社交焦虑与尼古丁依赖及戒烟问题之间的直接和间接关联：多重中介分析
Direct and indirect associations between social anxiety and nicotine dependence and cessation problems: multiple mediator analyses.
作者信息
Buckner Julia D, Farris Samantha G, Schmidt Norman B, Zvolensky Michael J
机构信息
Department of Psychology, Louisiana State University, Baton Rouge, LA;
出版信息
Nicotine Tob Res. 2014 Jun;16(6):807-14. doi: 10.1093/ntr/ntt285. Epub 2014 Feb 3.
INTRODUCTION
Little empirical work has evaluated why socially anxious smokers are especially vulnerable to more severe nicotine dependence and cessation failure. Presumably, these smokers rely on cigarettes to help them manage their chronically elevated negative affect elicited by a wide array of social contexts.
METHODS
The current study examined the direct and indirect effects of social anxiety cross-sectionally in regard to a range of smoking processes among 466 treatment-seeking smokers. Negative affect and negative affect reduction motives were examined as mediators of the relations of social anxiety with nicotine dependence and cessation problems.
RESULTS
Social anxiety was directly and robustly associated with perceived barriers to smoking cessation and problems experienced during past quit attempts. Social anxiety was also associated with greater nicotine dependence and smoking inflexibility indirectly through negative affect and negative affect smoking motives. Negative affect and smoking to reduce negative affect mediated these relations.
CONCLUSIONS
These findings document the important role of negative affect and negative affect reduction motives in the relationships of social anxiety with nicotine dependence and cessation problems.
引言
很少有实证研究评估社交焦虑的吸烟者为何特别容易出现更严重的尼古丁依赖和戒烟失败。据推测，这些吸烟者依靠香烟来帮助他们应对由各种社交情境引发的长期升高的负面情绪。
方法
本研究横断面考察了社交焦虑对466名寻求治疗的吸烟者一系列吸烟过程的直接和间接影响。考察了负面情绪和减少负面情绪的动机作为社交焦虑与尼古丁依赖和戒烟问题之间关系的中介变量。
结果
社交焦虑与感知到的戒烟障碍以及过去戒烟尝试中遇到的问题直接且强烈相关。社交焦虑还通过负面情绪和减少负面情绪的吸烟动机与更高的尼古丁依赖和吸烟灵活性间接相关。负面情绪和为减少负面情绪而吸烟介导了这些关系。
结论
这些发现证明了负面情绪和减少负面情绪的动机在社交焦虑与尼古丁依赖和戒烟问题关系中的重要作用。
Zotero 插件