Department of Psychology, University of Wroclaw, Wroclaw, Poland.
Subst Use Misuse. 2022;57(5):751-758. doi: 10.1080/10826084.2022.2034875. Epub 2022 Feb 16.
Previous research has shown that low ability to tolerate distress is indirectly related to problematic substance use through the substance use motives. This topic has been previously researched in alcohol and cannabis use; however, it has not yet been explored in tobacco use. We studied whether distress tolerance is indirectly associated with nicotine dependence through motives of tension reduction and habitual smoking.
A total sample of 451 (230 of which were women) daily and occasional Polish smokers (aged from 18 to 60 years) reported distress tolerance, motives for smoking, and nicotine dependence. We then conducted a mediation analysis with bootstrapping using PROCESS macro.
Distress tolerance was indirectly related to nicotine dependence through both motives independently. In terms of the sequential model, there was a significant indirect effect of distress tolerance on nicotine dependence through smoking motives: tension reduction and habit. The total effect of distress tolerance on nicotine dependence was insignificant.
Our findings suggest that individuals with low distress tolerance are especially prone to nicotine dependence if they use smoking as a coping mechanism and it becomes habitual. The current study highlights the importance of a multidimensional approach in dealing with nicotine dependence.
既往研究表明，较低的痛苦耐受力通过物质使用动机与物质使用问题间接地相关。该主题已在酒精和大麻使用方面得到了研究，但在烟草使用方面尚未得到探索。我们研究了痛苦耐受力是否通过减轻紧张和习惯性吸烟的动机与尼古丁依赖间接相关。
一项共有 451 名（其中 230 名为女性）每日吸烟和偶尔吸烟的波兰吸烟者（年龄 18 至 60 岁）报告了痛苦耐受力、吸烟动机和尼古丁依赖情况。然后，我们使用 PROCESS 宏进行了中介分析和自举法。
痛苦耐受力通过这两个动机独立地与尼古丁依赖间接相关。在顺序模型中，痛苦耐受力对尼古丁依赖有显著的间接影响，途径是通过减轻紧张和习惯吸烟的动机。痛苦耐受力对尼古丁依赖的总效应不显著。
我们的研究结果表明，如果个体将吸烟作为应对机制且使其成为习惯，那么痛苦耐受力较低的个体尤其容易产生尼古丁依赖。本研究强调了在处理尼古丁依赖时采用多维方法的重要性。
