The Role of the Subjective Importance of Smoking (SIMS) in Cessation and Abstinence.

The Role of the Subjective Importance of Smoking (SIMS) in Cessation and Abstinence.
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吸烟的主观重要性 (SIMS) 在戒烟和节欲中的作用。

DOI:
10.1017/jsc.2018.7
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发表时间:
2019
影响因子:
0.9
通讯作者:
Schnoll,Robert
Schnoll,Robert
中科院分区:
--
文献类型:
--
作者:
Rodriguez,Daniel;Goulazian,Tiffanie;Strasser,AndrewA;OLoughlin,Jennifer;Dugas,ErikaN;Kuoiloi,Chol;Hitsman,BrianL;Schnoll,Robert

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每年约有三分之二的美国吸烟者尝试戒烟。然而,只有不到5%的人在戒烟三个月后仍保持禁欲。一个可能影响戒烟的因素是与吸烟者的自我相关的负面感觉(不平衡),特别是当吸烟对自我意识很重要并且一个人试图戒烟的时候。目的我们评估了一个多变量结构方程模型,该模型提出吸烟对吸烟者的主观重要性会影响24周(戒烟后日期)一氧化碳确认的戒烟情况。此外,我们还评估了吸烟者的不平衡经验是否会缓和这种关系。方法参与者是440名经常吸烟的人,他们参加了一项临床试验,评估了不同时间段的尼古丁替代疗法的有效性。结果:探索性结构方程模型显示,吸烟的主观重要性与24周时的时点戒烟有关,但仅限于高度不平衡的吸烟者。结论本研究结果表明,尽管吸烟对吸烟者的自我感觉很重要,但作为吸烟者的负性感受可以促使吸烟者保持戒烟。
IntroductionEach year about two thirds of U.S. smokers make a quit attempt. Yet, less than 5% remain abstinent three months post-quit date. One factor that may affect abstinence is negative feelings about the self-associated with being a smoker (disequilibrium), particularly if smoking is important to the sense of self and one is trying to quit.AimsWe evaluated a multivariate structural equation model proposing that smoking's subjective importance to a smoker would influence carbon monoxide verified smoking abstinence at 24 weeks (post-quit date). Further, we assessed whether the relation would be moderated by the smoker's experience of disequilibrium.MethodsParticipants were 440 regular smokers taking part in a clinical trial assessing the effectiveness of different durations of nicotine replacement therapy use. Participants completed the subjective importance of smoking survey at baseline and were assessed for carbon monoxide verified seven-day point prevalence abstinence at 24 weeksResults: Using exploratory structural equation modelling, the subjective importance of smoking was associated with point prevalence abstinence at 24 weeks, but only for smokers with high disequilibrium.ConclusionsThe results of this study suggest that experiencing negative feelings about being a smoker could motivate smokers to remain abstinent, despite the importance of smoking to the smoker's sense of self.
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