López-Torrecillas Francisca, Arcos-Rueda María Del Mar, Cobo-Rodríguez Beatriz, Muñoz-López Lucas
Departamento de Personalidad, Evaluación y Tratamiento Psicológico, Universidad de Granada, 18011 Granada, Spain.
Facultad de Ciencias, Hospital Universitario de la Paz, 18071 Granada, Spain.
Healthcare (Basel). 2025 Sep 17;13(18):2326. doi: 10.3390/healthcare13182326.
Tobacco use remains a major public health concern among young adults and is often complicated by co-occurring addictive behaviors. This study analyzed motivation for change, assessed with the decisional balance framework, in relation to multiple addictions among young smokers seeking treatment. Ninety-eight participants from the University of Granada enrolled in either an app-based cognitive-behavioral therapy (CBT) program (n = 35) or a traditional face-to-face CBT program (n = 63). Recruitment relied on self-identification and voluntary participation. Standardized instruments were applied to measure nicotine dependence (FTND), behavioral and substance-related addictions (MULTICAGE CAD-4), cannabis dependence (SDS), and motivation for change (DBQ). Logistic and stepwise regression analyses were conducted to identify predictors of treatment choice and motivational outcomes. Younger participants and students were more likely to choose the app-based program. Compulsive buying was linked to perceiving more disadvantages of smoking, whereas sex addiction, cannabis dependence, and other substance addictions were associated with perceiving fewer disadvantages. : Treatment preferences and motivational profiles differ according to age, academic status, and co-occurring addictions. These findings highlight the need to tailor smoking cessation strategies to individual profiles and support the role of mobile health tools in engaging digitally oriented populations.
吸烟在年轻人中仍然是一个主要的公共卫生问题，并且常常因同时出现的成瘾行为而变得复杂。本研究使用决策平衡框架分析了寻求治疗的年轻吸烟者中与多种成瘾相关的改变动机。来自格拉纳达大学的98名参与者参加了基于应用程序的认知行为疗法（CBT）项目（n = 35）或传统的面对面CBT项目（n = 63）。招募依靠自我识别和自愿参与。应用标准化工具来测量尼古丁依赖（FTND）、行为和物质相关成瘾（MULTICAGE CAD - 4）、大麻依赖（SDS）以及改变动机（DBQ）。进行逻辑回归和逐步回归分析以确定治疗选择和动机结果的预测因素。较年轻的参与者和学生更有可能选择基于应用程序的项目。强迫性购买与感知到吸烟的更多劣势相关，而性成瘾、大麻依赖和其他物质成瘾则与感知到较少的劣势相关。治疗偏好和动机概况因年龄、学业状况和同时出现的成瘾情况而异。这些发现凸显了根据个体情况调整戒烟策略的必要性，并支持移动健康工具在吸引数字导向人群方面的作用。
