Tobacco cigarette smokers who endorse greater intolerance for nicotine withdrawal also report more severe insomnia symptoms.
Tobacco cigarette smokers who endorse greater intolerance for nicotine withdrawal also report more severe insomnia symptoms.
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DOI：
10.1037/pha0000440
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发表时间：
2022-06
影响因子：
2.3
通讯作者：
Ditre JW
中科院分区：
文献类型：
--
作者：
Lape EC;LaRowe LR;Zale EL;Gellis LA;Park A;Ditre JW
有人提出，夜间尼古丁戒断可能有助于解释为什么吸烟的人比不吸烟的人更有可能经历临床上显著的失眠。也有理由相信，对戒断症状的不耐受可能在戒断相关的睡眠障碍中发挥作用。然而，我们不知道之前有任何研究调查了支持对戒烟更不耐受的吸烟者是否也报告了更难开始和/或维持睡眠的情况。为了解决这个问题，224名成年吸烟者(42.9%女性，每天抽21.3支香烟)完成了一项实验研究的基线部分，该研究包括评估当前/历史吸烟行为、对戒烟的感知不耐受程度、失眠严重程度和对功能的影响。结果表明，在考虑了一般的痛苦不耐受和社会人口学因素后，支持对尼古丁戒断更不耐受的吸烟者也报告了更严重的失眠和影响。Logistic回归进一步显示，尼古丁戒断不耐受分数每增加1分，吸烟者患严重失眠的可能性几乎是临界值的两倍(p=.001)。总而言之，这些初步发现表明，尼古丁戒断不耐受可能是导致失眠和尼古丁/烟草依赖的一个潜在的可改变的机制因素。
It has been suggested that nighttime nicotine withdrawal may help to explain why tobacco cigarette smokers are more likely than nonsmokers to experience clinically significant insomnia. There is also reason to believe that intolerance for withdrawal symptoms could play a role in withdrawal-related sleep disturbance. However, we are not aware of any previous research that examined whether smokers who endorse greater intolerance for smoking abstinence also report greater difficulty initiating and/or maintaining sleep. To address this question, 224 adult cigarette smokers (42.9% female, Mcigarettes per day = 21.3) completed the baseline portion of an experimental study that included assessment of current/historical smoking behavior, perceived intolerance for smoking abstinence, and insomnia severity and impact on functioning. Results indicated that, after accounting for general distress intolerance and sociodemographic factors, smokers who endorsed greater intolerance for nicotine withdrawal also reported greater insomnia severity and impact. Logistic regression further revealed that, for every one-point increase in nicotine withdrawal intolerance scores, smokers were nearly twice as likely to score above threshold for clinically significant insomnia (p = .001). Collectively, these initial findings suggest that intolerance for nicotine withdrawal may warrant consideration as a potentially modifiable mechanistic factor in comorbid insomnia and nicotine/tobacco dependence.
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影响因子：
4.8
作者：
Bastien, Celyne H.;Vallieres, Annie;Morin, Charles M.
通讯作者：
Morin, Charles M.
影响因子：
3.6
作者：
Harrington, N
通讯作者：
Harrington, N
影响因子：
4.7
作者：
Burling, AS;Burling, TA
通讯作者：
Burling, TA
影响因子：
4.8
作者：
Ford, Earl S.;Cunningham, Timothy J.;Croft, Janet B.
通讯作者：
Croft, Janet B.
负面影响较低的吸烟者在早期失败风险中的作用。
影响因子：
4.4
作者：
Abrantes, Ana M.;Strong, David R.;Lejuez, Carl W.;Kahler, Christopher W.;Carpenter, Linda L.;Price, Lawrence H.;Niaura, Raymond;Brown, Richard A.
通讯作者：
Brown, Richard A.