The role of executive functioning in smoking cessation: A scoping review

IF 3 3区医学 Q2 SUBSTANCE ABUSE

Drug and alcohol review Pub Date : 2024-12-17 DOI:10.1111/dar.13991

Nicole M. Viola, Jennifer P. Lundine, Sho Kirihara, Julianna Nemeth

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引用次数: 0

Abstract

Issues

Creating and implementing a plan to successfully quit smoking likely requires executive function (EF) skills such as inhibition, cognitive flexibility, attention and working memory. This scoping review consolidates the research evidence evaluating the role of EF in smoking cessation.

Approach

Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR), researchers and a medical librarian searched PubMed, EMBASE, ERIC, CINAHL and PSYCINFO in June 2022, hand-search in September 2022 using relevant MeSH terms, and an updated search was completed in August 2024.

Key Findings

Fifteen articles were included. Self-regulation was the most frequently evaluated EF across all studies. Performance on measures of impulsivity was most frequently related to successful smoking cessation. Across studies, performance on measures in areas of attention, working memory, cognitive flexibility and higher-level EF was variable as it relates to smoking cessation success. There was considerable variability in the measures used to evaluate EF and definitions of cessation success. Across studies, very little research evaluates higher-level EF.

Implications and Conclusion

Differences in EF and cessation measures make comparisons across studies difficult. Future work is needed utilising common assessment and outcome measures that will improve our understanding of the complex cognitive skills needed for successful cessation. Particular consideration should be given to higher-level EFs including reasoning, planning, problem-solving and decision-making.

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执行功能在戒烟中的作用：范围综述。

问题：制定并实施一个成功戒烟的计划可能需要执行功能（EF）技能，如抑制力、认知灵活性、注意力和工作记忆。这一范围综述巩固了评估EF在戒烟中的作用的研究证据。方法：研究人员和一名医学图书馆员根据系统评价和荟萃分析扩展范围（PRISMA-ScR）的首选报告项目，于2022年6月检索PubMed、EMBASE、ERIC、CINAHL和PSYCINFO，并于2022年9月使用相关MeSH术语手工检索，并于2024年8月完成更新检索。主要发现：纳入了15篇文章。在所有研究中，自我调节是最常被评估的EF。冲动性测试的表现通常与成功戒烟有关。在所有研究中，在注意力、工作记忆、认知灵活性和更高水平EF方面的表现与戒烟成功有关，是可变的。用于评估EF和戒烟成功定义的措施存在相当大的差异。纵观研究，很少有研究评估高水平EF。含义和结论：EF和戒烟措施的差异使研究间的比较变得困难。未来的工作需要利用共同的评估和结果测量来提高我们对成功戒烟所需的复杂认知技能的理解。应特别考虑到更高层次的环境评估，包括推理、规划、解决问题和决策。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Drug and alcohol review SUBSTANCE ABUSE-

CiteScore

4.80

自引率

10.50%

发文量

151

期刊介绍： Drug and Alcohol Review is an international meeting ground for the views, expertise and experience of all those involved in studying alcohol, tobacco and drug problems. Contributors to the Journal examine and report on alcohol and drug use from a wide range of clinical, biomedical, epidemiological, psychological and sociological perspectives. Drug and Alcohol Review particularly encourages the submission of papers which have a harm reduction perspective. However, all philosophies will find a place in the Journal: the principal criterion for publication of papers is their quality.