戒烟过程中社会管制及社会支持的交互作用
2014/11/05
摘要
背景：社会管制和社会支持均对戒烟过程有一定影响，但其通常都是被分开来单独研究的。
目的：研究社会管制和社会支持在戒烟过程是否存在协同作用。
方法：在99例吸烟者中，评估试验者决定戒烟前两周所接受的社会管制及情感支持（均特异性针对吸烟者）（T1），决定戒烟6周后再次客观地评估其戒烟状况及试验者自己报告的每日吸烟数（T2）。
结果：两种结局均显示社会管制的功能是受社会支持调节的，但是有益的协同作用（高强度社会管制/高强度社会支持）仅体现有少数试验者中。低强度社会管制/高强度社会支持与较差的戒烟效果相关，而低强度社会管制/低强度社会支持则与较好的戒烟效果相关。
结论：结合使用不同程度的社会管制和社会支持可能更利于戒烟，虽然同时进行高强度的社会管制和高强度的社会支持可能利于戒烟，但在现实中很少存在这样的情况。
（刘国梁 审校）
Ann Behav Med. 2014 Sep 12. [Epub ahead of print]
Interacting Effects of Receiving Social Control and Social Support During Smoking Cessation.
Ochsner S1, Knoll N, Stadler G, Luszczynska A, Hornung R, Scholz U.
ABSTRACT
BACKGROUND: Social control and support have effects on smoking cessation, but are mostly examined separately.
PURPOSE: Interacting effects of social control and support are investigated, hypothesizing synergistic effects.
METHODS: In 99 smokers, received social control and emotional support (both smoking specific) were assessed 2 weeks before a quit date (T1); objectively verified abstinence and self-reported numbers of cigarettes smoked daily were assessed 6 weeks after baseline (T2).
RESULTS: For both outcomes, associations with control (T1) were moderated by support (T1), but beneficial synergistic effects (high control/high support) emerged for few participants only. Effects were mainly driven by constellations of low control/high support associated with more cigarettes smoked daily (T2) and low control/low support linked to higher likelihood of abstinence (T2).
CONCLUSIONS: Different constellations of levels of control and support may be beneficial for quitting smoking. Whereas synergies of high domain-specific control and support may be beneficial, they only rarely occur.
Ann Behav Med. 2014 Sep 12. [Epub ahead of print]
