The Independent Contribution of Positive and Negative Metacognitions About Smoking to Urge to Smoke, Withdrawal Symptoms and Dependence in Smoking-Dependent Men

IF 3.2 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Clinical psychology & psychotherapy Pub Date : 2024-06-28 DOI:10.1002/cpp.3024
Vahid Khosravani, Ana V. Nikčević, Marcantonio M. Spada, Seyed Mehdi Samimi Ardestani, Mahmoud Najafi
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Abstract

Previous research has indicated that various factors, such as psychological distress, distress intolerance, anhedonia, impulsivity and smoking metacognitions, have been individually linked to the urge to smoke, withdrawal symptoms and dependence. However, these factors have not been collectively examined to determine whether smoking metacognitions independently and significantly contribute to these outcomes. Therefore, the aim of this study was to investigate the impact of distress intolerance, anhedonia, impulsivity and smoking metacognitions on the urge to smoke, withdrawal symptoms and dependency in men who are dependent on smoking. A total of 300 smoking-dependent men completed psychological scales and smoking-related measures. The findings of the study indicated that positive metacognitions about emotion regulation significantly predicted the urge to smoke, even when accounting for other significant predictors such as the number of daily cigarettes smoked, psychological distress, anhedonia and impulsivity. Furthermore, positive metacognitions about cognitive regulation were found to be a significant predictor of withdrawal symptoms, independent of other significant predictors such as psychological distress and the urge to smoke. Smoking dependence was predicted by negative metacognitions about uncontrollability beyond other significant predictors, including the number of daily cigarettes smoked and distress intolerance. These results highlight the role of metacognitions about smoking in both short- and long-term clinical outcomes related to smoking. Consequently, addressing such beliefs during treatment for smoking dependence should be an important therapeutic goal.

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关于吸烟的积极和消极元认知对吸烟成瘾男性的吸烟冲动、戒断症状和依赖性的独立贡献。
以往的研究表明,心理困扰、不耐受困扰、失乐症、冲动性和吸烟元认知等各种因素都与吸烟冲动、戒断症状和依赖性有关。然而,尚未对这些因素进行综合研究,以确定吸烟元认知是否对这些结果有独立而显著的影响。因此,本研究旨在调查窘迫不耐症、失乐症、冲动性和吸烟元认知对吸烟依赖男性的吸烟冲动、戒断症状和依赖性的影响。共有 300 名吸烟依赖男性完成了心理量表和与吸烟相关的测量。研究结果表明,关于情绪调节的积极元认知能显著预测吸烟冲动,即使考虑到其他重要的预测因素,如每天吸烟的数量、心理困扰、失乐症和冲动。此外,关于认知调节的积极元认知也是戒断症状的重要预测因素,与心理困扰和吸烟冲动等其他重要预测因素无关。关于不可控性的消极元认知对吸烟依赖的预测超出了其他重要的预测因素,包括每天吸烟的数量和对痛苦的不容忍。这些结果凸显了吸烟元认知在与吸烟相关的短期和长期临床结果中的作用。因此,在治疗吸烟依赖的过程中,解决此类信念应该是一个重要的治疗目标。
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来源期刊
Clinical psychology & psychotherapy
Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
6.30
自引率
5.60%
发文量
106
期刊介绍: Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.
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