Psychological symptoms, smoking lapse behavior, and the mediating effects of nicotine withdrawal symptoms: A laboratory study.
Psychological symptoms, smoking lapse behavior, and the mediating effects of nicotine withdrawal symptoms: A laboratory study.
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DOI：
10.1037/adb0000029
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发表时间：
2015-03
影响因子：
3.4
通讯作者：
Leventhal, Adam M.
中科院分区：
文献类型：
--
作者：
Ameringer, Katherine J.;Leventhal, Adam M.
心理症状对吸烟行为的影响是理解的关键。然而，这种关系被多种形式的心理症状及其与尼古丁戒断的重叠所掩盖。为了解决这些挑战，我们构建了一个潜在因素的结构模型，潜在因素的基础上9个显式量表的情感和行为症状和测试潜在因素和显式量表残差与尼古丁戒断和吸烟失误在实验室模拟任务之间的关系。成年每日吸烟者（N = 286）完成了一个基线阶段，在该阶段评估了几种形式的情感和行为症状，并完成了2个实验阶段（即，在戒烟16小时后和定期吸烟后），在此期间测量戒断症状和延迟吸烟以换取货币强化，作为失效倾向的模拟。一个单一的二阶因素的一般心理失调与更严重的戒断症状，这反过来又与较短的延迟吸烟。一阶因素，挖掘定性独特的领域的心理症状（低积极影响，消极影响，去抑制），和明显的规模残差提供了一点预测能力超过二阶因素方面的失误行为。一般的心理失调，戒断症状，和失误之间的关系是显着的，在禁欲和非禁欲条件下，这表明心理失调，而不是尼古丁戒断本身，占与失误的关系。这些结果突出了潜在的戒烟策略，针对一般的心理适应不良的过程，并有针对性地解决个人的心理症状戒断症状的影响。
The influence of psychological symptoms on smoking-lapse behavior is critical to understand. However, this relationship is obscured by comorbidity across multiple forms of psychological symptoms and their overlap with nicotine withdrawal. To address these challenges, we constructed a structural model of latent factors underlying 9 manifest scales of affective and behavioral symptoms and tested relations between latent factors and manifest scale residuals with nicotine withdrawal and smoking lapse in a laboratory analog task. Adult daily smokers (N = 286) completed a baseline session at which several forms of affective and behavioral symptoms were assessed and 2 experimental sessions (i.e., following 16 hr of smoking abstinence and following regular smoking), during which withdrawal symptoms and delay of smoking in exchange for monetary reinforcement, as an analogue for lapse propensity, were measured. A single second-order factor of general psychological maladjustment associated with more severe withdrawal-like symptoms, which in turn associated with shorter delay of smoking. The first-order factors, which tapped qualitatively unique domains of psychological symptoms (low positive affect, negative affect, disinhibition), and the manifest scale residuals provided little predictive power beyond the second-order factor with regard to lapse behavior. Relations among general psychological maladjustment, withdrawal-like symptoms, and lapse were significant in both abstinent and nonabstinent conditions, suggesting that psychological maladjustment, and not nicotine withdrawal per se, accounted for the relation with lapse. These results highlight the potential for smoking-cessation strategies that target general psychological maladjustment processes and have implications for addressing withdrawal-like symptoms among individuals with psychological symptoms.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
3.4
作者：
Dallery, Jesse;Raiff, Bethany R.
通讯作者：
Raiff, Bethany R.
影响因子：
--
作者：
Kessler, RC;Berglund, P;Walters, EE
通讯作者：
Walters, EE
DOI：
10.1111/j.2044-8317.1991.tb00966.x
发表时间：
1991-11-01
影响因子：
2.6
作者：
CHOU, CP;BENTLER, PM;SATORRA, A
通讯作者：
SATORRA, A
影响因子：
4.6
作者：
Brown, TA;Chorpita, BF;Barlow, DH
通讯作者：
Barlow, DH