Nighttime Waking to Smoke, Stress, and Nicotine Addiction.
Nighttime Waking to Smoke, Stress, and Nicotine Addiction.
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DOI：
10.1080/15402002.2021.1992408
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发表时间：
2022-11
影响因子：
3.1
通讯作者：
Muscat, Joshua E.
中科院分区：
文献类型：
--
作者：
Branstetter, Steven A.;Krebs, Nicolle M.;Muscat, Joshua E.
多达一半的吸烟者可能会在夜间醒来并吸烟。这种行为可能会导致更大的戒烟失败的可能性，临床相关的睡眠困难，以及一系列的健康问题。虽然科学文献通常将这种行为归因于尼古丁依赖，但高达85%的夜间醒来并吸烟的吸烟者将这种行为归因于尼古丁以外的因素。本研究探讨尼古丁依赖、心理困扰、知觉压力与夜间醒来吸烟之间的关系。来自宾夕法尼亚州成人吸烟研究（PASS）的351名成年吸烟者完成了自我报告调查，并提供唾液用于可替宁值的评估。调查工具包括尼古丁成瘾的措施，感知压力，广泛的全球心理困扰的措施，以及一系列人口因素。Logistic回归分析显示，尼古丁成瘾、心理困扰和感知压力都与夜间吸烟有关，但可替宁水平与夜间吸烟无关。中介模型发现，心理困扰与夜间醒来吸烟有直接关系，即使考虑到尼古丁成瘾和其他睡眠障碍的原因（例如，呼吸暂停和慢性身体疼痛）。替代适度和调解模型进行，但不支持其他变量之间的合理关联。晚上醒来吸烟可能是尼古丁依赖和心理困扰的结果。鉴于可替宁水平与夜间清醒无关，尼古丁依赖如何影响夜间清醒的机制需要进一步研究。
Up to one-half of cigarette smokers may wake up during the night and smoke. This behavior may result in greater likelihood of cessation failure, clinically relevant sleep difficulties, and a range of health issues. Whereas the scientific literature has often attributed this behavior to nicotine dependence, up to 85% of smokers who wake at night and smoke attribute this behavior to factors other than nicotine. This study examines the relations between nicotine dependence, psychological distress, perceived stress and waking at night to smoke. A total of 351 adult smokers from the Pennsylvania Adult Smoking Study (PASS) completed self-report surveys and provided saliva for the evaluation of cotinine values. Survey instruments included measures of nicotine addiction, perceived stress, a broad measure of global psychological distress, and a range of demographic factors. Logistic regression demonstrated that nicotine addiction, psychological distress and perceived stress were all related to waking at night to smoke, but cotinine levels were not. Mediation models found that psychological distress had a direct relation to waking at night to smoke, even when considering nicotine addiction and other causes of sleep disturbances (e.g., apnea and chronic physical pain). Alternative moderation and mediation models were conducted but did not support other plausible associations between variables. Waking at night to smoke is likely the result of both nicotine dependence and psychological distress. Given that cotinine levels were not associated with waking at night, the mechanisms of how nicotine dependence may affect waking at night needs further investigation.
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DOI：
10.1158/1055-9965.epi-09-0737
发表时间：
2009-12
期刊：
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
影响因子：
--
作者：
Muscat JE;Stellman SD;Caraballo RS;Richie JP Jr
通讯作者：
Richie JP Jr
影响因子：
3.4
作者：
Medic G;Wille M;Hemels ME
通讯作者：
Hemels ME
影响因子：
3.4
作者：
Peters, Erica N.;Fucito, Lisa M.;O'Malley, Stephanie S.
通讯作者：
O'Malley, Stephanie S.
影响因子：
3.3
作者：
Morin, CM;Rodrigue, S;Ivers, H
通讯作者：
Ivers, H
影响因子：
--
作者：
Jung, Hyun-Suk;Kim, Yeol;Huh, Bong Ryul
通讯作者：
Huh, Bong Ryul