Pregnancy smoking cessation: a case of mistaken identity.
Pregnancy smoking cessation: a case of mistaken identity.
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怀孕戒烟：一个错误身份的案例。
DOI：
10.1016/0306-4603(95)00082-8
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发表时间：
1996
影响因子：
4.4
通讯作者：
Mullen,PD
中科院分区：
文献类型：
--
作者：
Stotts,AL;DiClemente,CC;Carbonari,JP;Mullen,PD
本研究考察了怀孕期间戒烟的变化过程，使用跨理论模型的变化阶段和过程，将怀孕期间戒烟的女性与正在戒烟但未怀孕的女性进行比较。在戒烟过程活动和戒烟自我效能的差异，假设怀孕和非怀孕组的妇女。研究对象为89名已戒烟的孕妇，28名处于戒烟行动阶段的非孕妇，以及92名处于戒烟准备阶段的非孕妇。戒烟过程改变量表和戒烟自我效能量表作为依赖量表。单因素方差分析和后续Newman-Keuls比较表明，孕妇和非孕妇在过程活动和自我效能水平上存在显著差异。怀孕期间戒烟与非怀孕期间戒烟的过程有很大的不同。怀孕的戒烟者没有参与与改变的行动阶段相关的经验和行为过程。低水平的过程使用和高效率表明外部（对婴儿）动机停止，而不是内部，有意的改变过程，这可能是产后复发率高的原因。
This study examined the process of change in pregnancy smoking cessation, using the stages and processes of change from the Transtheoretical Model, to compare women who stopped smoking during pregnancy with women who were in the process of smoking cessation, but were not pregnant. Differences in smoking cessation process activity and abstinence self-efficacy were hypothesized between the pregnant and nonpregnant groups of women. Study participants were 89 pregnant women who quit smoking, 28 nonpregnant women in the action stage of smoking cessation, and 92 nonpregnant women in the preparation stage. The Smoking Cessation Processes of Change Scale and the Smoking Abstinence Self-Efficacy Scale served as dependent measures. One-way MANOVA and follow-up Newman-Keuls comparisons indicated significant differences between pregnant and nonpregnant women in their levels of process activity and self-efficacy. Pregnancy smoking cessation differed dramatically from the process of nonpregnancy smoking cessation. Pregnant quitters were not engaging in experiential and behavioral processes at levels associated with the action stage of change. Low levels of process use and high efficacy indicated an externally (for the baby) motivated stopping rather than an internal, intentional process of change, which may account for high relapse rates postpartum.