Cooney Ned L, Litt Mark D, Cooney Judith L, Pilkey David T, Steinberg Howard R, Oncken Cheryl A
Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06520-1942, USA.
Psychol Addict Behav. 2007 Sep;21(3):277-86. doi: 10.1037/0893-164X.21.3.277.
Alcohol-tobacco interactions and relapse precipitants were examined among alcohol-dependent smokers in a trial of concurrent alcohol and tobacco treatment. After discharge from treatment, participants completed 14 days of electronic diary (ED) assessments of mood, self-efficacy, urges to drink or smoke, and drinking and smoking behavior. ED data revealed an increase in frequency of alcohol urges after smoking episodes. Drinking relapse episodes were predicted by prior ED ratings of low self-efficacy to resist drinking and high urge to smoke. Smoking relapse episodes were predicted by high urge to smoke and high negative, high arousal mood. Results support a cross-substance cue reactivity model of multiple substance use and a limited-strength model, but not a cross-substance coping model.
在一项酒精与烟草同时治疗的试验中,对酒精依赖吸烟者的酒精-烟草相互作用和复发诱发因素进行了研究。治疗出院后,参与者完成了为期14天的电子日记(ED)评估,内容包括情绪、自我效能感、饮酒或吸烟冲动以及饮酒和吸烟行为。ED数据显示,吸烟后饮酒冲动的频率增加。饮酒复发事件可通过之前ED评估中较低的抵制饮酒自我效能感和较高的吸烟冲动来预测。吸烟复发事件可通过较高的吸烟冲动以及较高的负面、高唤醒情绪来预测。研究结果支持多物质使用的跨物质线索反应模型和有限强度模型,但不支持跨物质应对模型。