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首页> 外文期刊>Journal of dual diagnosis >'I Smoke Like This to Suppress These Issues That Are Flaws of My Character': Challenges and Facilitators of Cessation Among Smokers With Bipolar Disorder
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'I Smoke Like This to Suppress These Issues That Are Flaws of My Character': Challenges and Facilitators of Cessation Among Smokers With Bipolar Disorder

机译：“我像这样抽烟，抑制了我性格缺陷的这些问题”：双相障碍吸烟者停止的挑战和促进者

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Objective: Smokers with bipolar disorder (BD) have low rates of successful quitting, yet no prior studies have evaluated the process of quitting among these smokers in the context of a current quit attempt. To facilitate development of more effective interventions, we conducted a qualitative exploration of challenges and facilitators of quitting in an intervention study for smokers with BD. Methods: Participants were adult daily smokers with BD (n = 10) who completed a 10-week smoking cessation intervention consisting of Acceptance and Commitment Therapy (ACT) and nicotine patch. We administered semistructured interviews focused on the quitting process at the end of treatment and used inductive content analysis to extract themes. Results: Emergent themes representing challenges of quitting included social impediments, lack of awareness, avoidance, maladaptive beliefs, ambivalence, benefits of smoking, and difficulties with nicotine replacement. Themes representing change facilitators included positive treatment effects (ACT-specific, nonspecific, and nicotine patch-related), coping behaviors, reasons to quit, changes in self-perception, and social benefits. Conclusions: Results suggest a need for assistance with obtaining social support and handling social impediments, interrupting the automaticity of smoking, expanding the behavioral repertoire to handle aversive internal states that tend to be avoided by smoking, preventing maladaptive beliefs from interfering with quitting, taking meaningful action toward change while experiencing ambivalence, either replacing the benefits of smoking or accepting their loss, and troubleshooting difficulties with nicotine replacement. Findings regarding facilitators of quitting supported previous quantitative findings that the ACT intervention impacted theory-based targets and highlighted the importance of the counseling relationship.
机译：目的：具有双相情感障碍（BD）的吸烟者的成功戒烟率低，但在目前退出的尝试的背景下，没有先前的研究没有评估这些吸烟者的过程。为了促进发展更有效的干预措施，我们对戒烟的挑战和促进者进行了定性探索，对BD吸烟者进行了干预研究。方法：参与者是成年人每日吸烟者，BD（n = 10），他完成了一系列10周的吸烟干预，包括接受和承诺治疗（ACT）和尼古丁补丁。我们在治疗结束时专注于戒烟过程的半系统面试，并使用归纳内容分析提取主题。结果：代表戒烟挑战的紧急主题包括社会障碍，缺乏意识，避免，不良的信念，矛盾，吸烟的益处以及尼古丁替代的困难。代表变更促进者的主题包括积极治疗效果（特定于法案，非特异性和尼古丁补丁相关），应对行为，退出的理由，自我认识的变化和社会福利。结论：结果表明，援助获得社会支持和处理社会障碍的援助，中断吸烟的自动化，扩大行为曲目来处理厌恶的内部状态，往往会被吸烟避免，防止人行的信念干扰戒烟，取得有意义在体验矛盾的同时对变革的行动，要么取代吸烟或接受他们的损失的好处，以及尼古丁替代的困难。关于戒烟促进者的调查结果支持以前的定量结果，即行动干预影响了基于理论的目标，并强调了咨询关系的重要性。

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