Cited by 745Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesBehavioral Health and Interventions

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First lapses to smoking: Within-subjects analysis of real-time reports.

Shiffman, Saul, Paty, Jean A., Gnys, Maryann, Kassel, Jon A., Hickcox, Mary·1996·Journal of Consulting and Clinical Psychology

DOI 10.1037/0022-006x.64.2.366

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Abstract

Studies of smoking relapse and temptation episodes have relied on retrospective recall and confounded between- and within-subject variability. Real-time data on temptations and lapses to smoke were gathered using palm-top computers. We made within-subject comparisons of the initial lapse, a temptation episode, and base rate data obtained through randomly scheduled assessments. Negative affect discriminated all three situations, with lapses worse than temptations, and temptations worse than random situations. Participants attributed lapses to negative mood and smoking cues, whereas temptations were more often attributed to behavioral transitions. Participants were 12 times more likely to report coping in temptations than in lapses. However, only cognitive (vs. behavioral) coping strategies were effective. Lapses (vs. the other situations) were more likely to occur when smoking was permitted, when cigarettes were easily available, and in the presence of other smokers. The results have clinical implications, and the computerized monitoring methods may be applicable to an array of clinical research problems.

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Authors: Shiffman, S., Paty, J. A., Gnys, M., Kassel, J. A., & Hickcox, M.
Affiliations: University of Pittsburgh (US)
ORCID: Shiffman, Saul
Paty, Jean A.
Gnys, Maryann
Venue: Journal of Consulting and Clinical Psychology
Publisher: American Psychological Association (APA)
Published: 1996
Volume: 64
Issue: 2
Pages: 366-379
ISSN: 0022-006X (ISSN-L)
1939-2117
DOI: 10.1037/0022-006x.64.2.366
OpenAlex: W1978691251
Cited by: 745
References: 6
Citations by year: 2026: 3 · 2025: 7 · 2024: 12 · 2023: 12 · 2022: 17 · 2021: 16 · 2020: 26 · 2019: 30 · 2018: 18 · 2017: 27 · 2016: 33 · 2015: 44 · 2014: 45 · 2013: 45 · 2012: 42
FWCI: 8.33
Type: journal article
Language: en
Open access: closed
Locations: Journal of Consulting and Clinical Psychology (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute on Drug Abuse (DA 06084, R01DA006084)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Keywords: smoking relapse, smoking lapse, negative affect, coping strategies, cognitive coping, smoking cues, social influences on smoking, computer monitoring, within-person variability, smoking cessation
MeSH terms: Adult, Female, Humans, Male, Middle Aged, Recurrence, Smoking Cessation

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First lapses to smoking: Within-subjects analysis of real-time reports.

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