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

서경현 (삼육대학교 보건복지대학원)
이석민 (삼육대학교 물리치료학과)
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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
Smoking; Smoking Cessation; Personality, Coping; Nicotine Dependence; Self-Efficacy;
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1 전겸구, 김교헌, 조신웅, 노명래 손정락. 다차원적 대처 척도의 개발. 한국심리학회지 임상 1994;13:114-135
2 한국갤럽. 2001년 흡연 실태. 한국갤럽, 2001
3 한국금연운동협의회. 흡연과 건강. 한국금연운동협의회, 2000
4 American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Washington D.C., 1994
5 Covey LS, Glassman AH, Stetner F. Depression and depressive symptoms in smoking cessation. Comparative Psychiatry 1999;31:350-354   DOI   ScienceOn
6 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   DOI   ScienceOn
7 Hughes JR et al. Smoking cessation among self-quitters. Health Psychology 1992;1:331-334
8 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   DOI   ScienceOn
9 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   DOI   ScienceOn
10 Pomerleau OF, Adkins D, Pertschuk M. Predictors of outcome and recidivism in smoking cessation treatment. Addictive Behaviors 1978;3:65-70   DOI   ScienceOn
11 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   DOI
12 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   DOI   ScienceOn
13 Wasburton DM. Smoking within reason. Journal of Smoking-Related Disorders 1992;3:55-59
14 West R, McEwen A, Bates C. Sex and Smoking: comparisons between male and female smokers. No Smoking Day, 1999
15 Brannon L, Feist J. Health psychology: An introduction to behavior and health. Belmont: Wordsworth, 2000
16 Zuckerman M. Psychobiology of Personality. Cambridge University Press, 1991
17 신성례. 흡연 청소년을 위한 자기효능감 증진 프로그램 개발과 효과에 관한 연구. 이화여자대학교 대학원 박사학위청구논문. 1997
18 World Health Organization. Tobacco or Health: A global status report. WHO Press, 1997
19 송선희, 하은혜, 송동호. 성인 남성의 흡연과 관련된 심리사회적 변인: 종합병원 건강증진센터 내원자를 대상으로. 한국심리학회지: 건강 2002;7:447-467
20 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   DOI   ScienceOn
21 Orleans CT, Rotberg HL, Quade D, & Lees PA. hospital quit-smoking consult service: clinical report and intervention guidelines. Preventive Medicine 1990;19:198-212   DOI   ScienceOn
22 Edwards JA, Warburton DM. Smoking, Nicotine, and Electrodermal Activity. Pharmacology Therapy 1983;19:147-164
23 Bass C. Personality correlates of smoking behaviour in man with heart disease. Personality and Individual Differences 1988;9:397-400   DOI   ScienceOn
24 Gross J, Stitzer ML. Nicotine replacement: Ten-week effects on tobacco withdrawal symptoms. Psychophamarcology 1989;98:334-965   DOI
25 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   DOI   ScienceOn
26 Mothersill KJ, McDowell I, Rosser W. Subject characteristics and longterm post programme smoking cessation. Addictive Behavior 1988;13:29-36   DOI   ScienceOn
27 Pritchard WS. The link between smoking and Personality: A serotonergic hypothesis. Personality and Individual Differences 1991;12:1187-1204   DOI   ScienceOn
28 Sussman S, Dent CW, Burton D, Stacy A, Flay BR. Developing school-based tobacco use prevention and cessation program. Sage, 1995
29 서경현, 이경순. 금연프로그램 참여 후의 금연 경험. 한국심리학회지: 건강 2002;7:63-79
30 연미영. 정신병적 경향성과 흡연 행동의 관계. 한국심리학회지: 건강 1996;1:151-158
31 Hughes JR, Gust SW, Pechacek TF. Prevalence of tobacco dependence and withdrawal, American Journal of Psychiatry 1987;144:205-208
32 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   DOI   ScienceOn
33 이현수. 아이젱크 성격검사 요강. 학지사. 1997
34 Richmond R, Kehoe L, Webster I. Multivariate models for predicting abstention following intervention to stop smoking by general practitioners. Addiction 1993;88:1127-1135   DOI   ScienceOn
35 Eysenck HJ. The Causes and Effects of Smoking. Beverly Hills: Sage, 1980
36 Fagerstrom KO. Towards better diagnoses and more individual treatment of tobacco dependence. British Journal of Medicine 1991;12:159-182   DOI
37 Golding JF, Harpur T. & Brent-Smith, H. Personality, drinking, and drug taking correlates of cigarette smoking. Personality and Individual Differences 1983;4:703-706   DOI   ScienceOn
38 Stanaway RG, Watson DW. Smoking and personality: A factorial study. British Journal of Clinical Psychology 1981;20:213-214   DOI   ScienceOn
39 Bandura A. Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall, 1986
40 Rohren C et al. Predicting smoking cessation outcome in a medical center from readiness: contemplation versus action. Preventive Medicine 1994;23:335-344   DOI   ScienceOn
41 Tiffany SR, Drobes DJ. Imagery and smoking urges: the manipulation of affective content. Addictive Behaviors 1990;15:531-539   DOI   ScienceOn
42 Spielberger CD, Jacobs GA. Personality and smoking behaviour. Journal of Personality Assessment 1982;46:213-214
43 Geist CR, Hermann SH. A comparison of the psychological characteristics of smokers, ex-smokers, and nonsmokers. Journal of Clinical Psychology 1990;46:102-105   DOI
44 McNeill AD, West RJ, Jarvis M, Jackson P, Bryant, A Cigarette withdrawal symptoms in adolescent smokers. Psycholpharmacology 1986;90:533-536
45 한국금연운동협의회. 성인 흡연율 조사. 한국금연운동협의회, 2002
46 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   DOI   ScienceOn
47 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
48 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   DOI   ScienceOn