Psychological Factors Associated with Short-tenn and Long-tenn Abstention Following a Smoking Cessation Program

금연 프로그램 참여자들의 장$\cdot$단기 금연 성공과 관련된 심리적 요인 탐색

  • 서경현 (삼육대학교 보건복지대학원) ;
  • 이석민 (삼육대학교 물리치료학과)
  • Published : 2004.03.01

Abstract

Objectives: This study aims to investigate the psychological factors associated with abstention following a smoking cessation program, and to suggest useful information for those who want to stop . smoking and health practitioners who help them Methods: Participants were 73 smokers (65 males, 8 females) that participated in a hospitalized smoking cessation program, whose mean age was 44.89 (SD=9.61). Participants completed questionnaires and psychological tests including: Demographic sheet, Eysenck's Personality Questionnaire, Multidimensional Coping Scale, Fagerstrom Test for Nicotine Dependence, and Jerusalem and Schwarzer's Self-Efficacy Scale. To identify whether the subjects abstained or not and to encourage them to abstain, the researcher called them on the telephone once a week for three months. After three months, they were contacted every other week till six months passed since they had left the smoking cessation program Tthey were THEN contacted once a month for another six months. The data was analyzed by using ANCOVAs with SPSS 10.0 for Windows. Results: 42 (57.5%) out of 73 abstained for one month and 26 (35.6%) abstained for one year. People who failed to abstain within a month showed a higher psychoticism and introversion personality trait than those who abstained for one month, while people who abstained for one month were coping actively in most situations, showed a higher self-efficacy and lower nicotine dependence than those who failed to abstain within a month, and people who failed to abstain within a year showed a higher psychoticism than those who abstained for one year. While people who abstained for one year were coping actively, obstinate, and interpreting positively most situations, they showed a higher self-efficacy than those who failed to abstain within a year. Conclusion: These findings reiterate the roles of personality, self-esteem, nicotine dependence in smoking and suggest the roles for smoking cessation. And it was found the roles of coping styles ,in smoking cessation. It might help smokers who want to stop smoking and health practitioners who help them

Keywords

References

  1. 서경현, 이경순. 금연프로그램 참여 후의 금연 경험. 한국심리학회지: 건강 2002;7:63-79
  2. 송선희, 하은혜, 송동호. 성인 남성의 흡연과 관련된 심리사회적 변인: 종합병원 건강증진센터 내원자를 대상으로. 한국심리학회지: 건강 2002;7:447-467
  3. 신성례. 흡연 청소년을 위한 자기효능감 증진 프로그램 개발과 효과에 관한 연구. 이화여자대학교 대학원 박사학위청구논문. 1997
  4. 연미영. 정신병적 경향성과 흡연 행동의 관계. 한국심리학회지: 건강 1996;1:151-158
  5. 이현수. 아이젱크 성격검사 요강. 학지사. 1997
  6. 전겸구, 김교헌, 조신웅, 노명래 손정락. 다차원적 대처 척도의 개발. 한국심리학회지 임상 1994;13:114-135
  7. 한국갤럽. 2001년 흡연 실태. 한국갤럽, 2001
  8. 한국금연운동협의회. 흡연과 건강. 한국금연운동협의회, 2000
  9. 한국금연운동협의회. 성인 흡연율 조사. 한국금연운동협의회, 2002
  10. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Washington D.C., 1994
  11. Bandura A. Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall, 1986
  12. Bass C. Personality correlates of smoking behaviour in man with heart disease. Personality and Individual Differences 1988;9:397-400 https://doi.org/10.1016/0191-8869(88)90103-1
  13. Brannon L, Feist J. Health psychology: An introduction to behavior and health. Belmont: Wordsworth, 2000
  14. Covey LS, Glassman AH, Stetner F. Depression and depressive symptoms in smoking cessation. Comparative Psychiatry 1999;31:350-354 https://doi.org/10.1016/0010-440X(90)90042-Q
  15. Edwards JA, Warburton DM. Smoking, Nicotine, and Electrodermal Activity. Pharmacology Therapy 1983;19:147-164
  16. Eysenck HJ. The Causes and Effects of Smoking. Beverly Hills: Sage, 1980
  17. Garcia ME, Schmitz JM. A fine-grained analysis of the role of self-efficacy in self-initiated attempts to quit smoking. Journal of Consulting and Clinical Psychology 1990;58:317-322 https://doi.org/10.1037/0022-006X.58.3.317
  18. Geist CR, Hermann SH. A comparison of the psychological characteristics of smokers, ex-smokers, and nonsmokers. Journal of Clinical Psychology 1990;46:102-105 https://doi.org/10.1002/1097-4679(199001)46:1<102::AID-JCLP2270460116>3.0.CO;2-I
  19. Golding JF, Harpur T. & Brent-Smith, H. Personality, drinking, and drug taking correlates of cigarette smoking. Personality and Individual Differences 1983;4:703-706 https://doi.org/10.1016/0191-8869(83)90129-0
  20. Gross J, Stitzer ML. Nicotine replacement: Ten-week effects on tobacco withdrawal symptoms. Psychophamarcology 1989;98:334-965 https://doi.org/10.1007/BF00451684
  21. Gulliver S, Hughes J, Solomon L, Dey A. An investigation of self-efficacy, partner support and daily stress as predictors of relapse to smoking in self-quitters. Addiction 1995;90:767-772 https://doi.org/10.1111/j.1360-0443.1995.tb02224.x
  22. Fagerstrom KO. Towards better diagnoses and more individual treatment of tobacco dependence. British Journal of Medicine 1991;12:159-182 https://doi.org/10.1136/bmj.s1-12.6.159
  23. Hughes JR et al. Smoking cessation among self-quitters. Health Psychology 1992;1:331-334
  24. Hughes JR, Gust SW, Pechacek TF. Prevalence of tobacco dependence and withdrawal, American Journal of Psychiatry 1987;144:205-208
  25. Hu S, Lanese R. The applicability of the theory of planned behavior to the intention to quit smoking across work places in southern Taiwan. Addictive Behaviors 1994;23:225-237 https://doi.org/10.1016/S0306-4603(97)00045-2
  26. Hymowitz N, Cummings K, Hyland A, Pechacelk T, Hartwell T. Predictors of smoking cessation in a cohort of adult smokers followed for five years. Tobacco Control 1997;6:57-62 https://doi.org/10.1136/tc.6.suppl_2.S57
  27. Jerusalem M, Schwarzer R. Self-efficacy as a resource factor in stress appraisal processes. In R. Schwarzer (Eds.), Self-efficacy: Thought control of action (pp. 195-213). Hemisphere, 1992
  28. Jorenby DE et al. Controlled trial of sustained-release bupropion, a nicotine patch, or both for smoking cessation. New England Journal of Medicine 1999;340:685-691 https://doi.org/10.1056/NEJM199903043400903
  29. McNeill AD, West RJ, Jarvis M, Jackson P, Bryant, A Cigarette withdrawal symptoms in adolescent smokers. Psycholpharmacology 1986;90:533-536
  30. Mothersill KJ, McDowell I, Rosser W. Subject characteristics and longterm post programme smoking cessation. Addictive Behavior 1988;13:29-36 https://doi.org/10.1016/0306-4603(88)90022-6
  31. Orleans CT, Rotberg HL, Quade D, & Lees PA. hospital quit-smoking consult service: clinical report and intervention guidelines. Preventive Medicine 1990;19:198-212 https://doi.org/10.1016/0091-7435(90)90021-B
  32. Pritchard WS. The link between smoking and Personality: A serotonergic hypothesis. Personality and Individual Differences 1991;12:1187-1204 https://doi.org/10.1016/0191-8869(91)90085-P
  33. Pritchard WS, Kay DLC. Personality and smoking motivation of U.S. smokers as measured by the state-trait personality inventory, the EPQ, and Spielberger's smoking motivation questionnaire. Personality and Individual Differences 1993;14:629-637 https://doi.org/10.1016/0191-8869(93)90110-O
  34. Pomerleau OF, Adkins D, Pertschuk M. Predictors of outcome and recidivism in smoking cessation treatment. Addictive Behaviors 1978;3:65-70 https://doi.org/10.1016/0306-4603(78)90028-X
  35. Pomerleau CS, Pomerleau OF. The effects of a psychological stressor on cigarette smoking and on subsequent behavioral and physiological responses. Psychophysiology 1987;24:278-285 https://doi.org/10.1111/j.1469-8986.1987.tb00295.x
  36. Richmond R, Austin A, Webster I. Predicting abstainers in a smoking cessation programme administered by general practitioners. International Journal of Epidemiology 1988;17:530-534 https://doi.org/10.1093/ije/17.3.530
  37. Richmond R, Kehoe L, Webster I. Multivariate models for predicting abstention following intervention to stop smoking by general practitioners. Addiction 1993;88:1127-1135 https://doi.org/10.1111/j.1360-0443.1993.tb02132.x
  38. Rohren C et al. Predicting smoking cessation outcome in a medical center from readiness: contemplation versus action. Preventive Medicine 1994;23:335-344 https://doi.org/10.1006/pmed.1994.1047
  39. Shadel WG, Mermelstein RJ. Cigarette smoking under stress: the role of coping expectancies among smokers in a clinic-based smoking cessation program. Health Psychology 1993;12:443-450 https://doi.org/10.1037/0278-6133.12.6.443
  40. Spielberger CD, Jacobs GA. Personality and smoking behaviour. Journal of Personality Assessment 1982;46:213-214
  41. Stanaway RG, Watson DW. Smoking and personality: A factorial study. British Journal of Clinical Psychology 1981;20:213-214 https://doi.org/10.1111/j.2044-8260.1981.tb00520.x
  42. Sussman S, Dent CW, Burton D, Stacy A, Flay BR. Developing school-based tobacco use prevention and cessation program. Sage, 1995
  43. Swan GE, Ward MM, Jack LM, Javitz HS. Cardiovascular reactivity as a predictor of relapse in male and female smokers. Health Psychology 1993;12:451-458 https://doi.org/10.1037/0278-6133.12.6.451
  44. Tiffany SR, Drobes DJ. Imagery and smoking urges: the manipulation of affective content. Addictive Behaviors 1990;15:531-539 https://doi.org/10.1016/0306-4603(90)90053-Z
  45. Wasburton DM. Smoking within reason. Journal of Smoking-Related Disorders 1992;3:55-59
  46. West R, McEwen A, Bates C. Sex and Smoking: comparisons between male and female smokers. No Smoking Day, 1999
  47. World Health Organization. Tobacco or Health: A global status report. WHO Press, 1997
  48. Zuckerman M. Psychobiology of Personality. Cambridge University Press, 1991