Alcohol and tobacco cessation in alcohol-dependent smokers: Analysis of real-time reports

被引:82
作者
Cooney, Ned L.
Litt, Mark D.
Cooney, Judith L.
Pilkey, David T.
Steinberg, Howard R.
Oncken, Cheryl A.
机构
[1] Yale Univ, Sch Med, Dept Psychiat, New Haven, CT 06520 USA
[2] Univ Connecticut, Ctr Hlth, Div Behav Sci & Community Hlth, Storrs, CT 06269 USA
[3] Univ Connecticut, Sch Med, Dept Psychiat, Storrs, CT 06269 USA
[4] Univ Connecticut, Sch Med, Dept Med, Storrs, CT 06269 USA
关键词
smoking cessation; self-efficacy; alcoholism treatment; relapse; ecological momentary assessment;
D O I
10.1037/0893-164X.21.3.277
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Alcohol-tobacco interactions and relapse precipitants were examined among alcohol-dependent smokers in a trial of concurrent alcohol and tobacco treatment. After discharge from treatment, participants completed 14 days of electronic diary (ED) assessments of mood, self-efficacy, urges to drink or smoke, and drinking and smoking behavior. ED data revealed an increase in frequency of alcohol urges after smoking episodes. Drinking relapse episodes were predicted by prior ED ratings of low self-efficacy to resist drinking and high urge to smoke. Smoking relapse episodes were predicted by high urge to smoke and high negative, high arousal mood. Results support a cross-substance cue reactivity model of multiple substance use and a limited-strength model, but not a cross-substance coping model.
引用
收藏
页码:277 / 286
页数:10
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