The role of weight concern and self-efficacy in smoking cessation and weight gain among smokers in a clinic-based cessation program
The role of weight concern and self-efficacy in smoking cessation and weight gain among smokers in a clinic-based cessation program
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DOI：
10.1016/s0306-4603(98)00014-8
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发表时间：
1998-09-01
影响因子：
4.4
通讯作者：
Mermelstein, R
中科院分区：
文献类型：
--
作者：
Borrelli, B;Mermelstein, R
虽然大多数吸烟者都担心戒烟后体重增加，但很少有研究调查体重问题与吸烟和体重结果之间的前瞻性关系;或者关注与这些结果相关的机制。我们调查了戒烟诊所参与者中吸烟特定体重关注在戒烟和体重增加中的前瞻性作用，我们假设特定领域的自我效能感是这些关系的中介。虽然体重问题并不能预测吸烟状况，但体重问题的增加可以预测治疗结束时和3个月随访时的体重增加。自我效能，以防止戒烟后体重增加介导的这种关系，较低的水平与体重增加的可能性较大。体重增加被发现与随后的复吸戒酒者。讨论了影响和治疗建议。(C)1998 Elsevier Science Ltd.
Although the majority of smokers are concerned about postcessation weight gain, few studies have investigated the prospective relationship between weight concern and smoking and weight outcomes; or a mechanism by which concern is related to these outcomes. We investigated the prospective role of smoking-specific weight concern in smoking cessation and weight gain among participants in a smoking-cessation clinic, and we hypothesized that domain-specific self-efficacy would be a mediator of these relationships. While weight concern did not prospectively predict smoking status, increased weight concern predicted weight gain at the end of treatment and at 3-month follow-up. Self-efficacy for preventing postcessation weight gain mediated this relationship; lower levels were related to a greater likelihood of weight gain. Weight gain was found to be associated with subsequent relapse among abstainers. Implications and treatment recommendations are discussed. (C) 1998 Elsevier Science Ltd.