The Association of Pain With Smoking and Quit Attempts in an Electronic Diary Study of Cancer Patients Trying to Quit
The Association of Pain With Smoking and Quit Attempts in an Electronic Diary Study of Cancer Patients Trying to Quit
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DOI：
10.1093/ntr/ntv118
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发表时间：
2016-06-01
影响因子：
4.7
通讯作者：
Lam, Cho Y.
中科院分区：
文献类型：
--
作者：
Aigner, Carrie J.;Cinciripini, Paul M.;Lam, Cho Y.
简介：本电子日记研究的目的是检查疼痛的关系，吸烟和戒烟尝试34例癌症疼痛患者参加了戒烟programme.Methods：电子日记评估疼痛和吸烟收集在每天结束时，为期2周的戒烟治疗。一天中的疼痛程度从1分到5分，从“没有疼痛”到“你能想象到的疼痛”。吸烟的定义是每天吸烟的数量。结果：线性多水平模型用于研究疼痛和吸烟之间的关系。研究发现，在控制基线症状、尼古丁依赖、吸烟欲望、年龄和性别的情况下，人内疼痛和吸烟之间存在关联，即每日疼痛越大，个人内每日吸烟越多。没有观察到人与人之间的疼痛和吸烟的关联。此外，癌症患者在2周的评估期间平均疼痛较高，不太可能戒烟尝试（定义为一天，参与者不吸烟）在研究期间。结论：这项研究的结果增加了一个新生的文学疼痛和吸烟提供初步证据表明，疼痛可能是一个障碍，戒烟的癌症患者吸烟，疼痛。未来的研究检查综合疼痛和戒烟治疗在这一人群中的有效性可能是必要的。
Introduction: The purpose of this electronic daily diary study was to examine the relation of pain to smoking and quit attempts among 34 cancer patients with pain enrolled in a smoking cessation program.Methods: Electronic daily diary assessments of pain and smoking were collected at the end of each day for a 2-week period during smoking cessation treatment. Pain experienced throughout the day was measured on a scale from 1 to 5, from "no pain" to "pain as bad as you can imagine." Smoking was defined as the number of cigarettes smoked per day.Results: Linear multilevel modeling was used in examining associations between pain and smoking. A within-person pain and smoking association was found, such that greater daily pain was linked to greater daily smoking within individuals, controlling for baseline symptoms, nicotine dependence, smoking urge, age, and gender. No between-person pain and smoking association was observed. Additionally, cancer patients with higher average pain across the 2-week assessment period were less likely to make a quit attempt (defined as a day on which participants smoked no cigarettes) during the study period.Conclusions: The findings of this study add to a nascent literature on pain and smoking by providing initial evidence that pain may be a barrier to quitting among cancer patients who smoke and have pain. Future research examining the effectiveness of integrated pain and smoking cessation treatment in this population may be warranted.