Chronic Pain Status, Nicotine Withdrawal, and Expectancies for Smoking Cessation Among Lighter Smokers.
Chronic Pain Status, Nicotine Withdrawal, and Expectancies for Smoking Cessation Among Lighter Smokers.
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DOI：
10.1007/s12160-016-9769-9
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发表时间：
2016-06
期刊：
影响因子：
--
通讯作者：
Maisto SA
中科院分区：
文献类型：
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作者：
Ditre JW;Kosiba JD;Zale EL;Zvolensky MJ;Maisto SA
慢性疼痛和吸烟都是非常普遍且共存的疾病，慢性疼痛可能会成为戒烟的障碍。本研究的目的是测试慢性疼痛状态与先前已被证明可以预测戒烟结果的几种吸烟相关因素之间的关联。从普通人群中招募每日吸烟者 (N = 205) 来完成疼痛和吸烟的在线调查。结果表明，患有慢性疼痛（与无慢性疼痛相比）的吸烟者每天消耗更多的香烟，在既定的烟草依赖测量中得分更高，报告称对自己的戒烟能力缺乏信心，并支持在未来戒烟尝试中经历更大困难和更严重的尼古丁戒断的预期。中介分析进一步表明，慢性疼痛与戒烟自我效能之间的负相关性间接受到过去戒烟失败的影响。这些发现表明，患有慢性疼痛的人可能构成吸烟者的一个重要亚群，他们在尝试戒烟时往往信心较低且困难更大。未来的研究将受益于在较年长和更多样化的重度吸烟者样本中复制这些发现，并将这项工作扩展到研究戒烟尝试过程中慢性疼痛状态与戒烟相关过程/结果之间的前瞻性关系。
Chronic pain and tobacco smoking are both highly prevalent and comorbid conditions, and chronic pain may pose a barrier to smoking cessation. The objective of this study was to test associations between chronic pain status and several smoking-related factors that have previously been shown to predict cessation outcomes. Daily smokers (N = 205) were recruited from the general population to complete an online survey of pain and tobacco smoking. Results indicated that smokers with chronic pain (vs. no chronic pain) consumed more cigarettes per day, scored higher on an established measure of tobacco dependence, reported having less confidence in their ability to quit, and endorsed expectations for experiencing greater difficulty and more severe nicotine withdrawal during future cessation attempts. Mediation analyses further indicated that the inverse association between chronic pain and abstinence self-efficacy was indirectly influenced by past cessation failures. These findings suggest that individuals with chronic pain may constitute an important subgroup of tobacco smokers who tend to experience lower confidence and greater difficulty when attempting to quit. Future research would benefit from replicating these findings among older and more diverse samples of heavier tobacco smokers, and extending this work to the study of prospective relations between chronic pain status and cessation-relevant processes/outcomes over the course of a quit attempt.