University of Houston, Department of Psychology, Heyne Building, Suite 104, 77204 Houston, TX, USA; The University of Texas MD Anderson Cancer Center, Department of Behavioral Science, 1515 Holcombe Blvd, 77030 Houston, TX, USA.
University of Houston, Department of Psychology, Heyne Building, Suite 104, 77204 Houston, TX, USA; Smoking and Addictive Disorders Unit, University of Santiago de Compostela, Faculty of Psychology, Department of Clinical Psychology and Psychobiology, Campus Vida, 15782 Santiago de Compostela, Spain.
Addict Behav. 2017 Dec;75:25-29. doi: 10.1016/j.addbeh.2017.06.015. Epub 2017 Jun 23.
The current study examined whether the interaction of lower respiratory symptoms and anxiety sensitivity is related to smoking lapse in the context of smoking cessation.
Participants were adult daily smokers (N=60) exposed to the World Trade Center (WTC) disaster who were in a smoking cessation treatment program (75.0% male, 50.6years old [SD=9.2], and current smoking rate was 17.6 cigarettes per day (SD=10.6).
Results indicated that the interaction between lower respiratory symptoms and anxiety sensitivity was a significant predictor of greater risk for lapse (i.e., lower survival time; B=0.005, OR=1.01, p=0.039). Follow-up analysis showed that greater respiratory symptoms were a significant predictor of lapse risk among those with high (B=0.116, OR=1.12, p=0.025), but not those with low (B=-0.048, OR=0.95, p=0.322), levels of anxiety sensitivity.
The findings from the current study suggest that smokers with greater respiratory symptoms and higher levels of anxiety sensitivity may be associated with early lapse to smoking following smoking cessation treatment. Future work has the potential to inform the development of tailored cessation interventions for smokers who experience varying levels of lower respiratory symptoms and anxiety sensitivity.
本研究旨在探讨在戒烟背景下，下呼吸道症状与焦虑敏感性的相互作用是否与吸烟复发有关。
参与者为暴露于世界贸易中心（WTC）灾难中的成年每日吸烟者（N=60），他们参加了戒烟治疗计划（75.0%为男性，50.6 岁[SD=9.2]，当前吸烟率为 17.6 支/天[SD=10.6]）。
结果表明，下呼吸道症状和焦虑敏感性的相互作用是复发风险较高的显著预测因素（即较低的生存时间；B=0.005，OR=1.01，p=0.039）。后续分析表明，对于焦虑敏感性水平较高的人（B=0.116，OR=1.12，p=0.025），而非较低的人（B=-0.048，OR=0.95，p=0.322），呼吸症状加重是复发风险的显著预测因素。
本研究结果表明，呼吸症状加重且焦虑敏感性水平较高的吸烟者可能与戒烟治疗后早期吸烟复发有关。未来的研究有可能为针对经历不同程度下呼吸道症状和焦虑敏感性的吸烟者制定个性化戒烟干预措施提供信息。
