Examining outcome expectancies for smoking vs. abstinence among adult daily smokers.

Examining outcome expectancies for smoking vs. abstinence among adult daily smokers.
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检查成年每日吸烟者吸烟与戒烟的预期结果。

DOI:
10.1016/j.addbeh.2019.106140
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发表时间:
2020
影响因子:
4.4
通讯作者:
Haaga,DavidAF
Haaga,DavidAF
中科院分区:
医学2区
文献类型:
--
作者:
Kaufmann,Amanda;Malloy,ElizabethJ;Haaga,DavidAF

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在动机访谈(MI)决策框架中,我们考虑了主要选择和替代选择的潜在结果(DiClemente & Velazquez, 2002)。因此,我们可以预期,戒烟的动机与戒烟的期望和继续吸烟的期望有关。虽然人们经常对吸烟预期进行研究,但对戒烟预期的关注却很少。本研究试图澄清吸烟和戒烟预期一起对吸烟动机和行为的预测效用,而不是单独测量吸烟预期。在基线上测量期望;在基线和1个月随访时测量结果。通过吸烟后果问卷-成人(Copeland, Brandon, & Quinn, 1995)评估吸烟预期,通过戒烟的感知风险和收益量表评估戒烟预期(McKee, O 'Malley, Salovey, Krishnan-Sarin, & Mazure, 2005)。结果包括戒烟动机(沉思阶梯,Biener & Abrams, 1991;改变阶段,DiClemente等,1991)和平均每日吸烟率。研究人员分析了183名基线吸烟者和166名随访吸烟者的数据。基线吸烟期望和戒断期望都与同时发生的戒烟动机相关,但与同时发生的吸烟率无关。戒烟预期独特地预测了吸烟率随时间的变化。吸烟和戒烟的预期结果可能与吸烟行为、戒烟动机以及这些结构随时间的变化有不同的关系。
In a motivational interviewing (MI) framework of decision-making, we consider potential outcomes for both a primary choice and an alternative choice (DiClemente & Velazquez, 2002). Thus, we would expect that motivation to quit smoking is related to expectancies for quitting smoking and expectancies for continuing to smoke. While smoking expectancies have been frequently studied, less attention has been paid to abstinence expectancies. The present study sought to clarify the predictive utility of smoking and abstinence expectancies together for smoking motivation and behavior, versus measuring smoking expectancies alone. Expectancies were measured at baseline; outcomes were measured at baseline and one-month follow-up. Smoking expectancies were assessed via the Smoking Consequences Questionnaire-Adult (Copeland, Brandon, & Quinn, 1995), and abstinence expectancies were assessed via the Perceived Risks and Benefits of Quitting scale (McKee, O’Malley, Salovey, Krishnan-Sarin, & Mazure, 2005). Outcomes included motivation to quit (Contemplation Ladder, Biener & Abrams, 1991; Stage of Change, DiClemente et al., 1991), and average daily smoking rate. Data was analyzed for 183 smokers at baseline and 166 at follow-up. Baseline smoking expectancies and abstinence expectancies were each uniquely associated with concurrent motivation to quit, but not concurrent smoking rate. Abstinence expectancies uniquely predicted changes in smoking rate over time. Smoking and abstinence outcome expectancies may relate differently to smoking behavior, motivation to quit, and changes in these constructs over time.