人格的五因素替代模型、尼古丁依赖与戒烟治疗后的复吸。
The alternative five-factor model of personality, nicotine dependence and relapse after treatment for smoking cessation.
机构信息
Department of Psychiatry, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
出版信息
Addict Behav. 2011 Oct;36(10):965-71. doi: 10.1016/j.addbeh.2011.05.008. Epub 2011 May 30.
Personality is one of several factors that have been related to the initiation, maintenance and cessation of smoking. This paper aims to analyze the relationship between the alternative five-factor model of personality (AFFM), nicotine dependence (ND), nicotine use (NU) and cessation after twelve months of a cognitive-behavioral therapy combined with medication. In this prospective study, a sample of 103 smokers who were taking part in a workplace smoking cessation intervention, answered the Zuckerman-Kuhlman Personality Questionnaire. ND and NU were measured with the Fagerström Test for the Nicotine Dependence (FTND) and the number of cigarettes smoked per day (CPD), respectively. Tobacco cessation was self-reported at twelve months follow-up and biologically confirmed. Results varied according to gender. In men, low scores on Sociability predicted high ND and large number of CPD. In addition, low scores on Sensation Seeking and high scores on Impulsivity predicted also a high smoking rate at baseline. No personality traits were found to explain ND in women, but high Impulsivity-Sensation Seeking and General Activity predicted high CPD. Predictors of cessation also differed by gender. Apart from FTND level, high levels on Impulsivity predicted relapse in males. In women, high levels on Sociability predicted relapse. This model correctly classified two thirds of abstainers and relapsers for men and three fourths for women at 12months. Furthermore an interaction between personality and gender was observed. The AFFM appears to have a substantial power for predicting cessation. Personality assessment when beginning treatment for smoking cessation could allow incorporating strategies to improve outcomes.
人格是与吸烟的开始、维持和停止有关的几个因素之一。本文旨在分析五因素人格替代模型(AFFM)、尼古丁依赖(ND)、尼古丁使用(NU)与认知行为治疗联合药物治疗 12 个月后的戒烟之间的关系。在这项前瞻性研究中,对参加工作场所戒烟干预的 103 名吸烟者进行了 Zuckerman-Kuhlman 人格问卷测试。ND 和 NU 分别用尼古丁依赖性 Fagerström 测试(FTND)和每天吸烟量(CPD)进行测量。12 个月随访时,通过自我报告和生物确认来评估烟草的使用情况。结果因性别而异。在男性中,社交能力低预示着 ND 高和 CPD 大。此外,感觉寻求和冲动性得分低也预示着基线时吸烟率高。在女性中,没有发现人格特质可以解释 ND,但高冲动性-感觉寻求和一般活动预示着 CPD 高。戒烟的预测因素也因性别而异。除了 FTND 水平,冲动性得分高预示着男性的复吸。在女性中,社交能力得分高预示着复吸。该模型正确地将三分之二的男性和四分之三的女性在 12 个月时的戒烟者和复吸者进行了分类。此外,还观察到了人格和性别之间的相互作用。AFFM 似乎具有预测戒烟的强大能力。在开始戒烟治疗时进行人格评估,可以采取措施提高治疗效果。