Anger and psychobiological changes during smoking abstinence and in response to acute stress: prediction of smoking relapse

al'Absi, Mustafa; Carr, Steven B.; Bongard, Stephan

doi:10.1016/j.ijpsycho.2007.03.016

Cited by 79Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesStress Responses and Cortisol

Anger and psychobiological changes during smoking abstinence and in response to acute stress: prediction of smoking relapse

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al'Absi, Mustafa, Carr, Steven B., Bongard, Stephan·2007·International Journal of Psychophysiology

DOI 10.1016/j.ijpsycho.2007.03.016PMC PMC2443944

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Abstract

Nicotine may be used to manage negative emotions, and recent research suggests that smokers with high levels of hostility may use cigarettes to cope with anger provoking situations. This study evaluated the extent to which a high level of trait anger is associated with risk for relapse among smokers interested in cessation. Chronic smokers with different levels of trait anger provided reports of withdrawal symptoms, craving, and state anger, and collected saliva samples for cortisol during 24-hour ad libitum smoking and the first 24-hour abstinence period of a quit attempt. They also attended a laboratory session conducted after the 24-hour abstinence during which they performed brief mental and social stress challenges and provided blood samples for adrenocorticotropin (ACTH) and cortisol assays. High trait anger was associated with greater increases in state anger, withdrawal symptoms, and craving during the first 24 h of abstinence. It was also associated with greater ACTH concentrations during the laboratory session. High trait anger was also associated with increased risk for early relapse. The findings support the hypothesis that smokers high in anger trait may have greater mood difficulties during abstinence and may be more vulnerable to early relapse than smokers with low anger trait.

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Smoking cessation and nicotine withdrawal can be accompanied by depressive episodes, stress-induced anger, and increased tension.
“smoking cessation and nicotine withdrawal can be accompanied by depressive episodes, stress-induced anger, and increased tension (al'Absi et al., 2007; Hatsukami et al., 1985)”
From Mood and anxiety regulation by nicotinic acetylcholine receptors: A potential pathway to modulate aggression and related behavioral states (2015) · cites this paper as al'Absi et al., 2007

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Authors: al'Absi, M., Carr, S. B., & Bongard, S.
Affiliations: University of Minnesota (US)
Goethe University Frankfurt (DE)
ORCID: Carr, Steven B.
Bongard, Stephan
Venue: International Journal of Psychophysiology
Publisher: Elsevier BV
Published: 2007-11
Volume: 66
Issue: 2
Pages: 109-115
ISSN: 0167-8760 (ISSN-L)
DOI: 10.1016/j.ijpsycho.2007.03.016
PMC: PMC2443944
OpenAlex: W1990460753
Cited by: 79
References: 69
Citations by year: 2026: 3 · 2025: 1 · 2024: 7 · 2022: 9 · 2021: 4 · 2020: 4 · 2019: 3 · 2018: 5 · 2017: 4 · 2016: 7 · 2015: 5 · 2014: 6 · 2013: 2 · 2012: 5
FWCI: 2.23
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: International Journal of Psychophysiology (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Drug Abuse (R01DA016351)
National Cancer Institute (R21CA088272)
Topics: Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
Keywords: trait anger, smoking cessation, smoking relapse, nicotine withdrawal symptoms, craving, cortisol, ACTH, acute stress, state anger, hostility, emotion regulation
MeSH terms: Smoking Prevention, Acute Disease, Adolescent, Adrenocorticotropic Hormone, Adult, Aged, Anger, Female, Hostility, Humans, Hydrocortisone, Male, Middle Aged, Personality, Recurrence, Regression Analysis, Saliva, Self-Assessment, Smoking, Stress, Psychological, Substance Withdrawal Syndrome, Time Factors, Tobacco Use Disorder, Smoking Cessation

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Anger and psychobiological changes during smoking abstinence and in response to acute stress: prediction of smoking relapse

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