Impulsive Behavior and Treatment Outcomes for Adolescent Smoking

描述(申请人提供)：这项研究的主要目标是评估接受戒烟或减少吸烟治疗的青少年吸烟者冲动行为的不同维度与治疗反应之间的关系。这项研究将收集参加广泛处方的青少年吸烟治疗计划的寻求治疗的青少年吸烟者的数据，并随着时间的推移进行跟踪。对冲动的实验室行为评估，包括对延迟和概率折扣、行为抑制和持续注意力的评估，将被视为(A)坚持吸烟治疗计划的预测因子，(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周内持续改变的吸烟行为(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成功改变吸烟行为的青少年吸烟者建立行为特征。实验室行为评估将提供有关青少年吸烟者特定行为风格的非常详细的信息，这些吸烟者在治疗计划期间无法有效地改变他们的吸烟行为。这些信息应该为修改治疗方案提供新的侧重点，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，这使得它与涉及吸烟的重要公共健康问题和国家药物滥用研究所的使命相关。与公共健康相关：在美国，吸烟是最可预防的死亡原因。这项研究将促进我们对青少年在戒烟治疗期间戒烟或减少吸烟能力相关的不同行为方式的理解。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.