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戒烟计划与浪漫伴侣冲突及吸烟支持之间的交互关联。

Interactive associations between abstinence plans and romantic partner conflict and support with cigarette smoking.

作者信息

Bowdring Molly A, Loftus Paddy, Wang Shirlene D, Pang Raina D, Kirkpatrick Matthew G

机构信息

Stanford University School of Medicine, Stanford Prevention Research Center, 3180 Porter Drive, Palo Alto, CA, USA; Stanford University School of Medicine, Department of Psychiatry and Behavioral Sciences, 401 Quarry Road, Stanford, CA 94305, USA.

University of South Florida, Department of Psychology, 4202 E Fowler Ave, Tampa, FL 33620, USA.

出版信息

Drug Alcohol Depend. 2023 Feb 1;243:109756. doi: 10.1016/j.drugalcdep.2022.109756. Epub 2022 Dec 29.

DOI:10.1016/j.drugalcdep.2022.109756
PMID:36608484
Abstract

BACKGROUND

While most individuals who smoke cigarettes desire to quit, quit motivation can change daily and sustained abstinence is rarely achieved in quit attempts. Assessment of psychosocial factors that moderate associations between daily abstinence intentions and smoking behavior is necessary to inform effective cessation efforts.

METHODS

A secondary analysis was conducted using data from a 28-day ecological momentary assessment study among individuals who smoke and who were not actively planning a long-term quit attempt (N = 81 individuals; N = 1585 days). We examined main effect and interaction associations between primary predictors (daily abstinence plans and within- and between-person estimates of perceived romantic relationship conflict and support) and daily number of cigarettes smoked, as well as baseline emotion regulation difficulties as a moderator of these associations.

RESULTS

Smoking was reduced on days with an abstinence plan (β=-0.57,p<.001), especially among individuals with lower average levels of conflict (plan × between-person conflict interaction: β=0.98, p < .001), and higher average levels of support (plan × between-person support interaction: β=0.26, p < .001). Additionally, smoking was increased on days when participants had higher levels of conflict than usual (β=0.07, p < .01), but only on days when participants did not have a plan (plan × within-person conflict interaction:β=-0.10, p < .05). Emotion regulation difficulties did not moderate any associations.

CONCLUSION

This study adds to the literature on the influence of negative aspects of social experience on smoking behavior. Further, the present study underlines the importance of assessing the influence of both positive and negative aspects of - and within- and between-person differences in - social experiences.

摘要

背景

虽然大多数吸烟的人都想戒烟,但戒烟动机可能每天都在变化,而且在戒烟尝试中很少能实现持续戒烟。评估调节每日戒烟意图与吸烟行为之间关联的心理社会因素,对于指导有效的戒烟努力至关重要。

方法

对一项针对吸烟者且未积极计划长期戒烟尝试的28天生态瞬时评估研究的数据进行了二次分析(N = 81人;N = 1585天)。我们研究了主要预测因素(每日戒烟计划以及对浪漫关系冲突和支持的人际间和个体内估计)与每日吸烟量之间的主效应和交互作用关联,以及作为这些关联调节因素的基线情绪调节困难情况。

结果

在有戒烟计划的日子里吸烟量减少(β = -0.57,p <.001),尤其是在平均冲突水平较低的个体中(计划×人际间冲突交互作用:β = 0.98,p <.001),以及平均支持水平较高的个体中(计划×人际间支持交互作用:β = 0.26,p <.001)。此外,当参与者的冲突水平高于平时时吸烟量增加(β = 0.07,p <.01),但仅在参与者没有计划的日子里如此(计划×个体内冲突交互作用:β = -0.10,p <.05)。情绪调节困难并未调节任何关联。

结论

本研究补充了关于社会经历的消极方面对吸烟行为影响的文献。此外,本研究强调了评估社会经历的积极和消极方面以及人际间和个体内差异影响的重要性。

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