URGES TO SMOKE DURING THE FIRST MONTH OF ABSTINENCE - RELATIONSHIP TO RELAPSE AND PREDICTORS
URGES TO SMOKE DURING THE FIRST MONTH OF ABSTINENCE - RELATIONSHIP TO RELAPSE AND PREDICTORS
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DOI：
10.1007/bf02246158
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发表时间：
1995-05-01
影响因子：
3.4
通讯作者：
GARVEY, AJ
中科院分区：
文献类型：
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作者：
DOHERTY, K;KINNUNEN, T;GARVEY, AJ
215名前吸烟者在戒烟后1天、7天、14天和30天报告的吸烟欲望被测量，以检查：（a）吸烟欲望的时间过程，（B）复发欲望的关系，和（c）吸烟欲望的预测因素。戒烟后第1天的吸烟冲动最强，在随后的每个测量点都有所下降。冲动是旧病复发的一个强有力的预测因素。在四个评估点中的每一个，报告吸烟欲望更强的戒烟受试者更有可能在下一个测量点复发。在给定的一天吸烟的冲动（例如，第1天）始终是下次评估时冲动持续性的最佳预测因子（例如，第7天）。更大的负面情绪（例如，焦虑、悲伤、愤怒和困惑）和心理社会压力也预示着更强烈的吸烟欲望。戒烟后第1周，尼古丁显著降低了冲动。临床意义的研究结果进行了讨论。
The urges to smoke reported by 215 former smokers were measured 1 day, 7 days, 14 days and 30 days after they quit to examine: (a) the time course of smoking urges, (b) the relationship of urges to relapse, and (c) predictors of urges to smoke. Urges to smoke were strongest 1 day after quitting, and decreased at each subsequent measurement point. Urges were a powerful predictor of relapse. At each of the four assessment points, abstinent subjects who reported stronger urges to smoke were more likely to relapse by the next measurement point. Urges to smoke at a given day (e.g., day 1) were consistently the best predictors of the persistence of urges at the next assessment (e.g., day 7). Greater negative emotion (e.g., anxiety, sadness, anger, and confusion) and psychosocial stress also predicted stronger urges to smoke. Nicotine um significantly reduced urges during week 1 postcessation. Clinical implications of the findings are discussed.