Date: 2022-12-13 DOI: 10.1080/17437199.2022.2146598
Matti T J Heino, Daniele Proverbio, Gwen Marchand, Kenneth Resnicow, Nelli Hankonen

Models and theories in behaviour change science are not in short supply, but they almost exclusively pertain to a particular facet of behaviour, such as automaticity or reasoned action, or to a single scale of observation such as individuals or communities. We present a highly generalisable conceptual model which is widely used in complex systems research from biology to physics, in an accessible form to behavioural scientists. The proposed model of attractor landscapes can be used to understand human behaviour change on different levels, from individuals to dyads, groups and societies. We use the model as a tool to present neglected ideas in contemporary behaviour change science, such as hysteresis and nonlinearity. The model of attractor landscapes can deepen understanding of well-known features of behaviour change (research), including short-livedness of intervention effects, problematicity of focusing on behavioural initiation while neglecting behavioural maintenance, continuum and stage models of behaviour change understood within a single accommodating framework, and the concept of resilience. We also demonstrate potential methods of analysis and outline avenues for future research.

行为改变科学中的模型和理论并不缺乏,但它们几乎完全适用于行为的特定方面,例如自动性或理性行为,或者适用于单一的观察尺度,例如个人或社区。我们提出了一个高度一般化的概念模型,它被广泛应用于从生物学到物理学的复杂系统研究中,以行为科学家可以访问的形式。所提出的吸引物景观模型可以用来理解不同层次上的人类行为变化,从个体到双体,从群体到社会。我们使用该模型作为工具来呈现当代行为变化科学中被忽视的思想,如滞后和非线性。吸引物景观模型可以加深对众所周知的行为改变(研究)特征的理解,包括干预效果的短暂性、关注行为启动而忽视行为维持的问题、在单一适应框架内理解的行为改变的连续体和阶段模型,以及复原力的概念。我们还展示了潜在的分析方法,并概述了未来研究的途径。
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引用次数: 0
Habits and behavioral complexity - dynamic and distinct constructs. 习惯和行为复杂性-动态和独特的结构。
IF 9.8 1区 心理学 Q1 Psychology Pub Date : 2023-09-01 DOI: 10.1080/17437199.2022.2098163
Amanda L Rebar, Ryan E Rhodes, Bas Verplanken
The Japanese term Mendokusai ( めんどくさい ) is used to describe situations where you just can ’ t be bothered. For example, it ’ s perfect for if you want to get a snack, but you are so comfy in your pajamas, lying on the couch, with your pet on your lap, and this episode of the series you ’ re binging is soooo good, and you should pause it but the remote is like all the way on the other side of the couch … so forget the snack – Mendokusai . Sometimes, even basic tasks can feel really complex.
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引用次数: 2
Informing behaviour change intervention design using systematic review with Bayesian meta-analysis: physical activity in heart failure. 使用系统评价和贝叶斯荟萃分析为行为改变干预设计提供信息:心力衰竭中的身体活动。
IF 9.8 1区 心理学 Q1 Psychology Pub Date : 2023-09-01 DOI: 10.1080/17437199.2022.2090411
Aliya Amirova, Lauren Taylor, Brittannia Volkmer, Nafiso Ahmed, Angel M Chater, Theodora Fteropoulli

Embracing the Bayesian approach, we aimed to synthesise evidence regarding barriers and enablers to physical activity in adults with heart failure (HF) to inform behaviour change intervention. This approach helps estimate and quantify the uncertainty in the evidence and facilitates the synthesis of qualitative and quantitative studies. Qualitative evidence was annotated using the Theoretical Domains Framework and represented as a prior distribution using an expert elicitation task. The maximum a posteriori probability (MAP) for the probability distribution for the log OR was used to estimate the relationship between physical activity and each determinant according to qualitative, quantitative, and qualitative and quantitative evidence combined. The probability distribution dispersion (SD) was used to evaluate uncertainty in the evidence. Three qualitative and 16 quantitative studies were included (N = 2739). High pro-b-type natriuretic peptide (MAP = -1.16; 95%CrI: [-1.21; -1.11]) and self-reported symptoms (MAP = - 0.48; 95%CrI: [ -0.40; -0.55]) were suggested as barriers to physical activity with low uncertainty (SD = 0.18 and 0.19, respectively). Modifiable barriers were symptom distress (MAP = -0.46; 95%CrI: [-0.68; -0.24], SD = 0.36), and negative attitude (MAP = -0.40; 95%CrI: [-0.49; -0.31], SD = 0.26). Modifiable enablers were social support (MAP = 0.56; 95%CrI: [0.48; 0.63], SD = 0.26), self-efficacy (MAP = 0.43; 95%CrI: [0.32; 0.54], SD = 0.37), positive physical activity attitude (MAP = 0.92; 95%CrI: [0.77; 1.06], SD = 0.36).

采用贝叶斯方法,我们旨在综合有关心力衰竭(HF)成人身体活动障碍和促进因素的证据,为行为改变干预提供信息。这种方法有助于估计和量化证据中的不确定性,并促进定性和定量研究的综合。定性证据使用理论领域框架进行注释,并使用专家启发任务表示为先验分布。利用对数OR概率分布的最大后验概率(MAP),根据定性、定量、定性和定量证据相结合,估计体力活动与各决定因素之间的关系。采用概率分布离散度(SD)评价证据的不确定性。纳入3项定性研究和16项定量研究(N = 2739)。高前b型利钠肽(MAP = -1.16;95%的中国国际广播电台:[-1.21;-1.11])和自我报告症状(MAP = - 0.48;95%CrI: [-0.40;-0.55])被认为是身体活动的障碍,具有低不确定性(SD分别= 0.18和0.19)。可修改的障碍是症状困扰(MAP = -0.46;95%的中国国际广播电台:[-0.68;-0.24], SD = 0.36),消极态度(MAP = -0.40;95%的中国国际广播电台:[-0.49;-0.31], sd = 0.26)。可改变的促进因素是社会支持(MAP = 0.56;95%的中国国际广播电台:[0.48;0.63], SD = 0.26)、自我效能感(MAP = 0.43;95%的中国国际广播电台:[0.32;0.54], SD = 0.37),积极的体育活动态度(MAP = 0.92;95%的中国国际广播电台:[0.77;1.06], sd = 0.36)。
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引用次数: 3
Practical parsimony and complexity in conceptualising habit. 习惯概念化中的实际节俭和复杂性。
IF 9.8 1区 心理学 Q1 Psychology Pub Date : 2023-09-01 DOI: 10.1080/17437199.2022.2154242
L Alison Phillips, Barbara Ann Mullan
Our ultimate goal, as health psychologists, is to help individuals be healthier – specifically, through changing behaviour and maintaining those changes. Health psychologists are interested in habits, because they hold promise for facilitating behavioural maintenance through automatic processes (Gardner, 2015; Kwasnicka et al., 2016). How we conceptualise habit has ramifications for how we promote (intervene in) and measure habit formation and maintenance. In Phillips and Mullan (2022), we offered a conceptual review of the literature, evaluating the impact of behavioural complexity on the conceptualisation of habit, using a definition of habit defined in the literature (Wood et al., 2022) as ‘direct context-response associations learned through repeatedly rewarded responding’ (p. 12). Specifically, we argued that complex behaviours (determined by their relatively greater number of preparatory and enactment steps and amount of time to prepare and enact, compared to simpler behaviours): (1) have meaningfully separable ‘responses’ that may be habitual (e.g., in their instigation vs execution or with substitutable, ‘lower order’ actions, which may themselves be habitual) and (2) rely on intrinsic rewards (versus extrinsic) for habit formation and maintenance. In response to Phillips and Mullan (2022), Gardner and Lally (2022) and Rebar et al. (2022) offer thought-provoking and valuable insights regarding these points. On the surface, these sets of authors seemingly have opposing views on advancing the topic of complex health behaviours and habit: Gardner and Lally (2022) argue for greater parsimony in habit conceptualisation for simple and complex behaviours, whereas Rebar et al. (2022) argue for even greater complexity in our conceptualisation and measurement of complex health behaviours and habits. However, we articulate in this commentary how there is much agreement, as well as room for continued debate, among these viewpoints and those in Phillips and Mullan (2022). In sum, we argue in this commentary for a practical approach to habit research for complex behaviours that is both parsimonious and appropriately complex. We contend, as do Gardner and Lally (2022), that our definition and conceptualisation of habit should be useful – useful for achieving our ultimate goal, which is to help individuals change their behaviour and to maintain behaviour changes for optimal health.
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引用次数: 1
Global prevalence of smoking among individuals with obsessive-compulsive disorder and symptoms: a systematic review and meta-analysis. 全球强迫症患者及其症状中吸烟的流行:一项系统回顾和荟萃分析。
IF 9.8 1区 心理学 Q1 Psychology Pub Date : 2023-09-01 DOI: 10.1080/17437199.2022.2125037
Mehdi Akbari, Mohammad Seydavi, Gregory S Chasson, Adam M Leventhal, Maria Izabel Lockwood

Disease from nicotine dependency continues to be a leading cause of preventable death worldwide, and therefore research that elucidates potential correlates of tobacco use may facilitate the advancement of research, clinical practice, and policy in this area to target this public health challenge. One potential tobacco use correlate is obsessive-compulsive disorder (OCD) phenomena. The growing research evidence on the association between tobacco use and OCD phenomena is mixed, making it difficult to synthesize extant findings into meaningful conclusions. Indeed, there has never been a systematic review or meta-analysis of this area of research. To this end, a systematic review was carried out with studies between 1988 and 2021, and from this review, 71 independent estimations (n = 10,475; Females = 51.95%; mean age = 37.29, SD = 13.78) were extracted for meta-analysis. We found that about three in ten participants with OCD are likely to use tobacco, which is higher than the general population. The prevalence was the same among OCD participants at all levels (those with symptomology but no confirmed diagnosis, those surpassing a clinical cutoff for OCD but no confirmed diagnosis, and those with a confirmed OCD diagnosis). The results also indicated considerable variability across study results and a wide confidence interval associated with the tobacco use prevalence rate among those with OCD phenomena. The findings provide support for continued study of this comorbidity, perhaps with longitudinal and experimental designs to test for reciprocal associations between tobacco use and OCD phenomena in the service of targeting nicotine dependence as a substantial global public health concern.

尼古丁依赖引起的疾病仍然是世界范围内可预防死亡的主要原因,因此,阐明烟草使用的潜在相关性的研究可能有助于推进这一领域的研究、临床实践和政策,以应对这一公共卫生挑战。与烟草使用相关的一个潜在因素是强迫症(OCD)现象。越来越多的关于烟草使用与强迫症现象之间关系的研究证据是混杂的,这使得很难将现有的发现综合成有意义的结论。事实上,从来没有对这一研究领域进行过系统的回顾或荟萃分析。为此,对1988年至2021年间的研究进行了系统评价,从该评价中获得了71个独立估计(n = 10,475;女性= 51.95%;平均年龄= 37.29,SD = 13.78)进行meta分析。我们发现,大约十分之三的强迫症患者可能会使用烟草,这比一般人群要高。所有级别的强迫症参与者(有症状但没有确诊的参与者,超过临床诊断但没有确诊的参与者,以及确诊的强迫症参与者)的患病率相同。结果还表明,研究结果之间存在相当大的差异,并且与强迫症患者的烟草使用率相关的置信区间很宽。这些发现为继续研究这种共病提供了支持,也许可以通过纵向和实验设计来测试烟草使用和强迫症现象之间的相互关联,从而将尼古丁依赖作为一个重大的全球公共卫生问题。
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引用次数: 2
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