Endrighi Romano, Borrelli Belinda
Center for Behavioral Science Research, Department of Health Policy and Health Services Research, Boston University, Henry M. Goldman School of Dental Medicine, 560 Harrison Ave, Boston, MA, 02118, USA.
Int J Behav Med. 2025 Apr;32(2):238-247. doi: 10.1007/s12529-023-10239-1. Epub 2023 Nov 7.
This study investigated the factor structure of a measure of pain-smoking interrelations and expectancies (pain and smoking inventory (PSI)) and examined associations with risk factors for smoking maintenance among smokers with chronic pain (CP).
Participants (n = 504; M age = 46 ± 13 years; 58% female) completed an online survey about health-related factors and smoking characteristics. Data were analyzed using Horn's parallel analysis (PA) and multiple linear regression.
PA indicated that a single-dimension structure was the best fit for the PSI. Our regression model accounted for 34% of the variance in PSI score. The PSI was associated with younger age, higher education, poorer physical functioning, greater pain severity and pain intensity, higher psychological distress, greater nicotine dependence, lower self-efficacy and greater perceived difficulty quitting, and lifetime use of behavioral treatment for quitting smoking.
This research is the first step in identifying potential targets for smoking cessation approaches tailored to smokers with CP.
本研究调查了疼痛与吸烟相互关系及预期的测量指标（疼痛与吸烟量表（PSI））的因子结构，并检验了其与慢性疼痛（CP）吸烟者维持吸烟的风险因素之间的关联。
参与者（n = 504；年龄中位数 = 46 ± 13岁；58%为女性）完成了一项关于健康相关因素和吸烟特征的在线调查。使用霍恩平行分析（PA）和多元线性回归对数据进行分析。
PA表明单维结构最适合PSI。我们的回归模型解释了PSI得分中34%的方差。PSI与年龄较小、教育程度较高、身体功能较差、疼痛严重程度和疼痛强度较大、心理困扰较大、尼古丁依赖程度较高、自我效能较低、感知到的戒烟难度较大以及曾使用行为疗法戒烟有关。
本研究是确定针对CP吸烟者的戒烟方法潜在目标的第一步。
