Intraindividual change in anxiety sensitivity and alcohol use severity 12-months following smoking cessation treatment.
Intraindividual change in anxiety sensitivity and alcohol use severity 12-months following smoking cessation treatment.
复制标题
戒烟治疗后 12 个月内焦虑敏感性和饮酒严重程度的个体变化。
DOI：
10.1016/j.brat.2019.01.008
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发表时间：
2019
影响因子：
4.1
通讯作者：
Zvolensky,MichaelJ
中科院分区：
文献类型：
--
作者：
Paulus,DanielJ;Gallagher,MatthewW;Raines,AmandaM;Schmidt,NormanB;Zvolensky,MichaelJ
虽然过去的工作已经记录了吸烟者在戒烟治疗后酒精使用严重程度的降低，但对与这种降低相关的因素知之甚少。目前的研究试图检查从基线到戒烟治疗后一年的焦虑敏感性变化轨迹与非目标酒精使用严重程度之间的关系。个体（n= 386）是参与戒烟治疗研究的每日吸烟的成年人。在基线以及治疗后1个月、3个月、6个月和12个月收集酒精使用严重程度和焦虑敏感性的测量结果。使用潜在生长曲线模型估计截距和斜率。焦虑敏感性（M=-0.87 95% CI [-1.19，-0.54]，p< 0.001）和饮酒严重程度（M=-0.22 95% CI [-0.38，-0.06]，p= 0.006）均随时间显著降低。随着时间的推移，焦虑敏感性的降低与酒精使用的减少密切相关（r= 0.63，95% CI [0.18，1.09]，p= 0.006）。焦虑敏感性的变化与酒精使用严重程度的变化呈正相关。检查的手段表明，焦虑的敏感性降低较早，而酒精使用的严重程度降低后，在随访期间。如果复制建立时间优先的变化，这些结果可能涉及焦虑敏感性降低作为减少酒精使用严重程度的一种途径，吸烟者。
Although past work has documented reduction in alcohol use severity among smokers following smoking cessation treatment, little is known regarding factors associated with this reduction. The current study sought to examine relations between trajectories of change in anxiety sensitivity and non-targeted alcohol use severity from baseline to one year following smoking cessation treatment. Individuals (n= 386) were adult daily smokers engaged in a smoking cessation treatment study. Measures of alcohol use severity and anxiety sensitivity were collected at baseline as well as 1-, 3-, 6-, and 12-months post-treatment. Latent growth curve modelling was used to estimate intercepts and slopes. Anxiety sensitivity (M= −0.87 95% CI [-1.19, −0.54],p< 0.001) and alcohol use severity (M= −0.22 95% CI [-0.38, −0.06],p= 0.006) each significantly reduced over time. Reductions in anxiety sensitivity were strongly associated with reductions in alcohol use over time (r= 0.63, 95% CI [0.18, 1.09],p= 0.006). Changes in anxiety sensitivity positively correlated with changes in alcohol use severity. Examinations of means suggest that anxiety sensitivity reduced earlier whereas alcohol use severity reduced later in the follow-up period. If replicated establishing temporal precedence of change, these results could implicate anxiety sensitivity reduction as one avenue towards reduced alcohol use severity, among smokers.