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提高戒烟依从性:我们是否需要考虑执行功能和反刍思维的作用?

Increasing Smoking Cessation Adherence: Do We Need to Consider the Role of Executive Function and Rumination?

作者信息

Masiero Marianna, Cropley Mark, Pravettoni Gabriella

机构信息

Applied Research Division for Cognitive and Psychological Science, European Institute of Oncology IRCCS, Milan, Italy.

Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.

出版信息

Eur J Psychol. 2020 Mar 3;16(1):1-11. doi: 10.5964/ejop.v16i1.2279. eCollection 2020 Mar.

DOI:10.5964/ejop.v16i1.2279
PMID:33680166
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7913029/
Abstract

Despite the cost and health consequences, a large number of people continue to smoke cigarettes worldwide every day. Notwithstanding, there have been a number of interventions to help people stop smoking but, in general, these have produced only limited success, and better interventions are needed. Accruing evidence affirmed that rumination and executive function play a pivotal role in cigarette smoking behavior, and in this editorial, we describe and discuss the key findings between these constructs and smoking, and argue that an impairment in executive functions does not act alone, but interacts with rumination by directing attention to depressive thoughts, thereby reducing the ability of smokers to engage in constructive behaviors, such as quitting smoking. Finally, we offer a new theory-driven model based on a deep understanding of the interactions between executive functions and rumination and potential moderator effects.

摘要

尽管吸烟会带来成本和健康后果,但全球每天仍有大量的人继续吸烟。尽管如此,已经有许多干预措施来帮助人们戒烟,但总体而言,这些措施仅取得了有限的成功,因此需要更好的干预措施。越来越多的证据证实,反刍思维和执行功能在吸烟行为中起着关键作用,在这篇社论中,我们描述并讨论了这些构念与吸烟之间的关键发现,并认为执行功能受损并非单独起作用,而是通过将注意力导向抑郁想法与反刍思维相互作用,从而降低吸烟者从事建设性行为(如戒烟)的能力。最后,基于对执行功能与反刍思维之间的相互作用以及潜在调节效应的深入理解,我们提出了一个新的理论驱动模型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31e8/7913029/271c82ead673/ejop-16-001-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31e8/7913029/271c82ead673/ejop-16-001-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31e8/7913029/271c82ead673/ejop-16-001-g01.jpg

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本文引用的文献

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Not Just a Pill: Toward a Tailored Antismoking Intervention for Respiratory Diseases.不止是药丸:迈向针对呼吸系统疾病的个性化戒烟干预措施
J Addict Nurs. 2019 Apr/Jun;30(2):E1-E4. doi: 10.1097/JAN.0000000000000276.
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Lower general executive function is primarily associated with trait worry: A latent variable analysis of negative thought/affect measures.一般执行功能较低与特质性担忧密切相关:对消极思维/情感测量的潜在变量分析。
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Pre-post intervention exploring cognitive function and relationships with weight loss, intervention adherence and dropout.干预前后探索认知功能及其与体重减轻、干预依从性和退出情况的关系。
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Tobacco Smoking Behaviors in Cancer Survivors: The Mediation Effect of Personality and Emotional Intelligence.癌症幸存者的吸烟行为:人格和情绪智力的中介效应。
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Multifactorial Etiology of Adolescent Nicotine Addiction: A Review of the Neurobiology of Nicotine Addiction and Its Implications for Smoking Cessation Pharmacotherapy.青少年尼古丁成瘾的多因素病因学:尼古丁成瘾的神经生物学及其对戒烟药物治疗的影响综述。
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A Daily Diary Study of Rumination and Health Behaviors: Modeling Moderators and Mediators.一项关于反刍思维和健康行为的日常日记研究:建模调节因素和中介因素。
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