Anxiety in social interactions is an important factor in cigarette use and nicotine dependence. Metacognitions about smoking have been found to predict smoking behavior and may help understand the relationship between anxiety in social interactions and nicotine dependence. In the current study, we evaluated the direct effect of anxiety in social interactions on nicotine dependence and its indirect effect through metacognitions (controlling for anhedonia and depression) in nicotine-dependent men (n=388). Participants completed measures of anxiety in social interactions [the Social Interaction Anxiety Scale (SIAS)], anhedonia [the Snaith Hamilton Pleasure Scale (SHAPS)], metacognitions about smoking [e.g., the Metacognitions about Smoking Questionnaire (MSQ)] nicotine dependence [the Fagerström Test for Nicotine Dependence (FTND)], and clinical factors related to smoking including depressive symptoms [e.g., the Beck Depression Inventory-II (BDI-II)]. As expected, after controlling for depressive symptoms and anhedonia, anxiety in social interactions indirectly affected nicotine dependence through negative metacognitions about smoking, but not positive metacognitions. These findings are discussed in relation to the metacognitive model of addictive behaviors.

社交互动中的焦虑是吸烟和尼古丁依赖的重要因素。已经发现有关吸烟的元认知可以预测吸烟行为，并可能有助于理解社交互动中的焦虑与尼古丁依赖之间的关系。在当前的研究中，我们评估了社交互动中焦虑对尼古丁依赖的直接影响，以及其通过元认知（控制快感和抑郁）对尼古丁依赖的男性（n = 388）的间接影响。参与者完成了社交互动中的焦虑量度[社交互动焦虑量表（SIAS）]，快感缺乏症[Snaith Hamilton量表（SHAPS）]，关于吸烟的元认知[例如，关于吸烟问卷的元认知（MSQ）]尼古丁依赖性[thethe烟瘾] Fagerström尼古丁依赖性（FTND）测试]，和与吸烟有关的临床因素，包括抑郁症状[例如，贝克抑郁量表-II（BDI-II）]。不出所料，在控制了抑郁症状和快感后，社交互动中的焦虑通过对吸烟的负面元认知间接影响了尼古丁的依赖，但对正面的元认知却没有影响。这些发现与成瘾行为的元认知模型有关。