Predictors of Risk for Smoking Relapse in Men and Women: A Prospective Examination
Predictors of Risk for Smoking Relapse in Men and Women: A Prospective Examination
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DOI：
10.1037/a0027280
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发表时间：
2012-09-01
影响因子：
3.4
通讯作者：
al'Absi, Mustafa
中科院分区：
文献类型：
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作者：
Nakajima, Motohiro;al'Absi, Mustafa
目前的研究调查了戒烟前的特质、消极情绪和吸烟动机是否对男性和女性的吸烟复发有不同的预测模式。33名对戒烟感兴趣的女性吸烟者（平均年龄+/- SEM: 34.9 +/- 2.5）和38名男性吸烟者（平均年龄+/- SEM: 37.1 +/- 2.3）完成了吸烟史、负面情绪（即抑郁、焦虑和愤怒）、压力和吸烟动机的表格。参与者还提供了用于测量可替宁和一氧化碳的样品。然后，他们设定了一个戒烟日期，并被要求至少戒烟24小时。参与者在戒烟后随访了12个月，以测量他们的吸烟状况。Cox比例风险模型显示，减少渴望的动机是男性吸烟复发的独特预测因素，而抑郁情绪、焦虑、愤怒和感知压力是女性吸烟复发时间的预测因素。在对吸烟相关变量进行统计控制后，这些发现仍然具有重要意义，为不同因素可能与男性和女性的尼古丁戒断和吸烟复发有关提供了初步证据。
The current study examined whether prequit trait negative mood and smoking motives have different predictive patterns of smoking relapse in men and women. Thirty-three female (mean age +/- SEM: 34.9 +/- 2.5) and 38 male (mean age +/- SEM: 37.1 +/- 2.3) smokers interested in smoking cessation completed forms on smoking history, negative mood (i.e., depression, anxiety, and anger), stress, and smoking motives. Participants also provided samples for measurement of cotinine and carbon monoxide. Then, they set a quit date and were required to abstain from smoking at least for 24 hours. Participants were followed up for 12 months postcessation to measure their smoking status. Cox proportional hazard models revealed that motivation to reduce craving was a unique predictor of smoking relapse in men, while depressive mood, anxiety, anger, and perceived stress were predictive of time to relapse among women. These findings remained significant after statistically controlling for smoking-related variables, providing preliminary evidence that different factors may be associated with nicotine withdrawal and smoking relapse in men and women.