Stevens Stacey L, Colwell Brian, Smith Dennis W, Robinson James, McMillan Catherine
Texas Commission on Alcohol and Drug Abuse, Austin, TX 78753-5233, USA.
Prev Med. 2005 Aug;41(2):589-96. doi: 10.1016/j.ypmed.2004.11.028.
Negative affect is related to initiation and maintenance of smoking among youth and understanding its role is important when developing effective prevention and cessation programs. This study investigates the relationship between adolescent negative affect and smoking dependence, behaviors, attitudes, and self-efficacy in order to shed light on differences in adolescent smoking maintenance and cessation.
721 smoking youth participated in a cognitive-behavioral smoking cessation program. Reasons for smoking were categorized (alpha = 0.87) and youth were placed into one of two groups based on presence or absence of negative affect. One-way repeated measures ANOVA determined if differences existed between the groups on smoking behaviors, attitudes, and self-efficacy. One-way ANOVA determined if differences existed on Fagerström Nicotine Tolerance Dependence (FTND) scores.
Adolescents indicating negative affect for smoking were significantly more likely to have future smoking intentions and had significantly less self-efficacy to quit smoking than adolescent reporting other reasons.
This study supports the need to address negative affect among adolescents participating in prevention and cessation programs. An examination of negative affect will provide program developers and facilitators with information to improve their interventions, assist with cessation, and provide an avenue to access other needed health services.
消极情绪与青少年吸烟行为的开始和维持有关，在制定有效的预防和戒烟计划时，了解其作用至关重要。本研究调查青少年消极情绪与吸烟依赖、行为、态度及自我效能之间的关系，以阐明青少年吸烟维持和戒烟方面的差异。
721名吸烟青少年参加了一项认知行为戒烟计划。对吸烟原因进行分类（α=0.87），并根据是否存在消极情绪将青少年分为两组。单向重复测量方差分析确定两组在吸烟行为、态度和自我效能方面是否存在差异。单向方差分析确定在法格斯特罗姆尼古丁耐受依赖性（FTND）评分上是否存在差异。
表明吸烟存在消极情绪的青少年比报告其他原因的青少年更有可能有未来吸烟意图，且戒烟自我效能显著更低。
本研究支持在参与预防和戒烟计划的青少年中解决消极情绪问题的必要性。对消极情绪的检查将为项目开发者和促进者提供信息，以改进他们的干预措施，协助戒烟，并提供获得其他所需健康服务的途径。
