Mindfulness training for smoking cessation: Moderation of the relationship between craving and cigarette use
Mindfulness training for smoking cessation: Moderation of the relationship between craving and cigarette use
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DOI：
10.1016/j.drugalcdep.2012.11.015
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发表时间：
2013-06-01
影响因子：
4.2
通讯作者：
Brewer, Judson A.
中科院分区：
文献类型：
--
作者：
Elwafi, Hani M.;Witkiewitz, Katie;Brewer, Judson A.
背景：在美国，吸烟是可预防死亡的主要原因，而戒烟率仍然不高。吸烟被证明是操作性条件反射的延续，特别是负面强化(例如，吸烟以缓解负面情绪状态)。正念训练(MT)显示了戒烟的希望，它潜在地改变了一个人吸烟的倾向，以回应渴望。这项研究的目的是在接受四周的MT治疗后，检验MT和正念练习对吸烟和渴望之间关系的影响。方法：33名成年人接受MT治疗，作为戒烟的随机试验的一部分。MT患者在治疗期间使用日常日记记录正式和非正式的正念练习。结果：分析显示，渴望与吸烟之间的强相关性(r=0.582)在治疗结束时减弱(r=0.126)。家庭正念练习显著预测吸烟的使用(正式：B=-1.21，p=0.007；非正式：B=-1.52，p<；0.0001)，非正式练习缓和了治疗结束时渴望与吸烟之间的关系(B=0.52，p=0.03)。结论：这些发现表明MT可能是一种有效的戒烟方法，非正式正念练习预测渴望与吸烟之间的联系脱钩。(C)2012爱思唯尔爱尔兰有限公司。保留所有权利。
Background: Smoking is the leading cause of preventable death in the US, while abstinence rates remain modest. Smoking has been shown to be perpetuated by operant conditioning, notably negative reinforcement (e.g., smoking to relieve negative affective states). Mindfulness training (MT) shows promise for smoking cessation, by potentially altering an individual's tendency to smoke in response to craving. The purpose of this study was to examine the effects of MT and mindfulness practice on the relationship between smoking and craving after receiving four weeks of MT.Methods: 33 adults received MT as part of a randomized trial for smoking cessation. Individuals in the MT condition recorded formal and informal mindfulness practice during treatment using daily diaries.Results: Analyses showed that strong correlations between craving and smoking at baseline (r = 0.582) were attenuated at the end of treatment (r = 0.126). Mindfulness home practice significantly predicted cigarette use (formal: B = -1.21, p = 0.007; informal: B = -1.52, p < 0.0001) and informal practice moderated the relationship between craving and smoking at the end of treatment (B = 0.52, p = 0.03).Conclusions: These findings suggest that MT may be effective as a treatment for smoking cessation and that informal mindfulness practice predicts a decoupling of the association between craving and smoking. (C) 2012 Elsevier Ireland Ltd. All rights reserved.