A response surface analysis of expected and received support for smoking cessation: Expectancy violations predict greater relapse.
A response surface analysis of expected and received support for smoking cessation: Expectancy violations predict greater relapse.
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对预期和收到的戒烟支持的响应面分析：违反预期预示着更大的复发。
DOI：
10.1016/j.addbeh.2018.01.026
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发表时间：
2018
影响因子：
4.4
通讯作者：
Haddad,Sana
中科院分区：
文献类型：
--
作者：
Derrick,JayeL;Britton,Maggie;Baker,ZacharyG;Haddad,Sana
试图戒烟的人（戒烟者）对他们的伴侣在戒烟过程中提供帮助的程度抱有期望。然而，这些期望可能与他们对所获得的支持的有益性的看法不一致。我们在戒烟尝试中检查预期的和得到的有益支持。我们假设，得到的有益支持少于预期（即，造成预期违反）将与最大程度地恢复吸烟有关。62名戒烟者完成了一项为期21天的生态瞬时评估（EMA）研究。他们在基线时报告了预期的支持，并在EMA阶段支持接收和吸烟。在随访中，他们完成了呼气一氧化碳测试。采用响应面分析的多项式广义线性模型分析表明，吸烟结果取决于期望和获得的有益支持的共同影响。正如假设的那样，当戒烟者期望得到比他们得到的更多的帮助时，他们更有可能在EMA的前24小时和最后7天吸烟，并且他们在随访中提供了更高的一氧化碳读数。这些结果与期望违反的解释一致：当戒烟者认为伴侣没有提供预期的帮助时，他们更有可能吸烟。考虑到支持戒烟的重要性，许多研究人员试图通过实验增加支持的提供。目前的研究结果表明，如果戒烟者期望得到比伴侣所能提供的更多的帮助，伴侣的支持干预可能会适得其反。
People attempting to stop smoking cigarettes (quitters) hold expectations about the extent to which their partner will provide helpful support during a quit attempt. However, these expectations may not align with their perceptions of the helpfulness of the support they receive. We examine expected and received helpful support during a quit attempt. We hypothesized that receiving less helpful support than expected (i.e., creating an expectancy violation) would be associated with the greatest return to smoking. Sixty-two quitters completed a 21-day ecological momentary assessment (EMA) study. They reported expected support at baseline and support receipt and smoking during the EMA phase. At follow-up, they completed an expelled breath carbon monoxide test. Analyses using polynomial generalized linear models with response surface analysis indicated that smoking outcomes depended on the joint influence of expected and received helpful support. As hypothesized, when quitters expected more helpful support than they received, they were more likely to smoke in the first 24 h and the last seven days of the EMA, and they provided higher carbon monoxide readings at follow-up. These results are consistent with an expectancy violation explanation: quitters are more likely to smoke when they perceive their partner has failed to provide support that is as helpful as expected. Given the importance of support for smoking cessation, many researchers have attempted to experimentally increase provision of support. The current findings suggest that partner support interventions might backfire if the quitter is led to expect more helpful support than the partner is able to provide.
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