Center for Tobacco Research and Intervention and Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI 53711, USA.
Ann Behav Med. 2012 Dec;44(3):309-19. doi: 10.1007/s12160-012-9399-9.
Smokers are often reluctant to quit because they fear long-lasting withdrawal. Yet little research prospectively examines smokers' withdrawal longer than 1 month post-quit.
The aim of this study was to compare successful versus unsuccessful quitters' withdrawal, positive affect/pleasure, and lifestyle at 1 year post-quit.
Smokers (N = 572) in a cessation trial completed ecological momentary assessments four times a day for 1 week pre-quit, 1 week post-quit, and 1 week at 1 year post-quit.
From pre-quit to 1 year later, only quitters reported sizeable declines in craving and restlessness, and fewer stressful events. At 1 year, quitters, on average, reported no significant craving. Continuing smokers reduced their cigarette consumption considerably from pre-quit to 1 year later.
Contrary to smokers' worries, long-term quitters reported less craving and restlessness than when they smoked (perhaps because cessation eliminates the acute nicotine withdrawal smokers experience between cigarettes). This information may encourage smokers to quit and endure withdrawal.
吸烟者常常不愿意戒烟,因为他们担心长期戒断。然而,很少有研究前瞻性地检查吸烟者在戒烟后 1 个月以上的戒断情况。
本研究旨在比较成功戒烟者和不成功戒烟者在戒烟 1 年后的戒断、积极情绪/愉悦感和生活方式。
在一项戒烟试验中,吸烟者(N=572)在戒烟前一周、戒烟后一周和戒烟后 1 年的一周内,每天四次完成四次日常活动评估。
从戒烟前到 1 年后,只有戒烟者报告说渴望和不安感明显下降,压力事件减少。在 1 年时,戒烟者平均报告没有明显的渴望。持续吸烟者从戒烟前到 1 年后显著减少了吸烟量。
与吸烟者的担忧相反,长期戒烟者报告的渴望和不安感低于吸烟时(可能是因为戒烟消除了吸烟者在吸烟间隙经历的急性尼古丁戒断)。这些信息可能鼓励吸烟者戒烟并忍受戒断。