Personalized Feedback for Distress Intolerant Smokers

为无法忍受痛苦的吸烟者提供个性化反馈

• 批准号: 9924469
• 负责人: Brooke Y Redmond
• 金额: $ 3.62万
• 依托单位: UNIVERSITY OF HOUSTON
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-05-01 至 2021-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9924469
• 关键词: Address; Alcohol abuse; Anxiety; Awareness; Behavior; Caring; Cessation of life; Chronic; Clinic; Clinical; Cognition; Computers; Depressive Syndromes; Distress; Emotional; Emotional disorder; Etiology; Feedback; General Population; Health; Health Promotion; Health Services Accessibility; Health behavior; Heterogeneity; Individual; Intention; Intervention; Maintenance; Mediating; Mental Depression; Mental disorders; Motivation; Nature; Neurotic Disorders; Outcome; Outpatients; Participant; Phase; Physiological; Population; Preventive Intervention; Primary Health Care; Problem behavior; Process; Psychiatric therapeutic procedure; Public Health; Randomized; Randomized Clinical Trials; Randomized Controlled Trials; Relapse; Risk; Risk Factors; Smoker; Smoking; Smoking Cessation Intervention; Subgroup; Syndrome; Testing; Therapeutic; Thinking; Time; Tobacco; Tobacco use; United States; Withdrawal; World Health; anxiety sensitivity; anxiety symptoms; base; behavior change; brief intervention; cigarette smoke; clinically significant; comorbidity; coping; cost effectiveness; craving; depressive symptoms; disability; distress tolerance; emotion dysregulation; emotional symptom; follow-up; formative assessment; high risk; improved; intervention effect; intervention program; medication compliance; negative affect; negative mood; normative feedback; phase 1 testing; portability; premature; preventable death; primary outcome; psychiatric symptom; psychologic; sex; smoking cessation; success; theories; willingness

Project Summary/Abstract Smoking remains the leading cause of preventable death and disability in the United States (US), contributing approximately 480,000 premature deaths annually.1, 2 Given widespread awareness of smoking as a 'chronic health behavior problem,' smoking rates, in general, have declined in the US.2 However, this decline has not extended to smokers with elevated psychiatric symptoms and disorders.3, 4 Here, anxiety and depressive symptoms and syndromes (hereafter termed `emotional disorders' for ease of presentation) are particularly important because they are the most prevalent psychiatric problems in the general population, remarkably comorbid with smoking, and reliably associated with smoking initiation, maintenance, and relapse.5 An integrative, theory-driven approach to address the heterogeneity of emotional disorders associated with smoking is to focus on underlying transdiagnostic processes that underpin both emotional disorders and smoking.6 Distress tolerance is a transdiagnostic vulnerability factor for the etiology and maintenance of negative affect syndromes.7 Distress tolerance is distinct theoretically and empirically from other constructs such as coping, anxiety sensitivity, negative affectivity, emotion dysregulation, neuroticism, and experiential avoidance.7-12 Although distress tolerance is a relatively stable construct,13 it is malleable, making it a prime risk factor to target in prevention/intervention programs.14, 15 Although there has been progress in targeting distress tolerance to decrease risk for emotional disorders16 and facilitate success in quitting smoking,17 no targeted efforts have focused on addressing distress tolerance in 'earlier phases' of the quit process (i.e., Motivation [having motivation to quit], Precessation [thinking about and preparing for quitting]). I seek to adapt and refine (Phase 1) and test in a pilot randomized controlled trial (Phase 2) an integrated, brief, computer-based personalized feedback intervention to: (1) increase motivation, confidence, and intention to quit and reduce perceived barriers for quitting smoking; (2) reduce smoking rate, increase number of quit attempts, and reduce coping-oriented smoking; and (3) increase distress tolerance and willingness to use adaptive coping strategies and reduce anxiety/depressive symptoms. Expanding the reach of health promotion tactics via a computer-delivered intervention is timely and necessary for a multitude of well- documented public health reasons: greater scalability to larger segments of the population; greater cost- effectiveness potential; the ability to enhance the personalized nature of care through the tailoring of therapeutic content to meet the unique needs of high-risk segments of the population; and the ability to reliably deliver brief tobacco use interventions.

项目摘要/摘要 吸烟仍然是美国可预防死亡和残疾的主要原因（美国） 每年约有480,000例早期死亡。1，有2个赋予人们对吸烟的认识 一般来说，美国的“慢性健康行为问题”的吸烟率下降了。2然而，这种下降 尚未扩展到具有升高精神症状和疾病的吸烟者。3，4在这里，焦虑和 抑郁症状和综合症（以下称为“情绪障碍”以易于表现） 特别重要，因为它们是普通民众中最普遍的精神病问题 与吸烟相关，并可靠地与吸烟，维护和复发相关。5 一种综合，理论驱动的方法，用于解决与情绪障碍的异质性 吸烟是集中于基于情绪障碍和 吸烟。6遇险宽容是病因和维持的经诊断脆弱性因素 7遇险宽容在理论上和经验上与其他不同 诸如应对，焦虑敏感性，负面情感，情绪失调等构造， 神经质和经验回避。7-12尽管遇险耐受性是一种相对稳定的结构，但13是 可延展，使其成为预防/干预计划的目标的主要风险因素。14，15尽管有 靶向遇险宽容以降低情绪障碍的风险16并促进成功的进展 退出吸烟，17个没有针对性的努力专注于解决遇险宽容的“早期阶段” 退出过程（即动机[有动力退出]，进攻[思考和准备 退出]）。 我寻求适应和完善（第1阶段）并在飞行员随机对照试验（第2阶段）中进行测试 集成，简短的基于计算机的个性化反馈干预措施：（1）增加动力，信心， 并打算退出和减少戒烟的障碍； （2）降低吸烟率，增加 戒烟尝试数量，并减少面向应对的吸烟； （3）增加遇险的承受能力和 愿意使用自适应应对策略并减轻焦虑/抑郁症状。扩展覆盖范围 通过计算机提供的干预措施的健康促进策略是及时且对于众多良好的 有记录的公共卫生原因：更大的可扩展性对较大的人群；更高的成本 - 有效潜力；通过裁缝来增强护理的个性化性质的能力 治疗内容以满足高风险人群的独特需求；以及可靠的能力 提供简短的烟草使用干预措施。

项目成果

Pain intensity, pain-related anxiety, and somatic and mental health symptoms: a test among latinx young adults.

• DOI: 10.1080/13548506.2020.1764598
• 发表时间: 2021-03
• 期刊: Psychology, health & medicine
• 作者: Zvolensky MJ;Kauffman BY;Shepherd JM;Bogiaizian D;Bakhshaie J;Viana AG;Peraza N;Nizio P
• 通讯作者: Nizio P

The association between distress tolerance and eating expectancies among trauma-exposed college students with obesity.

• DOI: 10.1080/07448481.2020.1754223
• 发表时间: 2022-03
• 期刊: Journal of American college health : J of ACH
• 作者: Kauffman BY;Bakhshaie J;Zvolensky MJ
• 通讯作者: Zvolensky MJ

Towards a greater understanding of anxiety sensitivity across groups: The construct validity of the Anxiety Sensitivity Index-3.

• DOI: 10.1016/j.psychres.2018.07.007
• 发表时间: 2018-10
• 期刊: Psychiatry research
• 影响因子: 11.3
• 作者: Jardin C;Paulus DJ;Garey L;Kauffman B;Bakhshaie J;Manning K;Mayorga NA;Zvolensky MJ
• 通讯作者: Zvolensky MJ

Worry Among Latinx Young Adults: Relations to Pain Experience, Pain-Related Anxiety, and Perceived Health.

拉丁裔年轻人的担忧：与疼痛体验、疼痛相关焦虑和感知健康的关系。

• DOI: 10.1007/s40615-019-00599-4
• 发表时间: 2019
• 期刊: Journal of racial and ethnic health disparities
• 影响因子: 3.9
• 作者: Zvolensky,MichaelJ;Kauffman,BrookeY;Bogiaizian,Daniel;Viana,AndresG;Bakhshaie,Jafar;Rogers,AndrewH;Peraza,Natalia
• 通讯作者: Peraza,Natalia

Anxiety sensitivity and modifiable cardiovascular disease risk factors: the role of pain intensity among individuals with chronic pain.

• DOI: 10.1007/s10865-021-00262-6
• 发表时间: 2022-04
• 期刊: JOURNAL OF BEHAVIORAL MEDICINE
• 影响因子: 3.1
• 作者: Kauffman, Brooke Y;Kroeger, Ryan;Rogers, Andrew H;Garey, Lorra;Ditre, Joseph W;Zvolensky, Michael J
• 通讯作者: Zvolensky, Michael J