Life before and after quitting smoking: An electronic diary study.
Abstract
This article describes a multidimensional, multivariate, and multilevel approach to the assessment of nicotine withdrawal. In this prospective study, 70 adult smokers assigned to an active or placebo nicotine patch condition completed multiple daily assessments using an electronic diary. Average and individual growth curves were estimated for affective and nonaffective withdrawal symptoms. All symptoms but hunger increased significantly on the quit day and remained elevated for three weeks. Variability in symptom experiences across individuals increased from pre- to post-quit. Relations between symptom reports (e.g., negative affect or craving) and episodic events (e.g., stressful events or seeing someone smoke) changed from pre-quit to post-quit. Pre-quit increases in negative affect and quit-day increases in craving were inversely related to abstinence three months after the quit day, suggesting that anticipatory and immediate reactions to quitting influence success.
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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 McCarthy, Piasecki, Fiore, & Baker, 2006
Craving, withdrawal, and negative affect have been associated with risk for relapse in smoking cessation trials.
“Craving, withdrawal, and negative affect have been associated with risk for relapse in smoking cessation trials (McCarthy et al., 2006; Piper et al., 2011; Shiffman, 2005; Shiffman et al., 1997)”
From Modeling naturalistic craving, withdrawal, and affect during early nicotine abstinence: A pilot ecological momentary assessment study. (2015) · cites this paper as McCarthy et al., 2006
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- Authors
- McCarthy, D. E., Piasecki, T. M., Fiore, M. C., & Baker, T. B.
- Affiliations
- University of Wisconsin–Madison (US)
- University of Missouri (US)
- Venue
- Journal of Abnormal Psychology
- Published
- 2006-08
- Volume
- 115
- Issue
- 3
- Pages
- 454-466
- ISSN
- 0021-843X (ISSN-L)
- 1939-1846
- OpenAlex
- W1995281975
- Cited by
- 168
- References
- 74
- Citations by year
- 2026: 4 · 2025: 1 · 2024: 3 · 2023: 5 · 2022: 3 · 2021: 6 · 2020: 9 · 2019: 5 · 2018: 11 · 2017: 7 · 2016: 13 · 2015: 15 · 2014: 7 · 2013: 16 · 2012: 6
- FWCI
- 6.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Abnormal Psychology (publishedVersion)
- PubMed (publishedVersion)
- 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, smoking cessation, nicotine patch, electronic diary, craving, negative affect, hunger, abstinence, stress, smoking relapse, growth curves, individual differences
- MeSH terms
- Administration, Cutaneous, Administration, Topical, Adolescent, Adult, Electronics, Female, Humans, Male, Medical Records, Nicotine, Smoking, Time Factors, Smoking Cessation, Nicotinic Agonists
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