Department of Anesthesiology and Perioperative Medicine, Mayo Clinic College of Medicine, Rochester, MN, United States.
Department of Psychology, Syracuse University, Syracuse, NY, United States.
Addict Behav. 2019 May;92:173-179. doi: 10.1016/j.addbeh.2018.11.040. Epub 2018 Nov 28.
Tobacco cigarette smokers with comorbid chronic pain experience greater difficulty quitting smoking relative to those without chronic pain. A brief smoking cessation intervention was developed to address smoking in the context of chronic pain to increase the intention to engage in smoking cessation treatment. The primary aim of this randomized controlled trial was to investigate the effects of a brief pain and smoking (BPS) cessation intervention on the willingness to consider quitting smoking in adults with chronic pain seeking treatment in a pain specialty outpatient clinic. Subjects randomized to the BPS intervention were 7.5 times more likely to endorse willingness to consider quitting smoking. Subjects who received the BPS intervention were also greater than 2.5 times more likely to report an interest in learning about cessation programs, and nearly 5 times more likely to endorse willingness to consider participating in an intensive smoking cessation program. Moreover, subjects who received the BPS intervention evinced a trend-level reduction in perceived difficulty of quitting smoking. These results contribute to a growing multidisciplinary literature examining pain-smoking interrelations and suggest that smokers with chronic pain may become more willing to consider engaging a cessation attempt as awareness increases about how continued smoking may interfere with the clinical outcomes of pain treatment. These results are also consistent with clinical practice guidelines for promoting intention to quit among smokers currently unwilling to engage a quit attempt by incorporating strategies aimed at identifying ambivalence about the continued use of tobacco.
患有慢性疼痛合并症的烟草香烟吸烟者在戒烟方面比没有慢性疼痛的吸烟者面临更大的困难。为了解决慢性疼痛背景下的吸烟问题，开发了一种简短的戒烟干预措施，以增加参与戒烟治疗的意愿。这项随机对照试验的主要目的是调查简短的疼痛和吸烟（BPS）戒烟干预措施对在疼痛专科门诊寻求治疗的慢性疼痛成年人中考虑戒烟的意愿的影响。随机分配到 BPS 干预组的受试者更有可能表示愿意考虑戒烟。接受 BPS 干预的受试者也更有可能报告对戒烟计划感兴趣，并且愿意考虑参加强化戒烟计划的可能性几乎增加了 5 倍。此外，接受 BPS 干预的受试者在戒烟的感知难度方面显示出趋势性降低。这些结果有助于不断增长的多学科文献研究疼痛-吸烟相互关系，并表明患有慢性疼痛的吸烟者可能会更愿意考虑尝试戒烟，因为他们越来越意识到继续吸烟可能会干扰疼痛治疗的临床结果。这些结果也与目前不愿意参与戒烟尝试的吸烟者促进戒烟意愿的临床实践指南一致，该指南通过采用旨在确定对继续使用烟草的矛盾心理的策略来实现。
