Immediate hedonic response to smoking lapses: relationship to smoking relapse, and effects of nicotine replacement therapy

Shiffman, Saul; Ferguson, Stuart G.; Gwaltney, Chad J.

doi:10.1007/s00213-005-0175-4

Cited by 114Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesNicotinic Acetylcholine Receptors Study

Immediate hedonic response to smoking lapses: relationship to smoking relapse, and effects of nicotine replacement therapy

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Shiffman, Saul, Ferguson, Stuart G., Gwaltney, Chad J.·2006·Psychopharmacology

DOI 10.1007/s00213-005-0175-4

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Abstract

Objective and rationale Smoking lapses represent an important juncture between smoking cessation and relapse. Nicotine replacement therapy (NRT) has been shown to decrease the risk of progression from lapse to relapse. We hypothesized that this effect might be mediated via decreases in reinforcement from smoking lapses.Method We assessed 169 subjects who lapsed during treatment in a double-blind placebo-controlled study of high-dose (35 mg) nicotine patch. Following their first lapse, using an electronic diary, subjects recorded the amount they smoked, and rated the pleasantness and satisfaction ("hedonic rating") and the aversiveness of smoking. Subjects were then followed and assessed for further lapses and relapses.Results Subjects who smoked more during the first lapse had greater risk of progression [second lapse: hazard ratio (HR)=1.16, confidence interval (CI)=1.01-1.32; relapse: HR=1.22, CI=0.97-1.54]. Subjects with higher hedonic ratings of the first lapse also had a greater risk of progression to the second lapse (HR=1.08, CI=1.02-1.14) and to relapse (HR=1.26, CI=1.11-1.41). Aversive ratings had no bearing on progression. As expected, active treatment reduced the risk of both a second lapse (HR=0.54, CI=0.39-0.78) and a relapse (HR=0.22, CI=0.11-0.45). Importantly, however, NRT had no effect on hedonic ratings, amount smoked during the first lapse, or aversive ratings.Conclusions Hedonic response to an initial lapse predicted progression to relapse, but this did not mediate the effect of NRT on progression.

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Darwinian Hedonism
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From Hedonic Motivation to Unhealthy Behavior
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Preface
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Conclusions and Future Directions
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Introduction
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Endnotes
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Hedonic response to first smoking lapses: Effects on progression to relapse, and effects of nicotine replacement therapy
Ferguson, S., Shiffman, S., Gwaltney, C. J., & Balabanis, M. H. (2005) · eCite Digital Repository (University of Tasmania)
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A Time‐to‐Event Model Relating Integrated Craving to Risk of Smoking Relapse Across Different Nicotine Replacement Therapy Formulations
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Does reducing withdrawal severity mediate nicotine patch efficacy? A randomized clinical trial.
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Electronically Monitored Nicotine Gum Use Before and After Smoking Lapses: Relationship With Lapse and Relapse
Schlam, T. R., Baker, T. B., Smith, S. S., Bolt, D. M., McCarthy, D. E., Cook, J. W., Hayes-Birchler, T., Fiore, M. C., & Piper, M. E. (2020) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntaa116 · Cited by 8 · see citing works

Authors: Shiffman, S., Ferguson, S. G., & Gwaltney, C. J.
Affiliations: University of Pittsburgh (US)
Brown University (US)
Corresponding author: Shiffman, Saul
ORCID: Shiffman, Saul
Ferguson, Stuart G.
Gwaltney, Chad J.
Venue: Psychopharmacology
Publisher: Springer Science and Business Media LLC
Published: 2005-11-11
Volume: 184
Issue: 3-4
Pages: 608-618
ISSN: 0033-3158 (ISSN-L)
1432-2072
DOI: 10.1007/s00213-005-0175-4
OpenAlex: W2042204665
Cited by: 114
References: 52
Citations by year: 2023: 2 · 2022: 1 · 2021: 2 · 2019: 37 · 2018: 2 · 2017: 4 · 2016: 2 · 2015: 6 · 2014: 6 · 2013: 8 · 2012: 4
FWCI: 4.59
Type: journal article
Language: en
Open access: green
figshare.com
Licence: cc-by
www.springer.com/tdm (tdm)
Locations: Psychopharmacology (publishedVersion)
PubMed (publishedVersion)
eCite Digital Repository (University of Tasmania) (submittedVersion)
Figshare (submittedVersion, cc-by)
Funders: GlaxoSmithKline
National Institute on Drug Abuse (DA 06084, R01DA006084)
Topics: Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Nicotinic Acetylcholine Receptors Study
Keywords: smoking lapse, smoking relapse, nicotine replacement therapy, nicotine patch, hedonic response, reinforcement, aversiveness, smoking cessation, relapse risk prediction
MeSH terms: Administration, Cutaneous, Adult, Affect, Attitude, Behavior Therapy, Dose-Response Relationship, Drug, Double-Blind Method, Female, Humans, Male, Middle Aged, Nicotine, Reinforcement, Psychology, Set, Psychology, Smoking, Smoking Cessation, Risk Assessment, Secondary Prevention

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Immediate hedonic response to smoking lapses: relationship to smoking relapse, and effects of nicotine replacement therapy

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