Relations between pain-related anxiety, tobacco dependence, and barriers to quitting among a community-based sample of daily smokers.
Relations between pain-related anxiety, tobacco dependence, and barriers to quitting among a community-based sample of daily smokers.
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DOI：
10.1016/j.addbeh.2014.11.032
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发表时间：
2015-03
影响因子：
4.4
通讯作者：
Zvolensky, Michael J.
中科院分区：
文献类型：
--
作者：
Ditre, Joseph W.;Langdon, Kirsten J.;Kosiba, Jesse D.;Zale, Emily L.;Zvolensky, Michael J.
越来越多的人认识到，疼痛和吸烟之间的复杂和潜在的双向关系可能与烟草成瘾的维持有关。疼痛相关焦虑已被确定为疼痛障碍发生和发展的一种机制，初步证据表明，疼痛相关焦虑可能与慢性疼痛吸烟者的烟草依赖的基本特征有关。然而，在以社区为基础的日常吸烟者样本中，还没有关于疼痛相关焦虑与烟草依赖和自我报告的戒烟障碍之间关系的实证研究。目前的样本由122名来自当地社区的日常吸烟者组成，他们参与了一项更大的研究，包括对疼痛、吸烟史和疼痛相关焦虑的初步评估。我们的样本中约有17%的人在过去的一个月里有中度或重度疼痛，近一半的人符合当前焦虑或情绪障碍的标准，约30%的人符合当前物质使用障碍的标准，不包括烟草依赖。结果表明，与疼痛相关的焦虑与烟草依赖严重程度评分和自我报告的戒烟障碍都有独特的正相关。这些发现支持了这样一种观点，即与疼痛相关的焦虑可能有助于在经历不同程度疼痛严重程度的吸烟者中维持烟草成瘾。
There is increasing recognition that complex and potentially bidirectional relations between pain and smoking may be relevant to the maintenance of tobacco addiction. Pain-related anxiety has been identified as a mechanism in the onset and progression of painful disorders, and initial evidence indicates that pain-related anxiety may be associated with essential features of tobacco dependence among smokers with chronic pain. However, there has not been an empirical study of pain-related anxiety in relation to tobacco dependence and self-reported barriers to quitting among a community-based sample of daily smokers. The current sample was comprised of 122 daily smokers who were recruited from the local community to participate in a larger study that included an initial assessment of pain, smoking history, and pain-related anxiety. Approximately 17% of our sample endorsed moderate or severe past-month pain, nearly half met criteria for current anxiety or mood disorder, and about 30% met criteria for a current substance use disorder, exclusive of tobacco dependence. Results indicated that pain-related anxiety was uniquely and positively associated with both tobacco dependence severity scores and self-reported barriers to quitting. These findings lend support to the notion that pain-related anxiety may contribute to the maintenance of tobacco addiction among smokers who experience varying levels of pain severity.
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影响因子：
4.2
作者：
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影响因子：
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