An ecological momentary assessment analysis of prequit markers for smoking-cessation failure.
An ecological momentary assessment analysis of prequit markers for smoking-cessation failure.
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戒烟失败前标志物的生态瞬时评估分析。
DOI：
10.1037/a0029725
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发表时间：
2012
影响因子：
2.3
通讯作者：
Baker,TimothyB
中科院分区：
文献类型：
--
作者：
Yeh,VivianM;McCarthy,DanielleE;Baker,TimothyB
这项研究旨在确定戒烟失败的相关因素，即在戒烟尝试期间未能建立戒断。确定早期戒烟失败的风险因素有助于制定有针对性的干预措施，以促进戒烟。目前的研究使用现有的生态瞬时评估（EMA）数据来调查374名吸烟者（189人，50.5%为女性）戒烟前渴望、负面影响和近期吸烟与戒烟失败的关联程度。受试者被要求在戒烟前4天每天完成4-7份关于渴望、负面影响和最近吸烟情况的实时报告。估计了渴望和负面影响的多层模型（平均水平、增长、波动和与吸烟的关联）。结果表明，近期吸烟与戒烟失败的吸烟者的渴望程度明显低于戒烟一整天的吸烟者，但这仅适用于在戒烟尝试前几天减少吸烟至少10%的吸烟者。在戒烟当天戒烟失败的吸烟者在尝试戒烟前几天的负面影响增加速度也比最初戒烟的人慢，但延迟戒烟和延迟戒烟失败在负面影响轨迹上没有区别。这些结果表明，成功的戒烟者和戒烟失败可以通过戒烟前的渴望和负面影响经历的特定维度来区分，但这些影响仅在某些情况下成立。
This study aimed to identify correlates of smoking-cessation failure, a failure to establish abstinence during a quit-smoking attempt. Identifying risk factors for early failure could facilitate the development of tailored interventions to promote cessation. The current study used existing ecological momentary assessment (EMA) data to investigate the extent to which prequit craving, negative affect, and recent smoking were associated with cessation failure in 374 smokers (189, 50.5% female). Subjects were prompted to complete 4–7 real-time reports of craving, negative affect, and recent smoking daily in the four days prior to quitting. Multilevel models of craving and negative affect (mean level, growth, volatility, and association with smoking) were estimated. Results indicated that recent smoking was associated with significantly lower craving among smokers who failed to quit than those who achieved a full day of cessation, but this held only among smokers who reduced smoking by at least 10% in the days preceding the quit attempt. Smokers who failed to quit on the quit day also experienced slower increases in negative affect in the days preceding the quit attempt than did initial abstainers, but delayed quitters and delayed cessation failures did not differ in negative-affect trajectories. These results suggest that successful abstainers and cessation failures can be differentiated by specific dimensions of prequit craving and negative-affect experiences, but the effects hold only in certain circumstances.