Smoking history and motivation to quit in smokers with schizophrenia in a smoking cessation program
Smoking history and motivation to quit in smokers with schizophrenia in a smoking cessation program
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DOI：
10.1016/j.schres.2010.10.030
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发表时间：
2011-03-01
影响因子：
4.5
通讯作者：
Ball, M. Patricia
中科院分区：
文献类型：
--
作者：
Mann-Wrobel, Monica C.;Bennett, Melanie E.;Ball, M. Patricia
目的：本研究旨在更好地了解吸烟的精神分裂症患者的吸烟史、改变动机和戒烟结果之间的关系。方法：我们检查了吸烟和戒烟史，吸烟的负面影响，改变的准备，吸烟的诱惑，根据DSM，在被诊断为精神分裂症或情感性精神障碍的人群中，IV标准，参与了一项更大的安非他酮SR和戒烟心理教育干预的随机试验。数据收集自2003年6月至2005年5月。结果：基线时，参与者报告了高水平的尼古丁依赖和每日吸烟，以及多次最近和一生的戒烟尝试，通常是短暂的性质。参与者最关心的是吸烟对健康的影响，并赞同与应对负面影响和无聊有关的吸烟原因。大多数参与者报告说想戒烟，但样本普遍报告说对自己戒烟能力的信心很低。在参与干预的过程中，自我效能戒烟增加，而诱惑吸烟减少，但准备戒烟maintenance.Conclusion：戒烟计划精神分裂症患者应侧重于教学应对技能的负面影响，无聊，和具体的“高危情况”吸烟除了教育，药物治疗，或尼古丁替代疗法。此外，在精神分裂症患者中，直接解决戒烟的低自我效能，而不是仅仅准备改变，可能会使戒烟努力受益。由Elsevier出版。
Objective: The present study sought to better understand the relationships among smoking history, motivation to change, and smoking cessation outcomes in people with schizophrenia who smoke.Method: We examined smoking and quit history, negative consequences due to smoking, readiness to change, smoking temptation, and confidence to quit in a sample of people diagnosed with schizophrenia or schizoaffective disorder according to DSM-IV criteria who were participating in a larger randomized trial of bupropion SR and a psychoeducational intervention for smoking cessation. Data were collected from June 2003 to May 2005.Results: At baseline, participants reported high levels of nicotine dependence and daily smoking, as well as multiple recent and lifetime quit attempts that were generally brief in nature. Participants were most concerned about the health effects of smoking and endorsed reasons for smoking related to coping with negative affect and boredom. Most participants reported wanting to quit smoking, but the sample generally reported low levels of confidence in their ability to quit. During the course of participation in the intervention, self-efficacy to quit increased while temptation to smoke decreased; however readiness to quit remained unchanged.Conclusion: Smoking cessation programs for people with schizophrenia should focus on teaching coping skills for negative affect, boredom, and specific "high risk situations" for smoking in addition to education, medication, or nicotine replacement therapy. Further, cessation efforts may benefit from directly addressing low self-efficacy for quitting, rather than readiness for change alone, among people with schizophrenia. Published by Elsevier By.