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日常吸烟者的焦虑敏感性、情绪失调和消极情感评估:与吸烟动机及戒烟障碍的关系

An evaluation of anxiety sensitivity, emotional dysregulation, and negative affectivity among daily cigarette smokers: relation to smoking motives and barriers to quitting.

作者信息

Gonzalez Adam, Zvolensky Michael J, Vujanovic Anka A, Leyro Teresa M, Marshall Erin C

机构信息

University of Vermont, John Dewey Hall, 2 Colchester Avenue, Burlington, VT 05405-0134, United States.

出版信息

J Psychiatr Res. 2008 Dec;43(2):138-47. doi: 10.1016/j.jpsychires.2008.03.002. Epub 2008 Apr 15.

Abstract

The present investigation evaluated the relations between anxiety sensitivity and motivational bases of cigarette smoking, as well as barriers to quitting smoking, above and beyond concurrent substance use, negative affectivity, and emotional dysregulation among a community sample of 189 daily cigarette smokers (46% women; M(age)=24.97 years, SD=9.78). Results indicated that anxiety sensitivity was significantly related to coping, addictive, and habitual smoking motives, as well as greater perceived barriers to quitting. These effects were evident above and beyond the variance accounted for by concurrent tobacco, alcohol, and marijuana use and discernable from shared variance with negative affectivity and emotional dysregulation. Emotional dysregulation was significantly related to stimulation, habitual, and sensorimotor smoking motives and greater perceived barriers to quitting, whereas negative affectivity was only significantly related to smoking for relaxation. These findings uniquely add to a growing literature suggesting anxiety sensitivity is an important and unique cognitive factor for better understanding clinically-relevant psychological processes related to cigarette smoking.

摘要

本研究评估了焦虑敏感性与吸烟动机基础之间的关系,以及戒烟障碍,这些评估是在189名每日吸烟者的社区样本(46%为女性;年龄均值M = 24.97岁,标准差SD = 9.78)中进行的,评估范围超出了同时存在的物质使用、消极情感和情绪失调情况。结果表明,焦虑敏感性与应对性、成瘾性和习惯性吸烟动机显著相关,同时也与更高的戒烟感知障碍显著相关。这些影响在排除了同时使用烟草、酒精和大麻所解释的方差后依然显著,并且与消极情感和情绪失调的共同方差可区分开来。情绪失调与刺激性、习惯性和感觉运动性吸烟动机以及更高的戒烟感知障碍显著相关,而消极情感仅与为放松而吸烟显著相关。这些发现独特地补充了越来越多的文献,表明焦虑敏感性是一个重要且独特的认知因素,有助于更好地理解与吸烟相关的临床相关心理过程。

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