Tobacco withdrawal symptoms and urges to smoke in pregnant versus non-pregnant smokers
Tobacco withdrawal symptoms and urges to smoke in pregnant versus non-pregnant smokers
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DOI：
10.1016/j.addbeh.2012.07.008
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发表时间：
2012-12-01
影响因子：
4.4
通讯作者：
Coleman, Tim
中科院分区：
文献类型：
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作者：
Ussher, Michael;Etter, Jean-Francois;Coleman, Tim
我们比较了戒烟24小时的怀孕和非怀孕吸烟者的烟草戒断情况。女性吸烟者完成了一份基于互联网的问卷，包括明尼苏达州尼古丁戒断量表修订版（MNWS）。他们还评估了额外的戒断项目和吸烟冲动的强度。同意吸烟的女性被随机分为两组：(i)戒烟24小时或（ii）照常吸烟。24小时后，他们再次评估他们的撤退。我们纳入了一个“像往常一样吸烟”的小组，因为我们希望确定戒烟会增加戒断症状。275名妇女完成了最初和24小时的问卷调查，并按要求报告戒烟（n=115, 17%怀孕）或吸烟（n=160, 21%怀孕）。仅在戒烟者中，我们比较了怀孕组和非怀孕组的症状。24小时后，孕妇的平均MNWS评分（p=0.004）和三个单独的MNWS症状（愤怒，p=0.010；焦虑，p=0.048；不耐烦，p=0.011）显著低于非孕妇，调整了基线香烟消耗和基线戒断评分。总的来说，在戒烟的第一天，孕妇可能比非孕妇少报告严重的烟草戒断。(C) 2012 Elsevier Ltd.版权所有。
We compared tobacco withdrawal in pregnant and non-pregnant smokers abstaining from smoking for 24 h. Female smokers completed an internet-based questionnaire, including the Minnesota Nicotine Withdrawal Scale Revised (MNWS). They also rated additional withdrawal items and strength of urge to smoke. Consenting women were randomized to either: (i) abstain from smoking for 24 h or (ii) smoke as usual. After 24 h they rated their withdrawal again. We included a 'smoking as usual' group as we wished to establish that smoking abstinence increased withdrawal symptoms. Two-hundred and seventy-five women completed both the initial and the 24 h questionnaire and reported abstaining (n=115, 17% pregnant) or smoking (n=160, 21% pregnant) as requested. Exclusively among abstinent smokers, we compared symptoms for the pregnant and non-pregnant groups. After 24 h pregnant women had significantly lower scores than non-pregnant women for the mean MNWS (p=0.004) and for three individual MNWS symptoms (angry, p=0.010; anxious, p=0.048; impatient, p=0.011), with adjustments for baseline cigarette consumption and baseline withdrawal scores. Overall, on the first day of smoking abstinence, pregnant women are likely to report less severe tobacco withdrawal than non-pregnant women. (C) 2012 Elsevier Ltd. All rights reserved.