Niaura R, Abrams D, Demuth B, Pinto R, Monti P
Brown University, Miriam Hospital, Providence, RI.
Addict Behav. 1989;14(4):419-28. doi: 10.1016/0306-4603(89)90029-4.
Prior to engaging in treatment for smoking cessation, subjects were tested for their responsiveness to cigarette smoking cues. Subjects performed a role-play with a confederate who lit their preferred brand of cigarette. Heart rate (HR) and galvanic skin conductance were assessed continuously, while urge to smoke and anxiety were rated subjectively after the role-play. Three months after treatment ended, subjects were divided into groups of continuous quitters, verified by expired carbon monoxide measurement, and relapsers. The results showed a significant difference between the groups in the pattern of pretreatment HR response to the lighting of the cigarette; relapsers displayed a sharp HR deceleration in response to the stimulus, while quitters' HR did not decelerate. The theoretical and clinical significance of these results is discussed.
在开始戒烟治疗之前，对受试者进行吸烟线索反应性测试。受试者与一名点燃其首选品牌香烟的同谋进行角色扮演。持续评估心率（HR）和皮肤电导率，同时在角色扮演后主观评定吸烟冲动和焦虑程度。治疗结束三个月后，根据呼出一氧化碳测量结果，将受试者分为持续戒烟者组和复吸者组。结果显示，两组在预处理时对香烟点燃的心率反应模式上存在显著差异；复吸者对刺激表现出心率急剧减慢，而戒烟者的心率没有减慢。讨论了这些结果的理论和临床意义。
