Albanese Brian J, Allan Nicholas P, Boffa Joseph W, Chavarria Jesus, Raines Amanda M, Zvolensky Michael J, Schmidt Norman B
Department of Psychology, Florida State University, P.O. Box 3064301, Tallahasssee, FL 32306-4301, USA.
Department of Psychology, University of Houston, Houston, TX 77004, USA.
J Affect Disord. 2016 Jan 15;190:221-226. doi: 10.1016/j.jad.2015.10.015. Epub 2015 Oct 21.
Growing interest in developing more effective smoking cessation treatments has facilitated the need to further investigate cognitive-affective factors that inhibit successful smoking cessation, such as urges to smoke. Research has strongly supported an association between suicidality and smoking, yet no work has investigated whether suicidality may increase urges to smoke. The current study sought to evaluate the impact of suicidality on smoking-related cognitive-affective factors predictive of smoking relapse among a community sample of 209 daily smokers engaged in a smoking cessation program. Structural equation modeling (SEM) was used to test the effects of self-reported pre-cessation suicidality on urges to smoke 1 month post-cessation as well as whether this effect was mediated by greater barriers to cessation. Results indicated that internal barriers to cessation significantly mediated the effect of pre-cessation suicidality on greater urges to smoke 1 month following smoking cessation attempt. These findings suggest that elevated suicidality may affect perceived internal barriers to cessation and subsequently urges to smoke 1 month following a quit attempt.
人们对开发更有效的戒烟治疗方法的兴趣日益浓厚，这促使有必要进一步研究抑制成功戒烟的认知情感因素，比如吸烟冲动。研究有力地支持了自杀倾向与吸烟之间的关联，但尚未有研究调查自杀倾向是否会增加吸烟冲动。本研究旨在评估在参与戒烟计划的209名每日吸烟者的社区样本中，自杀倾向对预测吸烟复发的吸烟相关认知情感因素的影响。采用结构方程模型（SEM）来测试自我报告的戒烟前自杀倾向对戒烟后1个月吸烟冲动的影响，以及这种影响是否由更大的戒烟障碍所介导。结果表明，戒烟的内部障碍显著介导了戒烟前自杀倾向对戒烟尝试后1个月更大吸烟冲动的影响。这些发现表明，自杀倾向升高可能会影响对戒烟内部障碍的感知，进而影响戒烟尝试后1个月的吸烟冲动。
