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 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Health Psychology Review Pub Date : 2023-09-01 DOI:10.1080/17437199.2022.2125037
Mehdi Akbari, Mohammad Seydavi, Gregory S Chasson, Adam M Leventhal, Maria Izabel Lockwood
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引用次数: 2

摘要

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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Global prevalence of smoking among individuals with obsessive-compulsive disorder and symptoms: a systematic review and meta-analysis.

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.

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来源期刊
Health Psychology Review
Health Psychology Review PSYCHOLOGY, CLINICAL-
CiteScore
21.30
自引率
0.00%
发文量
28
期刊介绍: The publication of Health Psychology Review (HPR) marks a significant milestone in the field of health psychology, as it is the first review journal dedicated to this important and rapidly growing discipline. Edited by a highly respected team, HPR provides a critical platform for the review, development of theories, and conceptual advancements in health psychology. This prestigious international forum not only contributes to the progress of health psychology but also fosters its connection with the broader field of psychology and other related academic and professional domains. With its vital insights, HPR is a must-read for those involved in the study, teaching, and practice of health psychology, behavioral medicine, and related areas.
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