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压力下的吸烟行为:在一个基于诊所的戒烟项目中吸烟者应对预期的作用。

Cigarette smoking under stress: the role of coping expectancies among smokers in a clinic-based smoking cessation program.

作者信息

Shadel W G, Mermelstein R J

出版信息

Health Psychol. 1993 Nov;12(6):443-50. doi: 10.1037//0278-6133.12.6.443.

Abstract

This study examined 2 expectancies to explain smoking under stress: smokers' expectations about their ability to cope with stress while remaining abstinent and their expectations about the stress-ameliorating and coping benefits of smoking under stress. The interaction of the expectancies concurrently predicted smoking urge under stress, which, in turn, predicted subsequent smoking. The interaction of posttreatment expectancies prospectively predicted smoking status 3 months after treatment, although the coping benefits of smoking expectancy effect was reversed. Expectations about coping ability increased and expectations about the coping benefits of smoking decreased as a function of participating in a smoking cessation program. The discrepant concurrent and prospective findings, reasons that coping expectancies are associated with smoking under stress, and treatment implications are discussed.

摘要

本研究考察了两种预期,以解释压力下的吸烟行为:吸烟者对在保持戒烟状态时应对压力能力的预期,以及他们对压力下吸烟缓解压力和应对益处的预期。这些预期的相互作用同时预测了压力下的吸烟冲动,而吸烟冲动又反过来预测了随后的吸烟行为。治疗后预期的相互作用前瞻性地预测了治疗后3个月的吸烟状况,尽管吸烟应对益处预期效应出现了反转。随着参与戒烟项目,对应对能力的预期增加,而对吸烟应对益处的预期降低。本文讨论了同时性和前瞻性研究结果的差异、应对预期与压力下吸烟相关的原因以及治疗意义。

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