362 在尝试戒烟过程中,研究不同负面情绪与烟瘾发作之间的时间联系

IF 2.1 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Journal of Clinical and Translational Science Pub Date : 2024-04-03 DOI:10.1017/cts.2024.321
Dusti Jones, Lindsey N. Potter, Cho Y. Lam, David W. Wetter
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In Study 2, 288 adult (ages 18-71) cigarette users who were low socioeconomic status (51% White, 14% Black, 10% Hispanic, 49% female) participated in a 14-day study with the same study protocol as Study 1. Between and lagged within-person associations testing links between distinct NEs and lapse were examined with multilevel modeling with logistic links for binary outcomes. RESULTS/ANTICIPATED RESULTS: Results from Study 1 suggested that at the between-person level, disgust (OR =1.22, CI: 1.05, 1.42), nervousness (OR=1.23, CI:1.05,1.43), guilt (OR=1.40, CI: 1.16,1.69), and sadness (OR=1.18, CI:1.02,1.36) were predictive of higher odds of lapse, and at the within-person level, shame (OR=1.23, CI:1.04,1.45) was associated with higher odds of lapse. 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引用次数: 0

摘要

目的/目标:负面情绪(NE)在成瘾相关过程中起着关键作用,包括戒烟尝试中的失误。一些消极情绪(如羞耻感、负罪感)被认为会导致一种螺旋效应,即戒烟失败预示着消极情绪的增加,从而导致进一步的戒烟失败。本研究旨在探讨 NEs 与戒烟失败之间的关联。方法/研究人群:本研究在两项戒烟研究中考察了烟草失效与试图戒烟的烟草使用者中13种不同NE之间的关系。在研究 1 中,220 名自认为是黑人的成年(18-74 岁)吸烟者(50% 为女性)参加了为期 14 天的研究,该研究采用生态瞬间评估(大约每 4 小时评估一次)来评估实时和真实世界环境中的情绪和失效情况。在研究 2 中,288 名社会经济地位较低的成年(18-71 岁)烟民(51% 白人、14% 黑人、10% 西班牙人、49% 女性)参加了为期 14 天的研究,研究方案与研究 1 相同。通过二元结果的逻辑关联多层次建模,检验了不同NE与失效之间的人际关联和滞后人内关联。结果/预期结果:研究 1 的结果表明,在人与人之间,厌恶(OR =1.22,CI:1.05, 1.42)、紧张(OR=1.23,CI:1.05,1.43)、内疚(OR=1.40,CI:1.在个人层面上,羞耻感(OR=1.23,CI:1.04,1.45)与较高的失眠几率相关。研究 2 的结果与此类似,表明在人与人之间,厌恶感(OR=1.35,CI:1.16,1.56)和内疚感(OR=1.88,CI:1.07,3.30)以及在人与人之间,羞耻感(OR=1.31,CI:1.10,1.55)与较高的失恋几率相关。讨论/意义:本研究利用真实世界的实时数据证明了不同的NE对瞬间烟草失效的作用,并有助于阐明在戒烟尝试中阻碍戒烟能力的特定NE。研究结果表明,在不同的烟草使用者样本中,厌恶、负罪感和羞耻感在预测失效方面发挥着一致的作用。
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362 Examining Temporal Links Between Distinct Negative Emotions and Tobacco Lapse During A Cessation Attempt
OBJECTIVES/GOALS: Negative emotions (NE) play a pivotal role in addiction-related processes, including tobacco lapse during a quit attempt. Some NEs (e.g., shame, guilt) are posited to lead to a spiraling effect, whereby lapse predicts increased NEs leading to further lapse. This study goal is to examine associations between NEs and lapse. METHODS/STUDY POPULATION: This study examined associations between tobacco lapse and 13 distinct NEs among people who use tobacco and are trying to quit in two tobacco cessation studies. In Study 1, 220 adult (ages 18-74) cigarette users who identified as Black (50% female) participated in a 14-day study where ecological momentary assessment (with assessments approximately every 4 hours) was used to assess emotions and lapse in real-time and real-world settings. In Study 2, 288 adult (ages 18-71) cigarette users who were low socioeconomic status (51% White, 14% Black, 10% Hispanic, 49% female) participated in a 14-day study with the same study protocol as Study 1. Between and lagged within-person associations testing links between distinct NEs and lapse were examined with multilevel modeling with logistic links for binary outcomes. RESULTS/ANTICIPATED RESULTS: Results from Study 1 suggested that at the between-person level, disgust (OR =1.22, CI: 1.05, 1.42), nervousness (OR=1.23, CI:1.05,1.43), guilt (OR=1.40, CI: 1.16,1.69), and sadness (OR=1.18, CI:1.02,1.36) were predictive of higher odds of lapse, and at the within-person level, shame (OR=1.23, CI:1.04,1.45) was associated with higher odds of lapse. Results from Study 2 were similar and suggested that at the between-person level, disgust (OR=1.35, CI: 1.16, 1.56) and guilt (OR=1.88, CI:1.07,3.30), and at the within-person level, shame (OR =1.31, CI:1.10,1.55), were associated with higher odds of lapse. DISCUSSION/SIGNIFICANCE: The present study uses real-time, real-world data to demonstrate the role of distinct NEs on momentary tobacco lapse and helps elucidate specific NE that hinder the ability to abstain from tobacco use during a quit attempt. Results suggest that disgust, guilt, and shame play consistent roles in predicting lapse among diverse samples of tobacco users.
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来源期刊
Journal of Clinical and Translational Science
Journal of Clinical and Translational Science MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
2.80
自引率
26.90%
发文量
437
审稿时长
18 weeks
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