Breaking the cycle of smoking and pain: do pain-related anxiety and pain reduction expectancies sabotage attempts to quit smoking and can smoking cessation improve pain and pain-related disability outcomes?
Autor: | Gordon J.G. Asmundson, Holly A. Parkerson, Jitender Sareen |
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Rok vydání: | 2020 |
Předmět: |
Adult
Male 050103 clinical psychology medicine.medical_specialty Adolescent medicine.medical_treatment Pain Anxiety Quit smoking Young Adult 03 medical and health sciences 0302 clinical medicine Humans Medicine Disabled Persons 0501 psychology and cognitive sciences Aged Smokers Pain related anxiety business.industry Smoking 05 social sciences Middle Aged Prognosis 030227 psychiatry 3. Good health Clinical Psychology Pain reduction Physical therapy Smoking cessation Female Smoking Cessation business |
Zdroj: | Cognitive Behaviour Therapy. 50:154-171 |
ISSN: | 1651-2316 1650-6073 |
Popis: | Contemporary models of smoking and pain suggest a reciprocal and self-perpetuating cycle, wherein smoking reduces pain in the short term but indirectly exacerbates pain in the long term. In a sample of participants engaged in an active smoking-cessation attempt, this investigation assessed a) whether specific smoking risk factors (i.e., smoking expectancies for pain reduction, pain-related anxiety) acted as barriers to cessation, and b) whether breaking the smoking-pain cycle through successful smoking abstinence impacted pain and pain-related disability outcomes for participants with pain. Participants comprised 168 smokers (44.4% with pain) who engaged in an online smoking-cessation program. Pain-related anxiety, but not smoking expectancies, accounted for a significant proportion of variance of smoking dependence from pre- to post-intervention. Results suggest that pain-related anxiety is a risk factor for maintained smoking dependence for all smokers regardless of pain status. Participants with pain who successfully quit smoking experienced statistically and clinically meaningful decreases in pain and pain-related disability from pre- to post-intervention. Exploratory post hoc analyses indicated that individuals who signed-up for the smoking cessation program but failed to begin a quit-attempt had significantly higher pain disability, depression, and anxiety scores than participants who commenced a quit-attempt. Theoretical and practical implications are discussed. |
Databáze: | OpenAIRE |
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