Predictors of smoking relapse by duration of abstinence: findings from the International Tobacco Control (ITC) Four Country Survey.
Predictors of smoking relapse by duration of abstinence: findings from the International Tobacco Control (ITC) Four Country Survey.
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DOI：
10.1111/j.1360-0443.2009.02732.x
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发表时间：
2009-12
期刊：
影响因子：
--
通讯作者：
Hyland A
中科院分区：
文献类型：
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作者：
Herd N;Borland R;Hyland A
探究吸烟复吸的预测因素以及这些预测因素如何根据戒烟时长而变化。
对作为国际烟草控制四国调查（澳大利亚、加拿大、英国和美国）一部分招募的1296名前吸烟者进行的一项纵向调查。
在不同的戒烟时长（从1天到约3年）对戒烟者进行电话访谈，然后大约1年后进行随访。调查中测量了复吸的理论预测因素（即吸烟的冲动；吸烟和戒烟的结果预期；以及戒烟自我效能）以及尼古丁依赖程度。
复吸与较低的戒烟自我效能和较高的吸烟冲动频率相关，但仅在戒烟约1个月之后。这两项指标都在吸烟的感知益处和复吸之间起中介作用。吸烟的感知成本和戒烟的益处与复吸无关。
挑战吸烟的感知益处可能是提高戒烟自我效能和降低吸烟冲动频率（特别是在戒烟最初几周之后），从而降低复吸风险的一种有效方法。
To explore predictors of smoking relapse and how predictors vary according to duration of abstinence. A longitudinal survey of 1296 ex-smokers recruited as part of the International Tobacco Control (ITC) Four Country Survey (Australia, Canada, UK, and USA). Quitters were phone interviewed at varying durations of abstinence (from one day to approximately three years) and then followed-up approximately one year later. Theorised predictors of relapse (i.e., urges to smoke; outcome expectancies of smoking and quitting; and abstinence self-efficacy) and nicotine dependence were measured in the survey. Relapse was associated with lower abstinence self-efficacy and a higher frequency of urges to smoke, but only after the first month or so of quitting. Both of these measures mediated relationships between perceived benefits of smoking and relapse. Perceived costs of smoking and benefits of quitting were unrelated to relapse. Challenging perceived benefits of smoking may be an effective way to increase abstinence self-efficacy and reduce frequency of urges to smoke (particularly after the initial weeks of quitting), in order to subsequently reduce relapse risk.