The role of negative affect in risk for early lapse among low distress tolerance smokers.

The role of negative affect in risk for early lapse among low distress tolerance smokers.
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负面影响较低的吸烟者在早期失败风险中的作用。

DOI:
10.1016/j.addbeh.2008.06.018
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发表时间:
2008-11
影响因子:
4.4
通讯作者:
Brown, Richard A.
Brown, Richard A.
中科院分区:
医学2区
文献类型:
--
作者:
Abrantes, Ana M.;Strong, David R.;Lejuez, Carl W.;Kahler, Christopher W.;Carpenter, Linda L.;Price, Lawrence H.;Niaura, Raymond;Brown, Richard A.

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在容忍心理和/或身体不适(例如,痛苦耐受性)造成的负面影响方面,个体差异正在成为戒烟结果的重要预测因素。这项研究的目的是在现有证据的基础上,探索痛苦耐受性(DT)水平和戒烟日期的负面影响与早期失误风险之间的关系。81名吸烟者(48%女性;男性年龄=42.6岁)在戒烟前完成了基于实验室的行为痛苦耐受任务,他们被分为低、中和高三类。低持久性吸烟者在指定的戒烟日明显更有可能失败。在能够在戒烟日实现戒烟的吸烟者中,与高持久性吸烟者相比,低持久性吸烟者表现出更高水平的负面影响和冲动。此外,在持久力较低的人中,早期失误的负面情绪相关风险最大。这些发现表明,对痛苦耐受性低的吸烟者可能特别容易很早就开始吸烟,负面影响的增加可能会导致这一高危吸烟者过早吸烟的风险。
Individual differences in the ability to tolerate negative affect due to psychological and/or physical discomfort (e.g., distress tolerance) are emerging as an important predictor of smoking cessation outcomes. The purpose of this study was to build on existing evidence by exploring the relationship between levels of distress tolerance (DT) and negative affect on quit date in relation to risk for early lapse. Eighty-one smokers (48% female; M age = 42.6 years) who completed laboratory-based, behavioral distress tolerance tasks prior to an unaided quit attempt were categorized into low, average, and high persistence on the tasks. Low persistence smokers were significantly more likely to lapse on the assigned quit day. Among smokers able to achieve abstinence on quit day, low persistence smokers demonstrated higher levels of negative affect and urges compared to high persistence smokers. Further, negative affect-related risk for early lapse was strongest among those with low persistence. These findings suggest that smokers low in distress tolerance may be particularly vulnerable to very early lapse to smoking and that increases in negative affect may contribute to the risk for early lapse in this high-risk group of smokers.
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