Borrelli B, Mermelstein R
Division of Behavioral and Preventive Medicine, Brown University School of Medicine, Miriam Hospital.
Addict Behav. 1998 Sep-Oct;23(5):609-22. doi: 10.1016/s0306-4603(98)00014-8.
Although the majority of smokers are concerned about postcessation weight gain, few studies have investigated the prospective relationship between weight concern and smoking and weight outcomes, or a mechanism by which concern is related to these outcomes. We investigated the prospective role of smoking-specific weight concern in smoking cessation and weight gain among participants in a smoking-cessation clinic, and we hypothesized that domain-specific self-efficacy would be a mediator of these relationships. While weight concern did not prospectively predict smoking status, increased weight concern predicted weight gain at the end of treatment and at 3-month follow-up. Self-efficacy for preventing postcessation weight gain mediated this relationship; lower levels were related to a greater likelihood of weight gain. Weight gain was found to be associated with subsequent relapse among abstainers. Implications and treatment recommendations are discussed.
尽管大多数吸烟者担心戒烟后体重增加，但很少有研究调查体重担忧与吸烟及体重结果之间的前瞻性关系，或担忧与这些结果相关的机制。我们调查了戒烟诊所参与者中特定于吸烟的体重担忧在戒烟和体重增加方面的前瞻性作用，并且我们假设特定领域的自我效能感将是这些关系的中介因素。虽然体重担忧并不能前瞻性地预测吸烟状态，但体重担忧的增加预测了治疗结束时和3个月随访时的体重增加。预防戒烟后体重增加的自我效能感介导了这种关系；较低水平与体重增加的可能性更大有关。发现体重增加与戒烟者随后的复吸有关。讨论了相关意义和治疗建议。
