Personalized Feedback for Distress Intolerant Smokers

为无法忍受痛苦的吸烟者提供个性化反馈

• 批准号: 9924469
• 负责人: Brooke Y Redmond
• 金额: $ 3.62万
• 依托单位: UNIVERSITY OF HOUSTON
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-05-01 至 2021-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9924469
• 关键词: Address; Alcohol abuse; Anxiety; Awareness; Behavior; Caring; Cessation of life; Chronic; Clinic; Clinical; Cognition; Computers; Depressive Syndromes; Distress; Emotional; Emotional disorder; Etiology; Feedback; General Population; Health; Health Promotion; Health Services Accessibility; Health behavior; Heterogeneity; Individual; Intention; Intervention; Maintenance; Mediating; Mental Depression; Mental disorders; Motivation; Nature; Neurotic Disorders; Outcome; Outpatients; Participant; Phase; Physiological; Population; Preventive Intervention; Primary Health Care; Problem behavior; Process; Psychiatric therapeutic procedure; Public Health; Randomized; Randomized Clinical Trials; Randomized Controlled Trials; Relapse; Risk; Risk Factors; Smoker; Smoking; Smoking Cessation Intervention; Subgroup; Syndrome; Testing; Therapeutic; Thinking; Time; Tobacco; Tobacco use; United States; Withdrawal; World Health; anxiety sensitivity; anxiety symptoms; base; behavior change; brief intervention; cigarette smoke; clinically significant; comorbidity; coping; cost effectiveness; craving; depressive symptoms; disability; distress tolerance; emotion dysregulation; emotional symptom; follow-up; formative assessment; high risk; improved; intervention effect; intervention program; medication compliance; negative affect; negative mood; normative feedback; phase 1 testing; portability; premature; preventable death; primary outcome; psychiatric symptom; psychologic; sex; smoking cessation; success; theories; willingness

Project Summary/Abstract Smoking remains the leading cause of preventable death and disability in the United States (US), contributing approximately 480,000 premature deaths annually.1, 2 Given widespread awareness of smoking as a 'chronic health behavior problem,' smoking rates, in general, have declined in the US.2 However, this decline has not extended to smokers with elevated psychiatric symptoms and disorders.3, 4 Here, anxiety and depressive symptoms and syndromes (hereafter termed `emotional disorders' for ease of presentation) are particularly important because they are the most prevalent psychiatric problems in the general population, remarkably comorbid with smoking, and reliably associated with smoking initiation, maintenance, and relapse.5 An integrative, theory-driven approach to address the heterogeneity of emotional disorders associated with smoking is to focus on underlying transdiagnostic processes that underpin both emotional disorders and smoking.6 Distress tolerance is a transdiagnostic vulnerability factor for the etiology and maintenance of negative affect syndromes.7 Distress tolerance is distinct theoretically and empirically from other constructs such as coping, anxiety sensitivity, negative affectivity, emotion dysregulation, neuroticism, and experiential avoidance.7-12 Although distress tolerance is a relatively stable construct,13 it is malleable, making it a prime risk factor to target in prevention/intervention programs.14, 15 Although there has been progress in targeting distress tolerance to decrease risk for emotional disorders16 and facilitate success in quitting smoking,17 no targeted efforts have focused on addressing distress tolerance in 'earlier phases' of the quit process (i.e., Motivation [having motivation to quit], Precessation [thinking about and preparing for quitting]). I seek to adapt and refine (Phase 1) and test in a pilot randomized controlled trial (Phase 2) an integrated, brief, computer-based personalized feedback intervention to: (1) increase motivation, confidence, and intention to quit and reduce perceived barriers for quitting smoking; (2) reduce smoking rate, increase number of quit attempts, and reduce coping-oriented smoking; and (3) increase distress tolerance and willingness to use adaptive coping strategies and reduce anxiety/depressive symptoms. Expanding the reach of health promotion tactics via a computer-delivered intervention is timely and necessary for a multitude of well- documented public health reasons: greater scalability to larger segments of the population; greater cost- effectiveness potential; the ability to enhance the personalized nature of care through the tailoring of therapeutic content to meet the unique needs of high-risk segments of the population; and the ability to reliably deliver brief tobacco use interventions.

项目总结/摘要 吸烟仍然是美国可预防的死亡和残疾的主要原因， 每年造成约480，000人过早死亡。1，2由于人们普遍认识到吸烟是 作为一种“慢性健康行为问题”，美国的吸烟率总体上有所下降。 并没有扩展到精神症状和障碍升高的吸烟者。3，4在这里，焦虑和 抑郁症状和综合征（以下简称为“情绪障碍”，以便于介绍）是 特别重要的是，因为它们是一般人群中最普遍的精神问题， 与吸烟显著共病，并与吸烟开始、维持和复发可靠相关。 一种综合的，理论驱动的方法来解决与抑郁症相关的情绪障碍的异质性， 吸烟的重点是潜在的transdiagnosis过程，支持情绪障碍， 6.痛苦耐受力是一个转诊断的脆弱性因素， 痛苦耐受在理论上和经验上都不同于其他情绪综合征。 结构，如应对，焦虑敏感性，消极情感，情绪失调， 神经质和经验回避。7 -12虽然痛苦容忍是一个相对稳定的结构， 这是一个具有可塑性的主要危险因素，应作为预防/干预方案的目标。 在针对痛苦容忍度方面取得了进展，以降低情绪障碍的风险16，并促进成功， 戒烟，17没有针对性的努力集中在解决痛苦的容忍度在'早期阶段'的 退出过程（即，动机[有退出的动机]，Precessation [思考和准备 退出]）。 我试图适应和完善（第1阶段），并在一项试点随机对照试验（第2阶段）中进行测试， 综合的、简短的、基于计算机的个性化反馈干预，以：（1）增加动力，信心， 和戒烟意愿，减少戒烟的感知障碍;（2）降低吸烟率，增加 戒烟尝试次数，减少应对导向型吸烟;（3）增加痛苦耐受力， 愿意使用适应性应对策略，减少焦虑/抑郁症状。扩大影响范围 通过计算机提供的干预健康促进策略是及时和必要的， 有记录的公共卫生原因：更大的可扩展性，以更大的部分人口;更大的成本- 有效性潜力;通过定制 治疗内容，以满足高风险人群的独特需求;以及可靠地 提供简短的烟草使用干预措施。

项目成果

Pain intensity, pain-related anxiety, and somatic and mental health symptoms: a test among latinx young adults.

• DOI: 10.1080/13548506.2020.1764598
• 发表时间: 2021-03
• 期刊: Psychology, health & medicine
• 作者: Zvolensky MJ;Kauffman BY;Shepherd JM;Bogiaizian D;Bakhshaie J;Viana AG;Peraza N;Nizio P
• 通讯作者: Nizio P

The association between distress tolerance and eating expectancies among trauma-exposed college students with obesity.

• DOI: 10.1080/07448481.2020.1754223
• 发表时间: 2022-03
• 期刊: Journal of American college health : J of ACH
• 作者: Kauffman BY;Bakhshaie J;Zvolensky MJ
• 通讯作者: Zvolensky MJ

Towards a greater understanding of anxiety sensitivity across groups: The construct validity of the Anxiety Sensitivity Index-3.

• DOI: 10.1016/j.psychres.2018.07.007
• 发表时间: 2018-10
• 期刊: Psychiatry research
• 影响因子: 11.3
• 作者: Jardin C;Paulus DJ;Garey L;Kauffman B;Bakhshaie J;Manning K;Mayorga NA;Zvolensky MJ
• 通讯作者: Zvolensky MJ

Worry Among Latinx Young Adults: Relations to Pain Experience, Pain-Related Anxiety, and Perceived Health.

拉丁裔年轻人的担忧：与疼痛体验、疼痛相关焦虑和感知健康的关系。

• DOI: 10.1007/s40615-019-00599-4
• 发表时间: 2019
• 期刊: Journal of racial and ethnic health disparities
• 影响因子: 3.9
• 作者: Zvolensky,MichaelJ;Kauffman,BrookeY;Bogiaizian,Daniel;Viana,AndresG;Bakhshaie,Jafar;Rogers,AndrewH;Peraza,Natalia
• 通讯作者: Peraza,Natalia

Anxiety sensitivity and modifiable cardiovascular disease risk factors: the role of pain intensity among individuals with chronic pain.

• DOI: 10.1007/s10865-021-00262-6
• 发表时间: 2022-04
• 期刊: JOURNAL OF BEHAVIORAL MEDICINE
• 影响因子: 3.1
• 作者: Kauffman, Brooke Y;Kroeger, Ryan;Rogers, Andrew H;Garey, Lorra;Ditre, Joseph W;Zvolensky, Michael J
• 通讯作者: Zvolensky, Michael J