The Relationship between Smoking and Depression Post-Acute Coronary Syndrome

被引:14
作者
Busch A.M. [1 ]
Borrelli B. [1 ]
Leventhal A.M. [2 ]
机构
[1] Centers for Behavioral and Preventive Medicine, Program in Nicotine and Tobacco, Alpert Medical School of Brown University and The Miriam Hospital, Providence, RI, 02903, Coro Bldg West, Suite 314, One Hoppin St
[2] Departments of Preventive Medicine and Psychology, University of Sothern California Keck School of Medicine, Los Angeles, CA
基金
美国国家卫生研究院;
关键词
Acute coronary syndrome; Anhedonia; Depression; Smoking;
D O I
10.1007/s12170-011-0198-9
中图分类号
学科分类号
摘要
The purpose of the current article is to review research on the relationship between smoking cessation and depressed mood post-acute coronary syndrome (ACS; myocardial infarction or unstable angina). Emerging evidence regarding the effect of anhedonia-a specific subcomponent of mood disturbance characterized by reduced pleasure-on post-ACS outcomes is also discussed. There is strong evidence that depression prospectively predicts post-ACS relapse to smoking. Weaker evidence suggests that smoking at the time of ACS is related to post-ACS depression. Bupropion is a particularly promising treatment for this population because of its smoking cessation and anti-depressant effects. Future research should focus on the relative risk of using nicotine replacement therapies post-ACS, the efficacy of bupropion for smoking cessation and depression reduction in post-ACS patients, the role of anhedonia in post-ACS smoking cessation, and the development and testing of integrated behavioral treatments (smoking cessation plus interventions targeting mood management) for ACS patients. © 2011 Springer Science+Business Media, LLC.
引用
收藏
页码:510 / 518
页数:8
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