The natural history of efforts to stop smoking: A prospective cohort study
The natural history of efforts to stop smoking: A prospective cohort study
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DOI：
10.1016/j.drugalcdep.2012.08.010
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发表时间：
2013-02-01
影响因子：
4.2
通讯作者：
Callas, Peter W.
中科院分区：
文献类型：
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作者：
Hughes, John R.;Solomon, Laura J.;Callas, Peter W.
背景资料：在之前的一项研究中，我们发现改变烟草使用比以前想象的要复杂得多，使用者经常在打算戒烟和不打算戒烟之间过渡，在典型的使用、禁欲和减少之间过渡。目前的研究试图复制those results.Methods：40个烟草吸烟者打算戒烟在未来3个月内，在夜间呼叫28天的交互式语音应答系统，报告香烟/天，每天的意图吸烟或不为第二天的便利样本。结果：在研究的一个月内，32%的吸烟者有多次发作的意图不吸烟，64%的过渡之间的吸烟像往常一样，禁欲，并减少状态在多个场合。当参与者报告说他们打算第二天不吸烟时，56%的人第二天没有尝试戒烟。只有不到一半（44%）的戒烟尝试发生在前一天晚上没有打算戒烟的日子。大多数戒烟尝试（69%）持续不到一天。减少香烟/天是常见的abstinence.Conclusions：我们的前瞻性结果复制回顾性研究结果，大多数尝试戒烟的结果在吸烟的变化在一个复杂的模式。这些结果表明，治疗应适应（a）短期内多次戒烟尝试，（B）减少发作，（c）计划外戒烟尝试，（d）立即复发。(C)2012爱思唯尔爱尔兰有限公司保留所有权利。
Background: In a prior study, we found changing tobacco use was more complex than previously thought, with users often transitioning between intending to quit and not intending to quit, and among typical use, abstinence, and reduction, on multiple occasions. The current study attempted to replicate those results.Methods: A convenience sample of 40 tobacco smokers who intended to quit within the next 3 months called in nightly for 28 days to an interactive voice response system to report cigs/day and daily intentions to smoke or not for the next day. We provided no treatment.Results: Within the month of the study, 32% of smokers had multiple episodes of intentions to not smoke, and 64% transitioned among smoking as usual, abstinence, and reduction status on multiple occasions. When participants reported that they intended not to smoke the next day, 56% of the time they did not make a quit attempt the next day. Just under half (44%) of quit attempts occurred on days with no intentions to quit the night before. Most quit attempts (69%) lasted less than a day. Reduction in cigs/day was as common as abstinence.Conclusions: Our prospective results replicated retrospective findings that most attempts to stop smoking result in a complex pattern of changes in smoking. These results suggest treatments should accommodate (a) multiple quit attempts over a short period, (b) reduction episodes, (c) unplanned quit attempts, and (d) immediate relapse. (C) 2012 Elsevier Ireland Ltd. All rights reserved.