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The Effects of Smoking Urges and Withdrawal Symptoms on Maintenance of Smoking Cessation: The Moderating Effects of Coping and Perceived Smoking Cessation Effects

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2014, v.19 no.1, pp.253-269
https://doi.org/10.17315/kjhp.2014.19.1.014


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Abstract

The purpose of this study is to investigate the effects of smoking urges and the withdrawal symptoms on maintenance of smoking cessations, together with the coping and perceived smoking cessation effects which moderate smoking urges and withdrawal symptoms of smoking cessations. In addition, this study also verified if the smoking cessation maintenance group and the failure group have differences in the sample's demographic profiles and smoking behaviors. 144 subjects (68 maintenance and 76 fail) were participated in this study. The results showed that low smoking urges and withdrawal symptoms predicted the maintenance of smoking cessations. Moreover, the interactions between smoking urges and coping, and withdrawal symptoms and coping were rather significant. Particularly, coping affects maintenance of smoking cessations even if the smoking urges and withdrawal symptoms are high. Based on these investigations, the clinical implications and several limitations of the study were discussed.

keywords
smoking urges, withdrawal symptoms, coping, perceived smoking cessation effect, smoking cessation, 금연, 흡연, 흡연갈망, 금단증상, 대처, 금연효과지각

Reference

1.

김명식 (2003). 흡연 청소년을 위한 인지행동 금연 프로그램과 행동주의 금연프로그램의 효과 비교 연구. 고려대학교 대학원 박사학위 논문.

2.

민성길 (1998). 약물남용. 서울: 중앙문화사.

3.

서경현, 유제민 (2003). 금연 성공의 예측 요인: 입원 금연 프로그램 참여자를 중심으로. 한국심리학회지: 건강, 8(2), 243-259.

4.

통계청 (2007). 사망원인통계(전국편, 2007). http://www.nso.go.kr.

5.

한국금연운동협의회 (2008). 2008흡연실태조사. http://www.kash.or.kr.

6.

Anton, R. F. (1999). What is craving? Models and implications for treatment. Alcohol Research & Health, 23, 165-173.

7.

Becker, M. H., Haefner, D. P., & Maiman, L. A. (1977). The health belief model in the prediction of dietary compliance: A field experiment. Journal of Health and Social Behavior, 18, 348-366.

8.

Bliss, R. E., Garvey, A. J., & Hitchcock, J. L. (1987). Coping strategies, smoking motives, and relapse crises outcomes. Paperpresented at the 95th Annual Convention of the American Psychological Association, New York, NY.

9.

Bliss, R. E., Garvey, A. J., & Ward, K. D. (1999). Resisting temptations to smoke: Results from within-subjects analyses. Psychology of Addictive Behaviors, 13, 143-151.

10.

Brownson, R. C., Jackson, T. J., Wilkerson, J. C., Davis, J. R., Owens, N. W., & Fisher, E. B. (1992). Demographic and socioeconomic differences in beliefs about the health effects of smoking. American Journal of Public Health, 82, 99-103.

11.

Childress, A. R., Mozley, P. D., McElgin, W., Fitzgerald, J., Reivich, M., & O’Brien, C. P. (1999). Limbic activation during cue-induced cocaine craving. American Journal of Psychiatry , 156, 11–18.

12.

Cox, L. S., Tiffany, S. T., & Christen, A. G. (2001). Evaluation of the brief Questionnaire of Smoking Urges(QSU-brief) in laboratory and clinical settings. Nicotine & Tobacco Research, 3, 7-16.

13.

Doherty K., Kinnunen, T., Militello, F. S., & Garvey, A.J. (1995). Urges to smoke during the first month of abstinence: Relationship to relapse and predictors. Psychopharmacology, 119, 171-178.

14.

Evans, D., & Lane, D. S. (1981). Smoking cessation follow-up: A look at post-workshop behavior. Addictive Behaviors, 6, 325-329.

15.

Fragerstrom, K. O., & Nina, G. S. (1989). Measuring nicotine dependence: A review of the Fragerstrom Tolerance Questionnaire. Journal of Behavior Medicine, 12, 159-182.

16.

Hart, A. D. (2005). 참을 수 없는 중독. 온누리회복사역본부 역. 서울: 두란노.

17.

Hochbaum, G. M., Sorenson, J. R., & Lorig, K. (1992). Theory in health education practice. Health Education Quarterly, 19, 295-313.

18.

Hunt, W. A., & Matarazzo, J. D. (1973). Three years later: Recent developments in the modification of smoking behavior. Journal of Abnormal Psychology, 2, 107–114.

19.

Jaffe, J. H. (1992). Current concepts of addiction. In O’Brien, C. P. & Jaffe, J. H.(Eds.), Addictive states, 1-21. New York: Raven Press.

20.

Javis, M. J. (1994). A profile of tobacco smoking. Special issue: Comparing drugs of dependence. Addiction, 89, 1371-1376.

21.

Marlatt, G. A. (1996). Taxonomy of high-risk situations for alcohol relapse: Evolution and development of a cognitive-behavioral model. Addiction, 91, 37–49.

22.

Marlatt, G. A. (1985). Relapse prevention. In Marlatt, G. A., & Gordon, J. R.(Eds.), New York:Guilford Press.

23.

Myers, Mark G., & Wagner, Eric F. (1995). The Temptation-Coping Questionnaire: Development and validation. Journal of Substance Abuse, 7, 463-479.

24.

Myrick, H., Anton, R. F., Li, X., Henderson, S., Drobes, D., Voronin, K., & George, M. S. (2004). Differential brain activity in alcohols and social drinkers to alchol cues:Relationship to craving. Neuropsychopharmacology, 29, 393-402.

25.

O'Connell, K. A., Schwartz, J. E., Gerkovich, M. M., Bott, M.J., & Shiffman, S. (2004). Playful and rebellious states vs. negative affect in explaining the occurrence of temptations and lapses during smoking cessation. Nicotine and Tobacco Research, 6, 661-674.

26.

O’Connell, K. A., Hosein, V. L., Schwartz, J. E., & Leibowitz, R. Q. (2007). How does coping help people resist lapses during smoking cessation? Health Psychology, 26, 77-84.

27.

Orleans, C. T., Rimer, B. K., Cristenzio, S., Keintz, M. K., & Fleisher, L. (1991). A national survey of order smokers: Treatment needs for a growing population. Health Psychology, 10, 343-351.

28.

Piasecki, T. M., Kenford, S. L., Smith, S. S., Fiore, M. C., & Baker, T. B. (1997). Listening to nicotine:Negative affect and the smoking withdrawal conundrum. Psychological Science, 8, 184-189.

29.

Rohren, C., Croghan, L., Hurt, R., Offord, K., Marusic, Z., & McClain, F. (1994). Predicting smoking cessation outcome in a medical center from readiness: Contemplation versus action. Preventive Medicine, 23, 335-344.

30.

Rosenstock, I. M. (1966). Historical origins of the health belief model. Health Education Monographs, 2, 1-8.

31.

Shiffman, S. (1982). Relapse following smoking cessation: A situational analysis. Journal of Counsulting and Clinical Psychology, 50, 71–86.

32.

Shiffman, S. M. & Jarvik, M. E. (1976). Smoking withdrawal symptoms in two weeks of abstinence. Psychopharmacology, 50, 35-39.

33.

Shiffman, S. (1984). Coping with temptations to smoke. Journal of Consulting and Clinical Psychology, 52, 261-267.

34.

Shiffman, S., & Jarvik, M. E. (1987). Situational determinants of coping in smoking relapse crises. Journal of Applies Social Psychology, 17, 3-15.

35.

Shiffman, S., Paty, J. A., Gnys, M., Kassel, J. A., & Hickcox, M. (1996). First lapses to smoking:Within-subjects analysis of real-time reports. Journal of Counsulting and Clinical Psychology, 64, 366-379.

36.

Shiffman, S., Read, L., Jarvik, M. E. (1985). Smoking relapse situations: A preliminary typology. Substance Use & Misuse, 20, 311-318.

37.

Stoffelmayr, B., Wadland, W., & Pan, W. (2003). An examination of the process of relapse prevention therapy designed to aid smoking cessation. Addictive Behaviors, 28, 1351-1358.

38.

Strecher, V. J., & Rosenstock, I. M. (1997). The health belief model. In K. Glanz, F. M. Lewis, & B. K. Rimer (Eds.), Health behavior and health education: Theory, research, and practice, 2nd ed., pp. 41-59. San Francisco: Jossey-Bass.

39.

Taylor, S. E., & Stanton, A. L. (2007). Coping resources, coping process, and mental health. Annual Review of Psychology, 3, 377-401.

40.

Tiffany, S. T., & Drobes, D. J. (1991). The development and initial validation of a questionnaire on smoking urges. British Journal of Addiction, 86, 1467-1476.

41.

West, R., Hajek, P., & Belcher, M. (1989). Time course of cigarette withdrawal symptoms while using nicotine gum. Psychopharmacology, 99, 143-145.

42.

West, R., & Hajek, P. (2004). Evaluation of the Mood and Physical Symptoms Scale(MPSS) to assess cigarette withdrawal. Psychopharmacology, 177, 195-199.

43.

Winickoff, J. P., Friebely, J., Tanski, S. E., Cheryl S., Matt, G. E., Hovell, M. F., & McMillen, R. C. (2009). Beliefs about the health effects of “Thirdhand” smoke and home smoking bans. Pediatrics, 123, 74-79.

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