Distress intolerance during smoking cessation treatment

Farris, Samantha G.; Leyro, Teresa M.; Allan, Nicholas P.; Øverup, Camilla S.; Schmidt, Norman B.; Zvolensky, Michael J.

doi:10.1016/j.brat.2016.08.002

Cited by 33Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Distress intolerance during smoking cessation treatment

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Farris, Samantha G., Leyro, Teresa M., Allan, Nicholas P., Øverup, Camilla S., Schmidt, Norman B., Zvolensky, Michael J.·2016·Behaviour Research and Therapy

DOI 10.1016/j.brat.2016.08.002PMC PMC5026956

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Abstract

Distress intolerance is a key vulnerability factor implicated in the maintenance and relapse of cigarette smoking. Yet, past work has not examined changes in these processes during smoking cessation treatment or their relation to smoking cessation outcomes. The aim of the present study was to examine the effect of two smoking cessation interventions on changes in self-report and behavioral distress intolerance indices during treatment, and whether these changes are associated with smoking cessation outcomes. Treatment-seeking smokers (N = 384) were randomly assigned to one of two 4-session smoking cessation treatment programs: Standard Cessation Program (SCP) or Smoking Treatment and Anxiety Management Program (STAMP). Quit dates were scheduled to coincide with the final treatment session. Physical domains of distress intolerance were assessed at baseline and at each weekly session, via the Discomfort Intolerance Scale (DIS; higher scores indicate more intolerance for discomfort) and Breath Holding Duration Task (shorter durations indicate more intolerance for respiratory distress). The STAMP condition produced a greater rate of reduction in DIS scores than did the SCP condition. Changes in DIS scores during treatment mediated the effect of STAMP treatment on 7-day point prevalence abstinence at Month 3 post-quit attempt. There were no treatment conditions differences in changes in Breath-Holding duration. Data suggest self-reported distress intolerance is malleable in the context of stress sensitivity reduction treatment, but not standard smoking cessation treatment, and such reductions may result in promotion of smoking abstinence.

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Socially focused processes from modern CBT are important, including such issues as interpersonal compassion, perspective taking, prosociality and empathy.
“Socially focused processes from modern CBT are also important, including such issues as interpersonal compassion, perspective taking, prosociality and empathy 86 .”
From “Third-wave” cognitive and behavioral therapies and the emergence of a process-based approach to intervention in psychiatry (2021) · cites this paper as [86]
The Abstract and Discussion address distress intolerance during smoking cessation treatment, including cognitive-behavioral strategies for tolerating physical distress. A search of our copy for compassion, perspective taking, prosociality, empathy, and socially focused CBT processes found no passage addressing the attributed claim. Page numbers are not available in our copy. (LLM, conf=0.77)
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Authors: Farris, S. G., Leyro, T. M., Allan, N. P., Øverup, C. S., Schmidt, N. B., & Zvolensky, M. J.
Affiliations: Brown University (US)
Rutgers, The State University of New Jersey (US)
Florida State University (US)
Fairleigh Dickinson University (US)
The University of Texas MD Anderson Cancer Center (US)
Corresponding author: Farris, Samantha G.
Zvolensky, Michael J.
ORCID: Farris, Samantha G.
Leyro, Teresa M.
Allan, Nicholas P.
Øverup, Camilla S.
Schmidt, Norman B.
Zvolensky, Michael J.
Venue: Behaviour Research and Therapy
Publisher: Elsevier BV
Published: 2016-10
Volume: 85
Pages: 33-42
ISSN: 0005-7967 (ISSN-L)
DOI: 10.1016/j.brat.2016.08.002
PMC: PMC5026956
OpenAlex: W2483478393
Cited by: 33
References: 68
Citations by year: 2026: 1 · 2025: 3 · 2024: 3 · 2023: 6 · 2022: 2 · 2021: 4 · 2020: 3 · 2019: 3 · 2018: 7 · 2017: 1
FWCI: 2.95
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Behaviour Research and Therapy (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health (R01MH076629)
National Institute on Drug Abuse (F31DA035564)
Topics: Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: distress intolerance, smoking cessation, anxiety reduction, breath-holding, smoking abstinence, relapse, treatment-seeking smokers
MeSH terms: Adolescent, Adult, Female, Humans, Male, Stress, Psychological, Smoking Cessation, Treatment Outcome, Young Adult, Self Report, Breath Holding

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