Keeley Robert D, Driscoll Margaret
Division of Community Health Services, Denver Health Medical Center, Denver, CO 80204, USA ; Department of Family Medicine, University of Colorado at Denver Health Sciences Center, Aurora, CO 80045-0508, USA.
Driscoll Consulting, 866 Paragon Dr., Boulder, CO 80303, USA.
J Addict. 2013;2013:276024. doi: 10.1155/2013/276024. Epub 2012 Dec 13.
Introduction. Emotional responsiveness (ER) has been theorized to play a protective role in pathways to tobacco initiation, regular use, and dependence, yet a possible association between ER and smoking behavior has not been studied. Our aim was to test whether measuring ER to a neutral stimulus was associated with decreased odds of current smoking. Methods. We measured ER and smoking status (current, former, and never) in two datasets: a cross-sectional dataset of persons with diabetes (n = 127) and a prospective dataset of depressed patients (n = 107) from an urban primary care system. Because there were few former smokers in the datasets, smoking status was dichotomized (current versus former/never) and measured at baseline (cross-sectional dataset) or at 36 weeks after-baseline (prospective dataset). ER was ascertained with response to a neutral facial expression (any ER versus none). Results. Compared to their nonresponsive counterparts, adjusted odds of current smoking were lower among participants endorsing emotional responsiveness in both the cross-sectional and prospective datasets (ORs = .29 and .32, P's <.02, resp.). Discussion. ER may be protective against current smoking behavior. Further research investigating the association between ER and decreased smoking may hold potential to inform treatment approaches to improve smoking prevalence.
引言。情绪反应性（ER）在烟草开始使用、经常使用和成瘾的途径中被认为起到保护作用，但ER与吸烟行为之间的可能关联尚未得到研究。我们的目的是测试对中性刺激的ER测量是否与当前吸烟几率降低相关。方法。我们在两个数据集中测量了ER和吸烟状况（当前吸烟者、既往吸烟者和从不吸烟者）：一个来自城市初级保健系统的糖尿病患者横断面数据集（n = 127）和一个抑郁症患者前瞻性数据集（n = 107）。由于数据集中既往吸烟者较少，吸烟状况被二分法划分（当前吸烟者与既往吸烟者/从不吸烟者），并在基线时（横断面数据集）或基线后36周（前瞻性数据集）进行测量。通过对中性面部表情的反应来确定ER（有任何情绪反应与无情绪反应）。结果。在横断面和前瞻性数据集中，与无情绪反应的参与者相比，认可情绪反应性的参与者当前吸烟的调整几率较低（OR分别为0.29和0.32，P值均<0.02）。讨论。ER可能对当前吸烟行为具有保护作用。进一步研究ER与吸烟减少之间的关联可能为改善吸烟流行率的治疗方法提供潜在依据。
