Department of Psychiatry, NYU Grossman School of Medicine, One Park Ave, New York, NY, 10016, USA.
Department of Psychology, University of Mississippi, P.O. Box 1848, University, MS, 38677, USA.
Psychiatr Q. 2024 Sep;95(3):433-445. doi: 10.1007/s11126-024-10080-z. Epub 2024 Jul 15.
COPD is one of the leading causes of death in the United States and results in increased healthcare costs and disability. Smoking is the main determinant of COPD development and continued use increases mortality as compared to those who have stopped smoking. Research has indicated that cigarette smoking may play a role in attempts to regulate distressing emotional experiences and thus, may be an important transdiagnostic process underlying continued smoking behavior among adults with COPD. The current study investigated the role of ER difficulties in relation to smoking status and cigarettes smoked per day among adults with COPD. This cross-sectional study included a sample was adults with COPD (N = 320). Participants self-reported current smoking status, daily smoking, and the Difficulties in Emotion Regulation Scale. All analyses were adjusted for age, sex, probable depression, probable anxiety, and dyspnea severity. DERS total scores were associated with greater odds of current smoking. With the exception of impulsivity, all other dimensions of emotion regulation were significantly associated with current smoking. Greater difficulties in emotional awareness were associated with greater cigarettes smoked per day. However, neither the DERS total score nor any other dimensions of emotional regulation were significantly associated with cigarettes smoked per day. The present study provides preliminary data linking ER difficulties to smoking behavior among adults with COPD. If corroborated by future research, these findings suggest that ER might be a potential target for smoking cessation programs among adults with COPD.
COPD 是美国主要的死亡原因之一，导致医疗保健成本增加和残疾。吸烟是 COPD 发展的主要决定因素，与已经戒烟的人相比，持续吸烟会增加死亡率。研究表明，吸烟可能在调节痛苦情绪体验方面发挥作用，因此，对于 COPD 成年人继续吸烟行为，可能是一个重要的跨诊断过程。本研究探讨了 ER 困难与 COPD 成年人吸烟状况和每天吸烟量之间的关系。这项横断面研究包括 320 名 COPD 成年人。参与者报告了当前的吸烟状况、每日吸烟量和情绪调节困难量表。所有分析均调整了年龄、性别、可能的抑郁、可能的焦虑和呼吸困难严重程度。DERS 总分与当前吸烟的可能性更大相关。除冲动性外，情绪调节的所有其他维度都与当前吸烟显著相关。情绪意识的困难越大，每天吸烟的数量就越多。然而，DERS 总分或情绪调节的任何其他维度都与每天吸烟的数量没有显著关系。本研究提供了初步数据，将 ER 困难与 COPD 成年人的吸烟行为联系起来。如果未来的研究证实了这一发现，这些结果表明，ER 可能是 COPD 成年人戒烟计划的一个潜在目标。
