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Cited by 262Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesBehavioral Health and Interventions

Smoking withdrawal dynamics in unaided quitters.

Piasecki, Thomas M., Niaura, Raymond, Shadel, William G., Abrams, David, Goldstein, Michael, Fiore, Michael C., Baker, Timothy B.·2000·Journal of Abnormal Psychology
DOI 10.1037/0021-843x.109.1.74
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Abstract

Considerable research shows that withdrawal severity is inconsistently related to smoking cessation outcomes. This may result from measurement problems or failure to scrutinize important dimensions of the withdrawal experience. Two recent studies demonstrated that withdrawal elevation and variations in the time course of withdrawal were related to relapse in smokers treated with the nicotine patch (T. M. Piasecki, M. C. Fiore, & T. B. Baker, 1998). This article reports a conceptual replication and extension of those findings in unaided quitters. Evidence for temporal heterogeneity was found across different types of withdrawal symptoms. Patterns or slopes of affect and urge reports over time predicted smoking status at follow-up, as did mean elevation in withdrawal symptoms. These results suggest that affect and urge withdrawal symptoms make independent contributions to relapse and that relapse is related to both symptom severity and trajectory.

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Crossref · 10.1037/0021-843x.109.1.74

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  • Withdrawal duration and severity predict relapse in abstinent human smokers.

    “Indeed, withdrawal duration and severity predict relapse in abstinent human smokers (Piasecki et al. 1998(Piasecki et al. , 2000(Piasecki et al. , 2003)).”

    From Mechanisms of Nicotine Addiction (2021) · cites this paper as Piasecki et al. 2000

  • In EMA studies, the severity of negative affect and craving are highly predictive of smoking lapse and relapse during abstinence.

    “In studies using Ecological Momentary Assessment (EMA) to measure real-time data in the natural environment, the severity of NA and craving are highly predictive of smoking lapse and relapse during abstinence (McCarthy, Piasecki, Fiore, & Baker, 2006; Piasecki et al., 2000; Piasecki, Fiore, & Baker, 1998; Piper, Loh, Smith, Japuntich, & Baker, 2011; Shiffman, 2005; Shiffman et al., 1997, 2007).”

    From Modeling naturalistic craving, withdrawal, and affect during early nicotine abstinence: A pilot ecological momentary assessment study. (2015) · cites this paper as Piasecki et al., 2000

  • Recent studies show that in the context of fine-grained analyses withdrawal indeed can predict relapse.

    “in the context of fine-grained analyses withdrawal indeed can predict relapse [64,65].”

    From Relapse prevention for addictive behaviors (2011) · cites this paper as [64]

  • Withdrawal often does not predict relapse.

    “withdrawal often does not predict relapse”

    From Relapse prevention for addictive behaviors (2011) · cites this paper as [64]

  • Among tobacco users, withdrawal symptoms, with the exception of weight, peak during the first week of abstinence and then gradually decrease to baseline levels by two to four weeks; more recent studies have found withdrawal to be persistent and elevated for several months after quitting.

    “Among tobacco users, withdrawal symptoms, with the exception of weight, peaks during the first week of abstinence and then gradually decreases to baseline levels by two to four weeks (38–40); although more recent studies have found withdrawal to be persistent and elevated for several months after quitting (41, 42).”

    From Tobacco addiction (2008) · cites this paper as [42]

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Authors
Piasecki, T. M., Niaura, R., Shadel, W. G., Abrams, D., Goldstein, M., Fiore, M. C., & Baker, T. B.
Affiliations
  • University of Wisconsin–Madison (US)
  • Johns Hopkins University (US)
ORCID
Venue
Journal of Abnormal Psychology
Publisher
American Psychological Association (APA)
Published
2000-02
Volume
109
Issue
1
Pages
74-86
ISSN
  • 0021-843X (ISSN-L)
  • 1939-1846
DOI
10.1037/0021-843x.109.1.74
OpenAlex
W2023924860
Cited by
262
References
68
Citations by year
2024: 4 · 2023: 2 · 2022: 4 · 2021: 2 · 2020: 27 · 2019: 7 · 2018: 6 · 2017: 10 · 2016: 11 · 2015: 11 · 2014: 13 · 2013: 18 · 2012: 16
FWCI
4.28
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Abnormal Psychology (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5r01hl032318-12, 5r01da007580-04)
  • National Heart, Lung, and Blood Institute (HL 32318)
  • National Institute on Drug Abuse (DA07580-03)
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
nicotine withdrawal, relapse, withdrawal severity, conceptual replication
MeSH terms
Adult, Affect, Aged, Female, Humans, Male, Middle Aged, Recurrence, Risk Factors, Sampling Studies, Severity of Illness Index, Substance Withdrawal Syndrome, Time Factors, Smoking Cessation

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