CRIISP (152), Iowa City VA Health Care System, Iowa City, Iowa 52246, United States.
Psychol Health. 2009 Feb;24(2):187-201. doi: 10.1080/08870440701639377.
We sought to determine whether different social, psychological, emotional, and physiological experiences associated with quitting smoking related to people's satisfaction with cessation systematically, and whether the strength of the relations changes at different points during the cessation process and for different people (e.g., optimists). Using data from smokers enrolled in a cessation program, we used mixed models to assess the average longitudinal relation between people's experiences and satisfaction measured at seven time points and whether the relations were moderated by key variables. Eight of nine experiences were related to people's satisfaction (ps < 0.05) and the models accounted for 39-44% of the within-person variance in satisfaction. Current smoking behavior was more strongly related to people's satisfaction during their early efforts to quit, whereas some experiences (e.g., feedback from others) had a stronger relation with satisfaction during people's later efforts to quit or maintain abstinence (ps < 0.05). Individual differences in optimism and prior cessation experience moderated some of the relations (ps < 0.05). The findings mark the first evidence of factors that might influence how people determine their satisfaction with smoking cessation. The implications for tailoring interventions and potentially increasing the likelihood that people maintain abstinence are discussed.
我们试图确定与戒烟相关的不同社会、心理、情感和生理体验是否与人们对戒烟的满意度系统相关,以及这些关系在戒烟过程的不同阶段和不同人群(如乐观主义者)中是否会发生变化。我们使用参加戒烟计划的吸烟者的数据,使用混合模型来评估在七个时间点测量的人们的体验与满意度之间的平均纵向关系,以及这些关系是否受到关键变量的调节。九个体验中有八个与人们的满意度相关(p<0.05),这些模型解释了满意度个体内差异的 39-44%。目前的吸烟行为与人们早期戒烟努力时的满意度更为相关,而某些体验(例如他人的反馈)与人们后期戒烟或维持戒断时的满意度有更强的关系(p<0.05)。乐观主义和先前戒烟经验的个体差异调节了一些关系(p<0.05)。这些发现标志着首次有证据表明可能影响人们确定对戒烟的满意度的因素。讨论了针对这些因素定制干预措施并提高人们保持戒断可能性的意义。