Pain as a motivator of smoking: Effects, of pain induction on smoking urge and behavior
Pain as a motivator of smoking: Effects, of pain induction on smoking urge and behavior
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DOI：
10.1037/0021-843x.117.2.467
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发表时间：
2008-05-01
影响因子：
4.6
通讯作者：
Brandon, Thomas H.
中科院分区：
文献类型：
--
作者：
Ditre, Joseph W.;Brandon, Thomas H.
吸烟与慢性疼痛病症的发生和恶化有关。相反，我们有理由相信吸烟者可能有动机使用烟草作为应对疼痛的手段。迄今为止，还没有对照实验研究测试疼痛与吸烟动机之间的因果关系。当前研究的主要目的是检验实验室引起的冷加压疼痛会增强吸烟动机的假设，通过自我报告的吸烟冲动和对立即吸烟行为的观察来测量。吸烟者 (N = 132) 被随机分配到疼痛或无疼痛组。结果表明，情境性疼痛会增加吸烟的冲动，并缩短吸烟的潜伏期。疼痛和吸烟欲望增加之间的关系部分是由疼痛引起的负面影响介导的。疼痛和较短的吸烟潜伏期之间的关系完全是由疼痛引起的吸烟冲动调节的。这项研究提供了第一个实验证据，证明情境性疼痛可能是吸烟的有力诱因。
Tobacco smoking has been associated with the development and exacerbation of chronically painful conditions. Conversely, there is reason to believe that smokers may be motivated to use tobacco as a means of coping with their pain. To date, no controlled, experimental studies have tested for a causal relationship between pain and smoking motivation. The primary aim of the current study was to test the hypothesis that laboratory-induced cold pressor pain would enhance smoking motivation, as measured by self-reported urge to smoke and observation of immediate smoking behavior. Smokers (N = 132) were randomly assigned to either pain or no pain conditions. Results indicated that situational pain increased urge ratings and produced shorter latencies to smoke. The relationship between pain and increased urge to smoke was partially mediated by pain-induced negative affect. The relationship between pain and shorter latency to smoke was fully mediated by pain-induced urge to smoke. This study provides the 1st experimental evidence that situational pain can be a potent motivator of smoking.