Distress Intolerance on Smoking Lapse among Motivated vs. Unmotivated Smokers

动机吸烟者与无动机吸烟者对戒烟的痛苦不耐受

• 批准号: 8780851
• 负责人: Amanda R Mathew
• 金额: $ 5.6万
• 依托单位: MEDICAL UNIVERSITY OF SOUTH CAROLINA
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-08-12 至 2015-08-11
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8780851
• 关键词: Abstinence; Address; Affective; Affective Symptoms; Alcohol or Other Drugs use; Am 80; Anxiety; Behavior; Behavioral; Cigarette; Clinical; Data; Development; Distress; Dropout; Early treatment; Effectiveness; Emotional; Exposure to; Fostering; Frustration; Future; Incidence; Individual Differences; Intervention; Intervention Studies; Laboratories; Link; Literature; Measures; Methodology; Modeling; Motivation; Nicotine Dependence; Nicotine Withdrawal; Participant; Patient Self-Report; Performance; Population; Public Health; Recruitment Activity; Relapse; Research; Role; Sampling; Smoker; Smoking; Staging; Testing; Time; Withdrawal Symptom; analog; base; behavior measurement; craving; distress tolerance; dysphoria; emotion regulation; indexing; interest; public health relevance; response; skills training; smoking cessation; smoking prevalence; success; treatment strategy; volunteer; willingness

DESCRIPTION (provided by applicant): Because the rate of smoking has largely stabilized over the past decade and most smokers are uninterested in quitting in the near future, unmotivated smokers represent an important population to target for public health efforts. Clinical interventions that induce quit attempts among smokers who are not yet ready to quit are limited in availability and effectiveness. Since quit attempts introduce marked symptoms of affective and somatic distress due to nicotine withdrawal, it stands to reason that inability or unwillingness to endure this distress impedes smokers from even trying to quit, just as it impedes success once an attempt is made. The literature on distress intolerance (DI) focuses almost exclusively on the latter (e.g., as a predictor of relapse), with very little focus on the former (e.g., undermining motivation to quit). The proposed study will assess DI among and between smokers who are vs. are not motivated to quit, as well as the impact of DI on smoking lapse behavior in a laboratory analog task. Findings are expected to identify between-group differences that help to clarify relationships between DI and motivation to quit smoking. As DI is a promising target for intervention, results are expected to inform treatment strategies that may help to foster motivation among smokers not ready to quit.

描述（由申请人提供）：由于吸烟率在过去十年中基本稳定，大多数吸烟者在不久的将来对戒烟不感兴趣，因此无动机吸烟者是公共卫生工作的重要目标人群。在尚未准备好戒烟的吸烟者中诱导戒烟尝试的临床干预措施的可用性和有效性有限。由于戒烟尝试会因尼古丁戒断而引起明显的情感和躯体痛苦症状，因此有理由认为，无法或不愿意忍受这种痛苦会阻碍吸烟者甚至尝试戒烟，就像它会阻碍成功一样。关于痛苦不容忍（DI）的文献几乎完全集中在后者（例如，作为复发的预测因子），很少关注前者（例如，（1）放弃的动机）。这项拟议的研究将评估有戒烟动机的吸烟者与没有戒烟动机的吸烟者之间的DI，以及DI对实验室模拟任务中吸烟行为的影响。研究结果预计将确定组间差异，有助于澄清DI和戒烟动机之间的关系。由于DI是一个有希望的干预目标，因此预计结果将为治疗策略提供信息，这可能有助于培养未准备好戒烟的吸烟者的动机。