Cognitive Processes in Smoking Cessation

戒烟的认知过程

基本信息

批准号：
7491589
负责人：
ANDREW J WATERS
金额：
$ 34.22万
依托单位：
HENRY M. JACKSON FDN FOR THE ADV MIL/MED
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-09-30 至 2012-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7491589
关键词：
Adopted Adult Affective Attention Attitude Bupropion Characteristics Clinical Cognitive Cognitive Science Conscious Counseling Cues Data Development Enrollment Evaluation Exhibits Expectancy Failure Goals Implicit Association Test Incentives Individual Influentials Laboratories Life Literature Measures Memory Mental association Methods Mind Morphologic artifacts Outcome Participant Patient Self-Report Pharmaceutical Preparations Piper Process Public Health Questionnaires Reaction Time Relapse Research Research Personnel Role Smoke Smoker Smoking Smoking Cessation Intervention Testing Tobacco Dependence Water addiction behavior influence computerized cost craving deprivation effective intervention expectation high risk impression improved information processing interest nicotine replacement programs psychologic response satisfaction smoking cessation social cognition theories treatment duration

项目摘要

DESCRIPTION (provided by applicant): The majority of smokers are motivated to quit. However, most quit attempts end in failure, with many relapses occurring in the first few days. It is therefore important to understand the mechanisms underlying relapse to smoking, so that more effective interventions can be developed. Most research on the psychological processes underlying relapse has relied on questionnaire (self-report) measures to assess the relevant constructs. We shall utilize computerized reaction time tasks, derived from experimental cognitive psychology, to assess processes that may not be captured by self-report. Two-hundred and forty adult smokers wishing to quit will be enrolled in a smoking cessation study. All participants shall attend five laboratory sessions. At each session, they shall complete a battery of cognitive assessments (the modified Stroop task, the Implicit Association Test (IAT), and the Expectancy Accessibility Task (EA)). They shall complete these assessments at two pre-quit sessions, once when overnight deprived of smoking, and once when smoking normally. They shall also complete the assessments on their quit day, one week after their quit day, and at end of treatment (one month). During the treatment period, all participants shall be provided with individualized brief counseling. The over-arching goal of the proposed study is to evaluate the clinical and theoretical utility of the cognitive measures. The primary specific aim is to examine the associations between the cognitive measures assessed at the pre-quit sessions and subsequent smoking cessation outcomes. We hypothesize that smokers who exhibit greater attentional bias (Stroop task), more positive implicit evaluations of smoking (IAT) and stronger expectancy accessibility (EA Task) will be more likely to relapse to smoking. For each cognitive measure, we shall also examine whether any association with relapse: i) persists when controlling for self-report measures of relevant constructs, and: ii) is moderated by deprivation state at test. Smoking is an important public health problem costing over 430,000 lives a year in the US alone. This study will improve our understanding of the psychological processes underlying relapse to smoking. Thus, results from this study may help us to identify individuals who are high risk for an early relapse, and facilitate the development of smoking cessation interventions.

描述（由申请人提供）：大多数吸烟者都有动机退出。但是，大多数戒烟的尝试都以失败结束，最初几天发生了许多复发。因此，重要的是要了解吸烟的复发的机制，以便可以开发出更有效的干预措施。关于复发基础心理过程的大多数研究都依赖问卷（自我报告）措施来评估相关结构。我们将利用从实验认知心理学中得出的计算机化反应时间任务来评估可能不会被自我报告捕获的过程。希望退出的240名成年吸烟者将参加一项戒烟研究。所有参与者应参加五次实验室会议。在每个会话中，他们应完成一系列认知评估（修改后的Stroop任务，隐式关联测试（IAT）和预期可访问性任务（EA））。他们应在两次前会议上完成这些评估，一次过夜剥夺吸烟，一次正常吸烟。他们还应在退出一天后的一周以及治疗结束（一个月）的戒烟日完成评估。在治疗期间，应为所有参与者提供个性化的简短咨询。拟议的研究的总体目标是评估认知措施的临床和理论效用。主要的特定目的是检查在审议前会议上评估的认知措施与随后的戒烟结果之间的关联。我们假设表现出更大注意偏见（Stroop任务），吸烟（IAT）的更积极的隐性评估以及更强的预期可及性（EA任务）的吸烟者更有可能复发到吸烟。对于每种认知措施，我们还应检查是否有任何与复发的关联：i）在控制相关结构的自我报告测量时持续存在，并且：ii）在测试中剥夺状态会调节。吸烟是一个重要的公共卫生问题，仅在美国就每年占43万人的生命。这项研究将提高我们对吸烟复发的心理过程的理解。因此，这项研究的结果可能会帮助我们确定那些早期复发的高风险，并促进戒烟干预措施的发展。

项目成果

期刊论文数量（5）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Black Cigarette Smokers Report More Attention to Smoking Cues Than White Smokers: Implications for Smoking Cessation.

黑人吸烟者比白人吸烟者更关注吸烟暗示：对戒烟的影响。

DOI：
10.1093/ntr/ntu263
发表时间：
2015
期刊：
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
影响因子：
0
作者：
Robinson,CendrineD;Pickworth,WallaceB;Heishman,StephenJ;Wetter,DavidW;Cinciripini,PaulM;Li,Yisheng;Rowell,Brigid;Waters,AndrewJ
通讯作者：
Waters,AndrewJ

Cognition and craving during smoking cessation: an ecological momentary assessment study.

戒烟期间的认知和渴望：生态瞬时评估研究。

DOI：
10.1093/ntr/ntt108
发表时间：
2014
期刊：
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
影响因子：
0
作者：
Waters,AndrewJ;Szeto,EdwinH;Wetter,DavidW;Cinciripini,PaulM;Robinson,JasonD;Li,Yisheng
通讯作者：
Li,Yisheng

Attentional bias to drug cues is elevated before and during temptations to use heroin and cocaine.