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住院物质使用治疗中男性和女性的焦虑敏感性与戒烟动机之间的关联。

The association between anxiety sensitivity and motivation to quit smoking among women and men in residential substance use treatment.

作者信息

Dahne Jennifer, Hoffman Elana M, MacPherson Laura

机构信息

Department of Psychology, University of Maryland, College Park, Maryland, USA.

出版信息

Subst Use Misuse. 2015 Jan;50(1):72-8. doi: 10.3109/10826084.2014.958856. Epub 2014 Sep 29.

Abstract

BACKGROUND

Smoking-attributed mortality is the leading cause of death among individuals in residential substance use treatment. As such, identifying factors that influence smoking cessation is highly relevant and important for this group. Motivation to quit (MTQ) smoking is one such factor that is related to smoking cessation.

OBJECTIVES

In the present study we examine the relationship between Anxiety Sensitivity (AS) and MTQ among individuals enrolled in a residential substance use treatment center in Washington, DC. In light of gender differences in smoking cessation as well as factors that contribute to cessation, we examined this relationship by gender in men and women using multiple group path analysis.

METHODS

Participants (n = 472) completed a measure of MTQ, the structured clinical interview for DSM-IV (SCID-IV-TR), a measure of AS, and self-reported their number of cigarettes smoked per day prior to entering a restricted environment.

RESULTS

RESULTS indicated that AS was significantly related to MTQ in women (standardized path estimate = 0.21, p = .01), but was not significantly related to MTQ in men. Conclusions/Importance: Findings suggest the importance of considering AS as a factor in MTQ for women and subsequent smoking cessation among individuals in residential substance use treatment. RESULTS of this study contribute to the extant literature on predictors of MTQ and highlight the need for tailored cessation interventions with AS as one potential cessation treatment target.

摘要

背景

吸烟导致的死亡率是接受住院药物使用治疗的个体死亡的主要原因。因此,识别影响戒烟的因素对于该群体高度相关且重要。戒烟动机(MTQ)就是这样一个与戒烟相关的因素。

目的

在本研究中,我们调查了华盛顿特区一家住院药物使用治疗中心的个体中焦虑敏感性(AS)与MTQ之间的关系。鉴于戒烟方面的性别差异以及促成戒烟的因素,我们使用多组路径分析按性别对男性和女性中的这种关系进行了调查。

方法

参与者(n = 472)完成了一项MTQ测量、DSM-IV结构化临床访谈(SCID-IV-TR)、一项AS测量,并自我报告了进入受限环境之前每天的吸烟量。

结果

结果表明,AS在女性中与MTQ显著相关(标准化路径估计值 = 0.21,p = .01),但在男性中与MTQ无显著相关性。结论/重要性:研究结果表明,在住院药物使用治疗的个体中,将AS视为女性MTQ及后续戒烟的一个因素具有重要意义。本研究结果有助于丰富关于MTQ预测因素的现有文献,并强调需要以AS作为一个潜在戒烟治疗靶点进行针对性的戒烟干预。

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