Increased self-efficacy to quit and perceived control over withdrawal symptoms predict smoking cessation following nicotine dependence treatment
Increased self-efficacy to quit and perceived control over withdrawal symptoms predict smoking cessation following nicotine dependence treatment
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DOI：
10.1016/j.addbeh.2010.08.024
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发表时间：
2011-01-01
影响因子：
4.4
通讯作者：
Reynolds, Patrick
中科院分区：
文献类型：
--
作者：
Schnoll, Robert A.;Martinez, Elisa;Reynolds, Patrick
目的探讨尼古丁戒断、尼古丁渴求、戒烟自我效能和对戒断症状的控制感作为吸烟者接受行为咨询和尼古丁替代治疗后戒烟的预测因素。设计和设置数据来自一项比较尼古丁贴片和尼古丁含片的随机有效性试验，在基线和治疗后5周评估戒烟预测因素。在治疗结束时（第15周）和目标戒烟日期后6个月（第27周）对基线和24小时点的戒烟率进行了评估。参与者642名寻求治疗的吸烟者随机接受了12周的尼古丁贴片或尼古丁含片。（OR=1 09 95%CI 1 02-1 16 p=01）和对戒断症状的自觉控制（OR= 1.0295%CI 1.00 ~ 1.04 p= 0.05）在第15周时戒烟的可能性显著增加（OR= 1.0495%CI 1.01 -106 p = 0.01），戒断症状和渴求的改变与15周和27周的戒烟率无关。研究尼古丁依赖治疗后戒烟的潜在心理预测因素戒烟应该帮助吸烟者建立对自己戒烟能力的信心，并增加他们对戒断症状的控制感，以增加戒烟的机会（C）2010爱思唯尔有限公司版权所有
Aim To examine changes in nicotine withdrawal nicotine craving self-efficacy to quit smoking and perceived control over withdrawal symptoms as predictors of smoking cessation following behavioral counseling and nicotine replacement therapy in a sample of smokersDesign and setting The data were ascertained from a randomized effectiveness trial comparing nicotine patch to nicotine lozenge Predictors of smoking cessation were assessed at baseline and 5 weeks post-baseline and 24-hour point prevalence abstinence biochemically confirmed was assessed at the end of-treatment (week 15) and 6 months after a target quit date (week 27)Participants 642 treatment-seeking smokers randomized to 12 weeks of nicotine patch or nicotine lozengeFindings Participants who showed a greater Increase in self efficacy to quit smoking (OR=1 09 95% CI 1 02-1 16 p=01) and perceived control over withdrawal symptoms (OR=1 02 95% CI 1 00-1 04 p=05) were significantly more likely to have quit smoking at week 15 Participants who showed a greater Increase in self-efficacy to quit smoking (OR=1 04 95% CI 1 01-106 p = 01) were significantly more likely to have quit smoking at week 27 Changes in withdrawal symptoms and craving were not related to week 15 or week 27 abstinence ratesConclusions The results highlight two relatively under-studied potential psychological predictors of abstinence following treatment for nicotine dependence Behavioral counseling interventions to promote smoking cessation should help smokers develop confidence in their ability to quit smoking and Increase their sense of control over withdrawal symptoms to increase their chances for cessation (C) 2010 Elsevier Ltd All rights reserved