Department of Epidemiology and Public Health, University College London, Cancer Research UK Health Behaviour Research Centre, UK.
Patient Educ Couns. 2010 Nov;81(2):267-71. doi: 10.1016/j.pec.2010.01.024. Epub 2010 Mar 1.
To examine the situation preceding "late" smoking relapse, particularly the availability of tobacco, mood and intentions at first lapse.
A questionnaire was sent to 1439 adults identified as abstinent after treatment with a National Health Service stop-smoking clinic over the previous 3 years. Relapsers were asked where they had obtained their first cigarette, their mood and intentions immediately before first lapse.
40% (n = 556) responded, of whom 35.8% (n = 199) had relapsed. At the time of first lapse, only 27.1% had made a decision to return to smoking while 48.9% intended to smoke only one or two cigarettes before stopping again. In 45.7% of cases, respondents bought cigarettes to smoke again. Prior to lapse the majority (53.8%) reported "really needing a cigarette". Similarly 53.8% reported being miserable at the time, while only 16% were happy.
The most common pattern of late lapse appears to be intending to suspend the quit attempt temporarily in circumstances of needing to smoke and of negative emotional state, and in many cases cigarettes are actually sought out.
Promoting strong 'not a puff' rules, a non-smoker identity and identifying negative mood as a potential vulnerability are important components of relapse prevention intervention.
探讨“晚期”复吸前的情况，特别是首次复吸前烟草的可获得性、情绪和意图。
我们向过去 3 年在国民保健服务戒烟诊所接受治疗后被确定为戒烟的 1439 名成年人发送了一份问卷。我们询问复吸者他们从哪里获得了第一支香烟，以及在首次复吸前的情绪和意图。
40%（n=556）的人做出了回应，其中 35.8%（n=199）的人复吸了。在首次复吸时，只有 27.1%的人决定重新开始吸烟，而 48.9%的人打算只吸一两支烟后再停止吸烟。在 45.7%的情况下，受访者购买香烟重新吸烟。在复吸前，大多数（53.8%）人报告“真的需要一支烟”。同样，53.8%的人报告当时感到痛苦，而只有 16%的人感到高兴。
晚期复吸最常见的模式似乎是在需要吸烟和情绪消极的情况下，暂时暂停戒烟尝试，在许多情况下，实际上会寻找香烟。
促进强有力的“不吸一口烟”规则、非吸烟者身份以及将负面情绪视为潜在的脆弱性，是预防复吸干预的重要组成部分。
