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，并且大多数吸烟者在不久的将来没有兴趣戒烟，因此无动机吸烟者是公共卫生工作的重要目标人群。诱导尚未准备戒烟的吸烟者尝试戒烟的临床干预措施在可得性和有效性方面是有限的。由于尼古丁戒断会带来明显的情感和身体上的痛苦，因此，不能或不愿意忍受这种痛苦会阻碍吸烟者尝试戒烟，就像一旦尝试戒烟就会阻碍成功一样。关于痛苦不耐受（DI）的文献几乎只关注后者（例如，作为复发的预测因子），很少关注前者（例如，破坏戒烟的动机）。拟议的研究将在实验室模拟任务中评估有戒烟动机和没有戒烟动机的吸烟者之间的DI，以及DI对吸烟失效行为的影响。研究结果有望确定组间差异，从而有助于阐明DI与戒烟动机之间的关系。由于DI是一个有希望的干预目标，预计结果将为治疗策略提供信息，可能有助于培养尚未准备好戒烟的吸烟者的动机。