An experimental investigation of the functional relationship between social phobia and cigarette smoking

An experimental investigation of the functional relationship between social phobia and cigarette smoking
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DOI:
10.1016/j.addbeh.2014.12.012
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发表时间:
2015-04-01
影响因子:
4.4
通讯作者:
MacPherson, Laura
MacPherson, Laura
中科院分区:
医学2区
文献类型:
--
作者:
Dahne, Jennifer;Hise, Leanne;MacPherson, Laura

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简介:与社会恐怖症(SP)的个人代表了一个大的群体,吸烟率升高,戒烟率低于没有精神病理学的个人。对于SP患者,吸烟可用于减少社交焦虑的预期和在社交场合。然而,迄今为止还没有任何研究通过实验研究了这种关联。目前的研究的目的是实验研究吸烟和SP之间的关系作为一个功能的诱导social stress.Method:我们招募了每日吸烟者年龄在18-21谁得分的社会交往焦虑量表(SIAS)的临床或规范范围。参与者包括54名吸烟者(42.6%女性,77.8%白色,年龄M(SD)= 19.65(1.18),CPSD M(SD)= 7.67(4.36),46.30%高SP)参加了两次会议:一次社会压力会议和一次中性会议。结果表明,高SP吸烟者经历了显着减少的负面影响(NA)吸烟后,经历社会压力。这种效果是特定的高SP吸烟者在社会压力下,并没有观察到个人的平均SP或检查时的变化,积极affect.Conclusions:对于个人与SP,吸烟可能会保持由于NA的变化与吸烟,特别是在社会压力的背景下。这些结果说明了有针对性的戒烟干预措施的重要性,这些干预措施解决了SP患者吸烟的性质。(C)2014 Elsevier Ltd.保留所有权利。
Introduction: Individuals with social phobia (SP) represent a large group with elevated rates of cigarette smoking and cessation rates lower than that of individuals without psychopathology. For individuals with SP, cigarette smoking may be used to reduce social anxiety in anticipation of and during social situations. However, no study to date has experimentally examined this association. The aim of the current study was to experimentally examine the relationship between cigarette smoking and SP as a function of induced social stress.Method: We recruited daily smokers ages 18-21 who scored in either a clinical or normative range on the Social Interaction Anxiety Scale (SIAS). Participants included 54 smokers (42.6% female, 77.8% White, age M(SD) = 19.65(1.18), CPSD M(SD) = 7.67(4.36), 46.30% high SP) who attended two sessions: one social stress session and one neutral session.Results: Results indicated that high SP smokers experienced significant decreases in negative affect (NA) following smoking a cigarette when experiencing social stress. This effect was specific to high SP smokers under social stress and was not observed among individuals' average in SP or when examining changes in positive affect.Conclusions: For individuals with SP, cigarette smoking may be maintained due to changes in NA associated with smoking specifically in the context of social stress. These results speak to the importance of targeted cessation interventions that address the nature of smoking for individuals with SP. (C) 2014 Elsevier Ltd. All rights reserved.