Reward expectations lead to smoking uptake among depressed adolescents.
Reward expectations lead to smoking uptake among depressed adolescents.
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奖励期望会导致青少年吸烟。
DOI：
10.1016/j.drugalcdep.2011.07.020
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发表时间：
2012-01-01
影响因子：
4.2
通讯作者：
Riley, Tennisha
中科院分区：
文献类型：
--
作者：
Audrain-McGovern, Janet;Rodriguez, Daniel;Rodgers, Kelli;Cuevas, Jocelyn;Sass, Joseph;Riley, Tennisha
虽然青少年抑郁症和吸烟之间的共病关系已经有了很好的记录，但对于为什么吸烟在抑郁的青少年中不成比例地高，却知之甚少。新的研究表明，与奖励有关的机制可能是重要的考虑。这项研究试图确定是否有较高的抑郁症状的青少年有更大的吸烟奖励的期望，这反过来又影响吸烟的进展。样本由1，393名青少年组成，他们参与了青少年健康行为的纵向调查研究。在这项前瞻性队列研究中，从14岁到17岁，每六个月通过自我报告测量一次变量，产生六波数据。平行过程潜在增长曲线模型表明，在青春期中后期，抑郁症状越严重，吸烟奖励期望值就越高（β = 3.50，z=2.85，p= 0.004），这反过来又预示着吸烟进展的几率会增加23%（β= 0.206，z=3.29，p= 0.001）。间接效应在delta方法（β间接= 0.72，z= 3.09，p= 0.002; 95% CI= 0.26，1.18）和自助法（β间接= 0.72，z= 2.10，p= 0.03; 95% CI= 0.05，1.39）标准误下具有显著性。这项研究提供了新的证据表明，吸烟奖励的期望促进吸烟的抑郁青少年的吸收。吸烟奖励期望可以识别抑郁的青少年吸烟的风险。解决替代方法，以满足奖励的期望，而不是吸烟可能是一个重要的组成部分，以考虑在预防吸烟和促进戒烟的青少年与抑郁症状升高。
While the comorbidity between adolescent depression and smoking has been well documented, less is known about why smoking is disproportionately higher among depressed adolescents. Emerging research suggests that reward-related mechanisms may be important to consider. This study sought to determine whether adolescents with higher depression symptoms have greater smoking reward expectations, which in turn, influence smoking progression. The sample was composed of 1,393 adolescents participating in a longitudinal survey study of adolescent health behaviors. In this prospective cohort study, variables were measured via self-report every six months from age 14 to age 17 resulting in six waves of data. Parallel processes latent growth curve modeling indicated that higher depression symptoms across mid to late adolescence predicted a 17% increase in smoking reward expectations (β = 3.50, z=2.85, p=.004), which in turn predicted a 23% increase in the odds of smoking progression (β= .206, z=3.29, p=.001). The indirect effect was significant with delta method (βindirect = .72, z= 3.09, p=.002; 95% CI= .26, 1.18) and bootstrap (βindirect = .72, z= 2.10, p=.03; 95% CI= .05, 1.39) standard errors. The study provides novel evidence that expectations of smoking reward facilitate smoking uptake among depressed adolescents. Smoking reward expectations may identify depressed adolescents at risk of smoking. Addressing alternative ways to meet the reward expectations rather than smoking may be an important component to consider in the preventing smoking and promoting smoking cessation among adolescents with elevated depression symptoms.
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影响因子：
3.4
作者：
Heishman, Stephen J.;Kleykamp, Bethea A.;Singleton, Edward G.
通讯作者：
Singleton, Edward G.
影响因子：
5.9
作者：
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通讯作者：
Prince, SE
影响因子：
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作者：
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通讯作者：
Hall, SM
影响因子：
2.3
作者：
Ginsberg, Dorothy;Hall, Sharon M.;Munoz, Ricardo F.
通讯作者：
Munoz, Ricardo F.
影响因子：
--
作者：
GLASSMAN A H;STETNER F;COVEY L S
通讯作者：
COVEY L S