吸烟渴求的网络分析。
A Network Analysis of Cigarette Craving.
机构信息
Cooperative Studies Program Clinical Epidemiology Research Center (CSP-CERC), VA CT Healthcare System, West Haven, CT, USA.
Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA.
出版信息
Nicotine Tob Res. 2023 May 22;25(6):1155-1163. doi: 10.1093/ntr/ntad021.
INTRODUCTION
Craving is considered a central process to addictive behavior including cigarette smoking, although the clinical utility of craving relies on how it is defined and measured. Network analysis enables examining the network structure of craving symptoms, identifying the most central symptoms of cigarette craving, and improving our understanding of craving and its measurement.
AIMS AND METHODS
This study used network analysis to identify the central symptoms of self-reported cigarette craving as measured by the Craving Experience Questionnaire, which assesses both craving strength and craving frequency. Data were obtained from baseline of a randomized controlled trial of mindfulness training for smoking cessation.
RESULTS
The most central symptoms in an overall cigarette craving network were the frequency of imagining its smell, imagining its taste, and intrusive thoughts. The most central symptoms of both craving frequency and craving strength sub-networks were imagining its taste, the urge to have it, and intrusive thoughts.
CONCLUSIONS
The most central craving symptoms reported by individuals in treatment for cigarette smoking were from the frequency domain, demonstrating the value of assessing craving frequency along with craving strength. Central craving symptoms included multisensory imagery (taste, smell), intrusive thoughts, and urge, providing additional evidence that these symptoms may be important to consider in craving measurement and intervention. Findings provide insight into the symptoms that are central to craving, contributing to a better understanding of cigarette cravings, and suggesting potential targets for clinical interventions.
IMPLICATIONS
This study used network analysis to identify central symptoms of cigarette craving. Both craving frequency and strength were assessed. The most central symptoms of cigarette craving were related to craving frequency. Central symptoms included multisensory imagery, intrusive thoughts, and urge. Central symptoms might be targeted by smoking cessation treatment.
简介
成瘾行为包括吸烟，成瘾行为被认为与渴望有关，尽管渴望的临床应用取决于其定义和测量方式。网络分析可以检验渴望症状的网络结构，确定吸烟渴望的最主要症状，并加深我们对渴望及其测量的理解。
目的和方法
本研究使用网络分析来确定吸烟渴望的自我报告症状，这些症状由渴望体验问卷（Craving Experience Questionnaire）来评估，包括渴望强度和渴望频率。数据来自正念戒烟随机对照试验的基线数据。
结果
在总体吸烟渴望网络中，最主要的症状是想象其气味、想象其味道和侵入性思维的频率。渴望频率和渴望强度子网络中最主要的症状是想象其味道、渴望拥有它的冲动和侵入性思维。
结论
正在接受戒烟治疗的个体报告的最主要渴望症状来自于频率域，这表明评估渴望频率与渴望强度的价值。主要渴望症状包括多感官想象（味道、气味）、侵入性思维和冲动，这进一步证明这些症状可能是渴望测量和干预的重要考虑因素。研究结果深入了解了与渴望有关的核心症状，有助于更好地理解吸烟渴望，并为临床干预提供潜在目标。
意义
本研究使用网络分析来确定吸烟渴望的主要症状。评估了渴望的频率和强度。吸烟渴望的最主要症状与渴望频率有关。主要症状包括多感官想象、侵入性思维和冲动。吸烟渴望的主要症状可能是戒烟治疗的目标。
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