Back to Search
Start Over
Evaluating the temporal relationships between withdrawal symptoms and smoking relapse
- Source :
- Robinson, Jason D; Li, Liang; Chen, Minxing; Lerman, Caryn; Tyndale, Rachel F; Schnoll, Robert A; et al.(2019). Evaluating the temporal relationships between withdrawal symptoms and smoking relapse.. Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors, 33(2), 105-116. doi: 10.1037/adb0000434. UCSF: Retrieved from: http://www.escholarship.org/uc/item/43w4d3df, Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors, vol 33, iss 2
- Publication Year :
- 2019
-
Abstract
- Smokers attempting to quit often attribute smoking relapse to negative affect, craving, and other nicotine withdrawal symptoms. In addition, there is evidence that smoking relapse can increase these symptoms, particularly negative affect. To address this issue, we analyzed data from an 11-week smoking cessation clinical trial in which smokers (n = 1,246) were randomized to receive either nicotine replacement therapy (NRT), varenicline, or placebo, combined with behavioral counseling. Using cross-lagged analyses, we examined the temporal bidirectional relationships between self-reported measures of affect, craving, and composite withdrawal symptoms and biochemically verified smoking abstinence. The relative strength of these temporal relationships was examined by comparing the explained variances of the models. The results showed that higher negative affect, craving, and composite withdrawal symptoms increased the likelihood of subsequent smoking relapse, and that smoking relapse led to subsequent increases in these same symptoms. A comparison of the explained variances found symptom predicting subsequent relapse models to be stronger than those where relapse predicted subsequent symptoms. Although the explained variance findings generally support a negative reinforcement conceptualization of nicotine dependence, the bidirectional relationship between symptoms and smoking relapse suggests that struggling with quitting smoking leads to significant negative affect, craving, and other withdrawal symptoms that do not quickly resolve. These findings highlight the importance of addressing specific symptoms within the context of smoking cessation. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
- Subjects :
- Counseling
Male
medicine.medical_treatment
Medicine (miscellaneous)
Craving
negative affect
chemistry.chemical_compound
Recurrence
Psychology
Varenicline
media_common
Smoking Cessation Agents
Smoking
Substance Abuse
Tobacco Use Disorder
Middle Aged
Combined Modality Therapy
nicotine withdrawal
Tobacco Use Cessation Devices
Reinforcement
Substance Withdrawal Syndrome
Psychiatry and Mental health
Clinical Psychology
Nicotine withdrawal
Female
medicine.symptom
Reinforcement, Psychology
Clinical psychology
Adult
Subsequent Relapse
media_common.quotation_subject
Clinical Trials and Supportive Activities
Context (language use)
smoking
Article
Clinical Research
Tobacco
Behavioral and Social Science
medicine
Humans
abstinence
Tobacco Smoke and Health
craving
Prevention
Abstinence
medicine.disease
Nicotine replacement therapy
Brain Disorders
chemistry
Smoking cessation
Smoking Cessation
Drug Abuse (NIDA only)
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Robinson, Jason D; Li, Liang; Chen, Minxing; Lerman, Caryn; Tyndale, Rachel F; Schnoll, Robert A; et al.(2019). Evaluating the temporal relationships between withdrawal symptoms and smoking relapse.. Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors, 33(2), 105-116. doi: 10.1037/adb0000434. UCSF: Retrieved from: http://www.escholarship.org/uc/item/43w4d3df, Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors, vol 33, iss 2
- Accession number :
- edsair.doi.dedup.....86ab176404855a42c6e1196b86051213