PREDICTORS OF SMOKING RELAPSE AMONG SELF-QUITTERS - A REPORT FROM THE NORMATIVE AGING STUDY
PREDICTORS OF SMOKING RELAPSE AMONG SELF-QUITTERS - A REPORT FROM THE NORMATIVE AGING STUDY
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DOI：
10.1016/0306-4603(92)90042-t
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发表时间：
1992-07-01
影响因子：
4.4
通讯作者：
ROSNER, B
中科院分区：
文献类型：
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作者：
GARVEY, AJ;BLISS, RE;ROSNER, B
我们对235名成年人进行了为期一年的跟踪调查，这些人都是在主动尝试戒烟后进行的。在戒烟尝试后的最初几天和几周内，复发率比预期的要高得多。大约62%的人在戒烟后2周复发。那些在戒烟后阶段吸烟的人（即，已戒烟者）有95%的可能性随后恢复他们的常规吸烟模式。较短的戒烟时间，更大的酒精饮料的前停止消费，以及较低的戒烟前戒烟的信心水平与复发有关。此外，戒烟者在戒烟后对自己保持戒烟能力的信心下降，更有可能在戒烟后复发。在受试者的环境中存在更大比例的吸烟者也增加了复发的可能性。人口统计学变量，如年龄，性别和教育水平没有预测复发。同样，无论是基线心理压力水平，也没有戒烟后的压力增加与复发的前瞻性。研究结果的临床意义进行了讨论。
We followed 235 adults for one year after a self-initiated attempt to stop smoking cigarettes. Relapse rates were much larger than expected in the early days and weeks after the quit attempt. Approximately 62% had relapsed by 2 weeks after their quit dates. Those who smoked any cigarettes at all in the post-cessation period (i.e., lapsed) had a 95% probability of resuming their regular pattern of smoking subsequently. Shorter periods of abstinence on prior quit attempts, greater pre-cessation consumption of alcoholic beverages, and lower pre-cessation levels of confidence in quitting were related to relapse. In addition, abstainers who reported decreased confidence after cessation concerning their ability to maintain abstinence were more likely to relapse thereafter. The presence of a greater proportion of smokers in the subjects' environment also increased the likelihood of relapse. Demographic variables such as age, gender, and education level did not predict relapse. Likewise, neither baseline psychosocial stress levels, nor post-cessation increases in stress were related prospectively to relapse. Clinical implications of findings are discussed.