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行为冲动性可预测青少年吸烟者戒烟项目的治疗效果。

Behavioral impulsivity predicts treatment outcome in a smoking cessation program for adolescent smokers.

作者信息

Krishnan-Sarin Suchitra, Reynolds Brady, Duhig Amy M, Smith Anne, Liss Thomas, McFetridge Amanda, Cavallo Dana A, Carroll Kathleen M, Potenza Marc N

机构信息

Department of Psychiatry, Yale University School of Medicine, Connecticut Mental Health Center, 34 Park Street, New Haven, CT 06519, USA.

出版信息

Drug Alcohol Depend. 2007 Apr 17;88(1):79-82. doi: 10.1016/j.drugalcdep.2006.09.006. Epub 2006 Oct 17.

Abstract

OBJECTIVE

To examine the relationship between impulsivity and smoking cessation treatment response among adolescents.

METHODS

Thirty adolescent smokers participated in a high school based smoking cessation program combining contingency management and cognitive behavioral therapy. Self-report (Barratt impulsiveness scale (BIS-II); Kirby delay discounting measure (DDM)) and behavioral (experiential discounting task (EDT); continuous performance task (CPT)) measures of impulsivity were assessed at treatment onset.

RESULTS

Sixteen participants (53%) were abstinent from smoking at completion of the four-week study. Compared to abstinent adolescents, those not achieving abstinence discounted monetary rewards more on the EDT and committed more commission errors on the CPT. Group differences were not observed on the BIS-II or DDM.

CONCLUSIONS

These preliminary results suggest that specific behavioral measures of impulsivity may be associated with the ability to initiate and/or maintain abstinence from smoking among adolescent smokers.

摘要

目的

研究青少年冲动性与戒烟治疗反应之间的关系。

方法

30名青少年吸烟者参加了一项基于高中的戒烟项目,该项目结合了权变管理和认知行为疗法。在治疗开始时,通过自我报告(巴拉特冲动性量表(BIS-II);柯比延迟折扣测量(DDM))和行为(经验性折扣任务(EDT);连续性能任务(CPT))对冲动性进行评估。

结果

在为期四周的研究结束时,16名参与者(53%)成功戒烟。与成功戒烟的青少年相比,未成功戒烟的青少年在EDT上对金钱奖励的折扣更大,在CPT上的委托错误更多。在BIS-II或DDM上未观察到组间差异。

结论

这些初步结果表明,冲动性的特定行为指标可能与青少年吸烟者开始和/或维持戒烟的能力有关。

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本文引用的文献

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Contingency management for smoking cessation in adolescent smokers.青少年吸烟者戒烟的应急管理
Exp Clin Psychopharmacol. 2006 Aug;14(3):306-10. doi: 10.1037/1064-1297.14.3.306.
4
Impulsivity and smoking relapse.冲动性与吸烟复发。
Nicotine Tob Res. 2004 Aug;6(4):641-7. doi: 10.1080/14622200410001727939.
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Psychiatric aspects of impulsivity.冲动性的精神科问题。
Am J Psychiatry. 2001 Nov;158(11):1783-93. doi: 10.1176/appi.ajp.158.11.1783.
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Measures of impulsivity in cigarette smokers and non-smokers.吸烟者与非吸烟者的冲动性测量。
Psychopharmacology (Berl). 1999 Oct;146(4):455-64. doi: 10.1007/pl00005491.

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