Perceived Pain and Smoking Interrelations and Expectancies Are Associated With Pain and Smoking Cessation in Individuals With Mobility Impairments.
Perceived Pain and Smoking Interrelations and Expectancies Are Associated With Pain and Smoking Cessation in Individuals With Mobility Impairments.
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感知的疼痛和吸烟的相互关系和期望与行动障碍个体的疼痛和戒烟有关。
DOI：
10.1093/ntr/ntz111
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Borrelli,Belinda
中科院分区：
文献类型：
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作者：
Endrighi,Romano;Rueras,Nicolle;Dunsiger,ShiraI;Borrelli,Belinda
吸烟和疼痛在行动障碍（MI;使用辅助设备行走）的个体中非常普遍。疼痛相关的吸烟动机和期望在戒烟中的作用尚不清楚。我们研究了一种新的措施与疼痛相关的吸烟动机（吸烟者如何与疼痛感知他们的疼痛和吸烟是相互关联的）和疼痛和吸烟行为在吸烟者与MI. MethodsThis是一个二手数据分析的戒烟诱导试验（N = 263; 55%的女性）在吸烟者与MI之间的横截面和前瞻性关联。参与者不必想退出注册。疼痛相关的吸烟动机和期望进行了评估，在基线的疼痛和吸烟清单（PSI），衡量感知疼痛和吸烟的相互关系，在三个不同的，但相关的领域（吸烟，以应付疼痛，疼痛作为吸烟的动机和戒烟的障碍）。其他措施包括疼痛的发生和干扰，尼古丁依赖，戒烟的动机和自我效能，以及每天吸烟的数量。生化验证戒烟进行了评估，在6 months.ResultsPSI评分显着较高的吸烟者与慢性疼痛的发生相比，偶尔和没有发生（p <0.002），并与更大的疼痛干扰（ps <0.01）和较低的自我效能戒烟（ps <0.01）。在前瞻性分析调整了年龄，治疗组，慢性疼痛，只有期望吸烟，以帮助应付疼痛预测较低的几率abstinence.ConclusionsTargeting期望吸烟作为一种机制，以应付疼痛可能是有用的，在增加戒烟的疼痛population.ImplicationsIndividuals有较高的患病率吸烟和疼痛，然而，这一人群在多大程度上认为疼痛和吸烟是相互关联的，这是未知的。这是第一篇研究感知疼痛和吸烟相互关系（PSI）和吸烟结果之间的前瞻性关联的文章。PSI与更大的疼痛和更低的戒烟自我效能有关。此外，PSI分量表挖掘吸烟有助于应对疼痛的预期，预测戒烟的可能性较低。在吸烟的心肌梗死患者中，吸烟作为疼痛应对机制的预期可能是一个重要的临床目标。
IntroductionSmoking and pain are highly prevalent among individuals with mobility impairments (MIs; use assistive devices to ambulate). The role of pain-related smoking motives and expectancies in smoking cessation is unknown. We examined cross-sectional and prospective associations between a novel measure of pain-related smoking motives (how smokers with pain perceive their pain and smoking to be interrelated) and pain and smoking behavior in smokers with MI.MethodsThis is a secondary data analysis of a smoking cessation induction trial (N= 263; 55% female) in smokers with MI. Participants did not have to want to quit to enroll. Pain-related smoking motives and expectancies were assessed at baseline with the pain and smoking inventory (PSI) which measures perceived pain and smoking interrelations in three distinct but related domains (smoking to cope with pain, pain as a motivator of smoking and as a barrier to cessation). Other measures included pain occurrence and interference, nicotine dependence, motivation and self-efficacy to quit smoking, and number of cigarettes per day. Biochemically verified smoking abstinence was assessed at 6 months.ResultsPSI scores were significantly higher among smokers with chronic pain occurrence compared to occasional and to no occurrence (p< .002) and were associated with greater pain interference (ps < .01) and lower self-efficacy to quit smoking (ps < .01). In prospective analyses adjusted for age, treatment group, and chronic pain, only expectancies of smoking to help cope with pain predicted lower odds of abstinence.ConclusionsTargeting expectancies of smoking as a mechanism to cope with pain may be useful in increasing smoking cessation in pain populations.ImplicationsIndividuals with MI have a high prevalence of smoking and pain, yet the extent to which this population perceives pain and smoking to be interrelated is unknown. This is the first article to examine prospective associations between a novel measure of perceived pain and smoking interrelations (PSI) and smoking outcomes. The PSI was associated with greater pain and lower self-efficacy for quitting. Prospectively, the PSI subscale tapping into expectancies that smoking help coping with pain predicted a lower probability of smoking abstinence. In smokers with MI, expectancies of smoking as pain-coping mechanism may be an important clinical target.