Delay discounting, locus of control, and cognitive impulsiveness independently predict tobacco dependence treatment outcomes in a highly dependent, lower socioeconomic group of smokers.
Delay discounting, locus of control, and cognitive impulsiveness independently predict tobacco dependence treatment outcomes in a highly dependent, lower socioeconomic group of smokers.
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DOI：
10.1111/j.1521-0391.2012.00224.x
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发表时间：
2012-05
期刊：
影响因子：
--
通讯作者：
Bickel W
中科院分区：
文献类型：
--
作者：
Sheffer C;Mackillop J;McGeary J;Landes R;Carter L;Yi R;Jones B;Christensen D;Stitzer M;Jackson L;Bickel W
烟草使用不成比例地影响社会经济地位较低的群体。目前的解释，为什么较低的社会经济地位群体的烟草控制工作和烟草依赖治疗的反应不那么强劲，并没有充分说明这种差异。确定预测这一人群复发的因素可能有助于澄清这些差异。新的预后因素的良好候选者包括与执行功能相关的行为的星座，包括自我控制/冲动，延迟奖励的倾向，以及对未来事件的考虑和计划。本研究探讨了执行功能和其他关键的临床，心理和认知因素的几个措施，以预测戒烟的高度依赖性低SES参与者参加了密集的认知行为治疗烟草依赖的能力。与预测一致，折扣和冲动的增加，外部控制点以及尼古丁依赖，压力和吸烟减少负面影响的更高水平预测复发。这些发现表明，这些新的因素在预测治疗结果方面具有临床相关性，并为治疗评估和治疗方法提供了新的靶点。
Tobacco use disproportionately affects lower socioeconomic status (SES) groups. Current explanations as to why lower SES groups respond less robustly to tobacco control efforts and tobacco dependence treatment do not fully account for this disparity. The identification of factors that predict relapse in this population might help to clarify these differences. Good candidates for novel prognostic factors include the constellation of behaviors associated with executive function including self-control/impulsiveness, the propensity to delay reward, and consideration and planning of future events. This study examined the ability of several measures of executive function and other key clinical, psychological, and cognitive factors to predict abstinence for highly dependent lower SES participants enrolled in intensive cognitive-behavioral treatment for tobacco dependence. Consistent with predictions, increased discounting and impulsiveness, an external locus of control as well as greater levels of nicotine dependence, stress, and smoking for negative affect reduction predicted relapse. These findings suggest that these novel factors are clinically relevant in predicting treatment outcomes and suggest new targets for therapeutic assessment and treatment approaches.
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