Adolescent first lapse following smoking cessation: Situation characteristics, precipitants and proximal influences
Adolescent first lapse following smoking cessation: Situation characteristics, precipitants and proximal influences
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DOI：
10.1016/j.addbeh.2011.07.040
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发表时间：
2011-12-01
影响因子：
4.4
通讯作者：
Colby, Suzanne M.
中科院分区：
文献类型：
--
作者：
Myers, Mark G.;Gwaltney, Chad J.;Colby, Suzanne M.
尽管越来越多的关注青少年戒烟，很少有人知道青少年复发后戒烟尝试。为了解决这个问题，本研究的目的是提供初步的信息，青少年戒烟后吸烟的特点。本研究纳入了204名青少年参与者，他们参加了四项独立的戒烟试验。对于整个样本，参与者平均年龄为15.99（1.27）岁; 56%为女性，78%为白色。使用青少年吸烟复发回顾评估了吸烟特征和诱发因素。三个领域的失误经验进行了评估：失误情况的特点。在这种情况下使用的沉淀物，以及邻近的影响（即，在失效情况之前，在同一天发生的潜在沉淀物）。参与者的报告表明，模态失效的情况发生在晚上，而在家里与朋友社交。冲动或渴望和社会压力通常被认为是在过失情况下发生的。最常报告的近端影响是吸烟的欲望，其次是违反禁欲的认知（偶尔吸烟是可以的，想看看它会是什么样子）和负面情绪。研究结果表明，一系列广泛的因素似乎会影响青少年吸烟的失败，并赞扬了纳入与管理社会和情感线索相关的内容的价值，抑制要求吸烟的优势反应的策略，解决关于不吸烟的困难的认知（即，戒烟期望）和打击偶尔吸烟的能力的看法。爱思唯尔有限公司出版
Despite increased attention to adolescent smoking cessation, little is known about adolescent relapse following a quit attempt. To address this issue, the present study was designed to provide initial information regarding the characteristics of adolescent lapses to smoking following abstinence. Included in the present study were 204 adolescent participants in four independent smoking cessation trials. For the full sample, participants averaged 15.99 (1.27) years of age; 56% were female and 78% were white. Lapse characteristics and precipitants were assessed using the Adolescent Smoking Relapse Review. Three domains of the lapse experience were assessed: lapse situation characteristics. precipitants of use in the situation, and proximal influences (i.e., potential precipitants occurring on the same day, prior to the lapse situation). Participant reports indicated that the modal lapse situation occurred in the evening while socializing with friends at home. Urges or cravings and social pressure were commonly endorsed as occurring in lapse situations. The most frequently reported proximal influence was desire for a cigarette, followed by abstinence-violation cognitions (okay to smoke occasionally, wanted to see what it would be like) and negative emotions. The findings indicate that a broad range of factors appear to influence adolescent smoking lapse and commend the value of incorporating content relevant to managing social and affective cues, strategies for inhibiting the prepotent response to ask for a cigarette, addressing cognitions regarding the difficulty of not smoking (i.e., cessation expectancies) and combating perceptions of the ability to smoke occasionally. Published by Elsevier Ltd.