Levine Michele D, Marcus Marsha D, Kalarchian Melissa A, Weissfeld Lisa, Qin Li
Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, PA 15213, USA.
Ann Behav Med. 2006 Oct;32(2):147-53. doi: 10.1207/s15324796abm3202_12.
Although many women quit smoking during pregnancy, most resume smoking postpartum. One factor that may be important in postpartum relapse is a pregnant woman's motivation to remain abstinent after delivery.
We assessed motivation for postpartum abstinence among pregnant women who had quit smoking and examined the relationship of weight concerns and mood to abstinence motivation.
Pregnant former smokers, recruited between February 2000 and November 2004, completed assessments of smoking, weight concerns, depressive symptoms, and perceived stress.
Sixty-five percent were highly motivated to remain abstinent postpartum. Women who were and were not motivated were similar in age, race, and nicotine dependence. However, motivated women reported more stress, greater self-efficacy for weight management, less hunger, and less smoking for weight control than did less motivated women. After controlling for intention to breast-feed, nicotine dependence, years of smoking, partner smoking, and race, self-efficacy for weight control was related to motivation to maintain postpartum abstinence.
These data suggest that weight concerns are associated with motivation for postpartum smoking abstinence, and interventions designed to prevent postpartum smoking relapse may need to target eating, weight, and shape concerns.
尽管许多女性在孕期戒烟，但大多数人在产后又恢复吸烟。产后复吸中一个可能重要的因素是孕妇产后保持戒烟的动机。
我们评估了已戒烟孕妇产后戒烟的动机，并研究了体重担忧和情绪与戒烟动机之间的关系。
在2000年2月至2004年11月期间招募的怀孕前吸烟者完成了关于吸烟、体重担忧、抑郁症状和感知压力的评估。
65%的人有强烈的动机在产后保持戒烟。有动机和没有动机的女性在年龄、种族和尼古丁依赖方面相似。然而，有动机的女性比动机较弱的女性报告了更多的压力、更强的体重管理自我效能感、更少的饥饿感以及更少为控制体重而吸烟。在控制了母乳喂养意愿、尼古丁依赖、吸烟年限、伴侣吸烟和种族后，体重控制自我效能感与维持产后戒烟的动机有关。
这些数据表明，体重担忧与产后戒烟动机有关，旨在预防产后吸烟复吸的干预措施可能需要针对饮食、体重和体型担忧。
