Smokers in pain report lower confidence and greater difficulty quitting.
Smokers in pain report lower confidence and greater difficulty quitting.
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DOI：
10.1093/ntr/ntu077
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发表时间：
2014-09
期刊：
影响因子：
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通讯作者：
Emily L. Zale;J. Ditre;M. Dorfman;Bryan W. Heckman;T. Brandon
中科院分区：
文献类型：
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作者：
Emily L. Zale;J. Ditre;M. Dorfman;Bryan W. Heckman;T. Brandon
疼痛和吸烟都是非常普遍和共病的条件，有理由相信，疼痛可能会对戒烟构成障碍。虽然戒烟动机和戒烟自我效能已被证明可以预测未来的戒烟尝试和戒烟结果，但很少有人知道这些因素如何作为疼痛状态的函数而有所不同。本研究的目的是测试过去一个月的疼痛和自我报告的戒烟动机，最近的戒烟困难和当前的戒烟自我效能感之间的横截面关系。从当地社区招募目前每天吸烟的人参加一项实验室研究，其中包括对近期疼痛和吸烟史的基线评估。结果132名吸烟者中约有59%的人认可上个月的疼痛。与假设一致，支持过去一个月疼痛的吸烟者报告对他们保持戒烟能力的信心较低，并且在最近的戒烟尝试中经历了更大的困难（ps < .03）。疼痛的吸烟者也支持更大的戒烟动机，并且相对于无痛吸烟者，被归类为考虑/准备（与考虑前）阶段的可能性是两倍多（比值比= 2.74，95%置信区间= 1.28-5.84）。结论：据我们所知，这是第一项研究，以证明积极的疼痛状态，最近戒烟困难，降低自我效能感，为未来戒烟之间的关联。这些发现支持评估所有吸烟者的疼痛的效用，并可能有助于为未来旨在帮助疼痛者戒烟的干预工作提供信息。
INTRODUCTION Pain and tobacco smoking are both highly prevalent and comorbid conditions, and there is reason to believe that pain may pose a barrier to smoking cessation. Although motivation to quit smoking and abstinence self-efficacy have been shown to predict future quit attempts and smoking cessation outcomes, little is known about how these factors may differ as a function of pain status. The goal of the current study was to test cross-sectional relations between past-month pain and self-reported motivation to quit smoking, recent difficulty quitting, and current abstinence self-efficacy. METHODS Current daily smokers were recruited from the local community to participate in a laboratory study that included a baseline assessment of recent pain and smoking history. RESULTS Approximately 59% of 132 smokers endorsed past-month pain. Consistent with hypotheses, smokers who endorsed past-month pain reported lower confidence in their ability to remain abstinent and having experienced greater difficulty during their most recent quit attempt (ps < .03). Smokers in pain also endorsed greater motivation to quit and were more than twice as likely (odds ratio = 2.74, 95% confidence interval = 1.28-5.84) to be classified in the contemplation/preparation (vs. precontemplation) stages, relative to pain-free smokers. CONCLUSIONS To our knowledge, this is the first study to demonstrate an association between positive pain status, recent difficulty quitting smoking, and reduced self-efficacy for future smoking abstinence. These findings support the utility of assessing pain among all smokers and may help to inform future intervention efforts aimed at helping persons in pain quit smoking.