Previous research indicates that tobacco craving predicts relapse to smoking among adult smokers attempting to quit. We hypothesized a similar relationship between craving and lapse (any smoking following a period of abstinence) among adolescent smokers during the treatment phase of a clinical trial. A visit was considered a lapse visit if the participant reported smoking or had a carbon monoxide level of 7 ppm or greater subsequent to an abstinent visit. A total of 34 participants (mean age = 14.9 years [SD = 1.3]; mean cigarettes/day = 18.0 [SD = 7.6]; mean Fagerström Test for Nicotine Dependence score = 6.8 [SD = 1.34]; 65% female), were included in the present analysis of 167 treatment visits. Logistic regression analyses showed a positive relationship between degree of craving, measured by the Questionnaire on Smoking Urges, and lapse during smoking cessation treatment (p = .013). Additionally, linear regression analyses demonstrated a strong positive association between cigarettes smoked per day and craving scores (p<.001). Taken together with other data, these findings suggest that degree of craving might influence tobacco abstinence for adolescent smokers. Thus monitoring and addressing craving appears useful to increase the success of adolescent smoking cessation.

译文

:先前的研究表明,对烟草的渴望可以预测试图戒烟的成年吸烟者会再次吸烟。我们假设在临床试验的治疗阶段,青少年吸烟者的渴望与失误(戒酒一段时间后吸烟)之间存在类似的关系。如果参与者在戒酒后报告吸烟或一氧化碳水平为7 ppm或更高,则该访问被视为失访。共有34名参与者(平均年龄= 14.9岁[SD = 1.3];平均每天吸烟= 18.0 [SD = 7.6];平均Fagerström尼古丁依赖性评分测试= 6.8 [SD = 1.34]; 65%为女性)目前对167次治疗就诊的分析中已包括在内。 Logistic回归分析显示,渴望度(由吸烟率问卷调查得出)与戒烟治疗期间的消退之间呈正相关(p = 0.013)。此外,线性回归分析表明每天吸烟与渴望分数之间有很强的正相关性(p <.001)。结合其他数据,这些发现表明,渴望程度可能会影响青少年吸烟者的戒烟。因此,监测和解决渴望对增加青少年戒烟的成功率似乎是有用的。

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