Distress tolerance and early smoking lapse
Open accessAbstract
A significant percentage of smokers attempting cessation lapse to smoking within a matter of days and very few of these individuals recover to achieve abstinence. Current models of relapse devote insufficient attention to this phenomenon of early smoking lapse. Furthermore, studies attempting to relate severity of nicotine withdrawal symptoms to short-term smoking cessation outcomes have yielded equivocal results. The authors argue that how one reacts to the discomfort of nicotine withdrawal is a more promising avenue of investigation than severity of withdrawal and that inability to tolerate the distress of nicotine withdrawal and associated negative affect is a key factor in early smoking lapse and subsequent relapse. Theoretical and clinical implications of distress tolerance in smoking cessation are discussed and the development of a specialized and novel behavioral distress tolerance treatment for early smoking lapsers is proposed.
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Distress tolerance may be exhibited as the ability to pursue goal-directed activity while experiencing emotional distress and to withstand experiential discomfort.
“The toleration of distress may be exhibited as the ability to move in a goal-directed activity while experiencing emotional distress and the ability to withstand experiential discomfort (e.g., Brown, Lejuez, Kahler, Strong, & Zvolensky, 2005; Daughters et al., 2009).”
From Does change in distress matter? Mechanisms of change in prolonged exposure for PTSD (2014) · cites this paper as Brown, Lejuez, Kahler, Strong, & Zvolensky, 2005
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“Although the focus of AS is on fearful cognitions about the consequences of primarily bodily sensations, DT encompasses all aspects of emotion and whether these states are considered manageable versus unmanageable.([23]) Further, DT refers to the ability to tolerate any negative emotional state (not just anxiety-relat…”
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“…tolerance” to describe the behavioral tendency to pursue a goal despite encountering affective discomfort, which may be in response to perceived physical and/or psychological distress, such as remaining abstinent from smoking in the face of uncomfortable withdrawal symptoms (Brown et al., 2005).”
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Could distress tolerance levels be associated with the severity of chronic spontaneous urticaria?
Göçer Gürok, N., Gürok, M. G., & Öztürk, S. (2022) · TURKDERM · doi:10.4274/turkderm.galenos.2022.46793
- Authors
- Brown, R. A., Lejuez, C. W., Kahler, C. W., Strong, D. R., & Zvolensky, M. J.
- Affiliations
- Brown University (US)
- University of Maryland, College Park (US)
- Butler Hospital (US)
- University of Vermont (US)
- Corresponding author
- Brown, Richard A.
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2005-09
- Volume
- 25
- Issue
- 6
- Pages
- 713-733
- ISSN
- 0272-7358 (ISSN-L)
- PMC
- PMC1839854
- OpenAlex
- W2026381608
- Cited by
- 322
- References
- 26
- Citations by year
- 2026: 10 · 2025: 9 · 2024: 9 · 2023: 10 · 2022: 11 · 2021: 9 · 2020: 11 · 2019: 14 · 2018: 22 · 2017: 15 · 2016: 20 · 2015: 30 · 2014: 17 · 2013: 18 · 2012: 15
- FWCI
- 1.75
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5r21da016227-02)
- National Institute on Drug Abuse (R21 DA016227, R03DA016307, DA017332, DA 16307-01, R01DA015375, DA016227, R01 DA15375, R01DA017332)
- National Cancer Institute (R21CA088297)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- distress tolerance, smoking cessation, nicotine withdrawal, relapse, negative affect, smoking cessation outcomes
- MeSH terms
- Smoking Prevention, Adaptation, Psychological, Affective Symptoms, Combined Modality Therapy, Humans, Nicotine, Personality Assessment, Psychotherapy, Group, Recurrence, Risk Factors, Smoking, Stress, Psychological, Substance Withdrawal Syndrome, Tobacco Use Disorder, Smoking Cessation
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