Kirchner Thomas R, Sayette Michael A
Department of Psychology, University of Pittsburgh, Pittsburgh, PA 15260, USA.
Nicotine Tob Res. 2007 Mar;9(3):365-76. doi: 10.1080/14622200701188893.
Smoking cessation interventions often target expectancies about the consequences of smoking. Yet little is known about the way smoking-related expectancies vary across different contexts. Two internal contexts that are often linked with smoking relapse are states associated with smoking abstinence and alcohol consumption. This report presents a secondary analysis of data from two experiments designed to examine the influence of smoking abstinence, and smoking abstinence combined with alcohol consumption, on smoking-related outcome expectancies among heavy smokers and tobacco chippers (smokers who had consistently smoked no more than 5 cigarettes/day for at least 2 years). Across both experiments, smoking abstinence and alcohol consumption increased expectancies of positive reinforcement from smoking. In addition, alcohol consumption increased negative reinforcement expectancies among tobacco chippers, such that the expectancies became more similar to those of heavy smokers as tobacco chippers' level of subjective alcohol intoxication increased. Findings suggest that these altered states influence the way smokers evaluate the consequences of smoking, and provide insight into the link between smoking abstinence, alcohol consumption, and smoking behavior.
戒烟干预措施通常针对对吸烟后果的预期。然而,对于与吸烟相关的预期在不同情境下如何变化,人们知之甚少。两个常与吸烟复发相关的内部情境是与戒烟和饮酒相关的状态。本报告对两项实验的数据进行了二次分析,这两项实验旨在研究戒烟以及戒烟与饮酒相结合对重度吸烟者和轻度吸烟者(即持续至少两年每天吸烟不超过5支的吸烟者)与吸烟相关的结果预期的影响。在这两项实验中,戒烟和饮酒都会增加对吸烟带来积极强化作用的预期。此外,饮酒会增加轻度吸烟者对消极强化作用的预期,以至于随着轻度吸烟者主观酒精中毒程度的增加,他们的预期变得与重度吸烟者的预期更为相似。研究结果表明,这些改变的状态会影响吸烟者对吸烟后果的评估方式,并为戒烟、饮酒和吸烟行为之间的联系提供了见解。