Impulsive Behavior and Treatment Outcomes for Adolescent Smoking

描述（由申请人提供）：本研究的主要目的是评估接受戒烟或减少吸烟治疗的青少年冲动行为的不同维度与治疗反应之间的关系。这项研究将收集数据，并长期跟踪寻求治疗的青少年吸烟者，他们参加了广泛规定的青少年吸烟治疗计划。冲动的实验室行为评估，包括延迟和概率折扣评估，行为去抑制和持续注意力，将作为预测因素进行检查(a)对吸烟治疗计划的依从性，(b)这些青少年吸烟者在治疗期间戒烟或减少吸烟的能力，以及(c)在治疗后24周内改变吸烟行为的持续（减少吸烟）。预计这项研究将为那些想要戒烟或减少吸烟但在治疗期间最终未能改变吸烟行为的青少年吸烟者建立行为档案。包括实验室行为评估将提供非常详细的信息，关于青少年吸烟者的具体行为风格，他们在治疗方案中无法有效地改变他们的吸烟行为。这些信息应该为治疗方案的修改提供新的重点，以改进这些方案，使其对那些在戒烟或减少吸烟方面面临最大挑战的青少年更有效。这项研究有可能指导旨在减少青少年吸烟的治疗修改，因此它与涉及吸烟的重要公共卫生问题和国家药物滥用研究所的使命有关。公共卫生相关性：在美国，吸烟是可预防的头号死因。这项研究将促进我们对不同行为方式与青少年戒烟或在戒烟治疗期间减少吸烟能力的关系的理解。预计这项研究的结果将指导吸烟治疗的修改，使这些治疗对那些试图戒烟或减少吸烟的青少年更有效。

DESCRIPTION (provided by applicant): The primary goal of this research is to assess the relationships between different dimensions of impulsive behavior and treatment response for adolescent smokers receiving treatment to quit or reduce their smoking. This study will collect data from, and follow over time, treatment-seeking adolescent smokers who are enrolled in a widely-prescribed adolescent smoking treatment program. Laboratory behavioral assessments of impulsivity, including assessments of delay and probability discounting, behavioral disinhibition, and sustained attention, will be examined as predictors of (a) adherence to the smoking-treatment program, (b) the ability of these adolescent smokers to quit or reduce smoking during treatment, and (c) the continuation of changed smoking behaviors (reductions in smoking) during the 24 weeks following treatment. It is expected that this research will establish a behavioral profile for teen smokers who want to quit or reduce smoking but who are ultimately unsuccessful in changing their smoking behavior during treatment. The inclusion of laboratory behavioral assessments will provide highly detailed information about the specific behavioral styles of adolescent smokers who are unable to effectively change their smoking behaviors during a treatment program. This information should provide new points of emphasis for treatment-program modifications to improve these programs to be more effective for those adolescents most challenged in their efforts to quit or reduce smoking. The potential of this research to guide treatment modifications oriented to reducing adolescent cigarette smoking makes it relevant to important public-health issues involving cigarette smoking and the mission of the National Institute on Drug Abuse. PUBLIC HEALTH RELEVANCE: Cigarette smoking is the top preventable cause of death in the United States. This study will advance our understanding of the different behavioral styles associated with an adolescent's ability to quit or reduce smoking during treatment for smoking cessation. It is expected that the results of this study will guide smoking treatment modifications to make these treatments more effective for adolescents who are trying to quit or reduce smoking.