Impact of Yoga Practice on Self-Control in Abstinent Nicotine Dependent Smokers

瑜伽练习对戒断尼古丁依赖吸烟者自我控制的影响

• 批准号: 8701652
• 负责人: Laura Carim Todd
• 金额: $ 23.1万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-05-01 至 2016-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8701652
• 关键词: Abstinence; Acute; Adult; Affect; Anxiety; Attention; Attention Deficit Disorder; Behavior; Behavior Therapy; Behavioral; Behavioral Paradigm; Binge Eating; Calculi; Characteristics; Cigarette; Clinical Research; Clinical Trials; Clinical Trials Design; Control Groups; Controlled Study; Data; Disease; Education; Effectiveness; Emotional; Exercise; Expectancy; Expenditure; Gambling; Goals; Health; Hour; Impulsivity; Individual; Intelligence; Intervention; Laboratories; Literature; Long-Term Effects; Measures; Meditation; Mental Depression; Metabolic; Modeling; Mood Disorders; Moods; Movement; Nicotine; Nicotine Dependence; Obsessive-Compulsive Disorder; Outpatients; Participant; Patient Self-Report; Performance; Personality Traits; Predisposition; Principal Investigator; Psychological reinforcement; Publishing; Questionnaires; Randomized Controlled Trials; Recovery; Research; Research Personnel; Rewards; Sampling; Self Perception; Self-control as a personality trait; Sleep disturbances; Smoker; Smoking; Staging; Stress; Substance abuse problem; Testing; Time; Tobacco; Tobacco Dependence; Withdrawal; Withdrawal Symptom; Withholding Treatment; World Health Organization; Yoga; addiction; arm; authority; base; career; craving; discounting; experience; follow-up; improved; instructor; intervention effect; meetings; mindfulness; primary outcome; programs; public health relevance; response; skills; smoking cessation; stress related disorder; success; treatment strategy

DESCRIPTION (provided by applicant): This proposal will investigate the potential effects of an acute yoga intervention on an objective measure of self-control in a sample of nicotine-dependent smokers. This is the first study evaluating the effects of yoga practice on self-control and will provide critical data about the potential of yoga-based interventions to treat disorders that have self-control as one of their main components. Low self-control has been associated to an extensive range of unhealthy behaviors including substance abuse, compulsive eating and gambling, and attention-deficit disorders. Therefore, interventions with the potential to increase self-control may prove widely beneficial. As a practice that enhances self-awareness, yoga is an ideal candidate intervention to increase individual self-control~ and if the study aims are met, new treatment strategies would be suggested for additional study, that could supplement or replace existing treatments and increase successful management and/or recovery from disease. Accordingly, this proposal focuses on the impact of yoga on self-control in the context of tobacco addiction. Through a 3-arm randomized controlled trial design we will assess the influence of yoga on self-control, and compare that to an exercise intervention matched for metabolic expenditure, and to a health and wellness education program in confirmed 12-hour abstinent nicotine-dependent smokers. The primary outcome, self- control, represented by latency to smoking, will be measured using a laboratory model of abstinence reinforcement in which participants receive a monetary reward that increases as they spend time without smoking. This behavioral paradigm of self-control has been applied successfully in outpatient settings and in the laboratory. Secondary measures include questionnaires on self-control, mood, cigarette craving, and withdrawal symptoms before the intervention, right after, and at 4-weeks follow-up. Delay discounting performance, response inhibition, personality traits, anxiety, perceived stress, mindfulness, and expectancy will be obtained at baseline and used to identify correlates of the effect of yoga on self-control. The project is perfectly tailored to the skills o the research team, which is comprised of an early career principal investigator that also is a certifie yoga instructor, and two highly experienced co-investigators with experience in clinical research.

描述（由申请人提供）：本提案将研究急性瑜伽干预对尼古丁依赖性吸烟者样本中自我控制客观测量的潜在影响。这是第一项评估瑜伽练习对自我控制的影响的研究，并将提供有关瑜伽干预治疗以自我控制为主要组成部分之一的疾病的潜力的关键数据。低自我控制与广泛的不健康行为有关，包括药物滥用，强迫性饮食和赌博，以及注意力缺陷障碍。因此，有可能提高自我控制的干预措施可能会被证明是广泛有益的。作为一种增强自我意识的练习，瑜伽是一种理想的候选干预措施，以提高个人的自我控制能力，如果研究目标得到满足，新的治疗策略将被建议用于其他研究，可以补充或取代现有的治疗方法，并增加成功的管理和/或从疾病中恢复。因此，本提案的重点是在烟草成瘾的情况下瑜伽对自我控制的影响。通过一项3臂随机对照试验设计，我们将评估瑜伽对自我控制的影响，并将其与代谢消耗匹配的运动干预以及确认的12小时戒烟尼古丁依赖吸烟者的健康和健康教育计划进行比较。主要结果，自我控制，由吸烟潜伏期表示，将使用禁欲强化的实验室模型进行测量，其中参与者获得金钱奖励，随着他们不吸烟的时间增加。这种自我控制的行为模式已经成功地应用于门诊和实验室。次要措施包括干预前、干预后和4周随访时的自我控制、情绪、吸烟渴望和戒断症状问卷。延迟折扣表现，反应抑制，人格特质，焦虑，感知压力，正念和期望将在基线获得，并用于确定瑜伽对自我控制的影响的相关性。该项目完全符合研究团队的技能，该团队由一名早期职业首席研究员（也是一名认证瑜伽教练）和两名具有临床研究经验的经验丰富的合作研究员组成。