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Temptations to smoke after quitting: A comparison of lapsers and maintainers
Abstract
This study addresses whether characteristics of temptations to smoke differ for participants who quit smoking and maintain abstinence compared to those who quit and then lapse. Participants used hand-held computers to record temptations and were beeped at random for base-rate assessments. We used generalized estimating equations to compare 1,851 temptation episodes and 5,192 random assessments recorded by 151 participants (116 lapsers, 35 maintainers) over 1-23 days of abstinence. Compared to randomly sampled occasions, temptations were marked by greater negative affect, restlessness, attention disturbance, and exposure to smoking cues; participants were also more likely to be eating or drinking during temptations. Temptations reported by lapsers and maintainers did not differ in any respect, including their reported coping. The results highlight situational variance over individual differences.
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“When relapse was defi ned according to the Shiffman et al. (1996) defi nition (i.e., smoking at least 5 cigarettes/day on at least three consecutive days following the quit day; Shiffman et al., 1996 ), the pattern of fi ndings yielded by the current model was slightly different.”
From Anxiety sensitivity and anxiety and depressive symptoms in the prediction of early smoking lapse and relapse during smoking cessation treatment (2009) · cites this paper as Shiffman et al., 1996
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Tobacco use and cessation in psychiatric disorders: National Institute of Mental Health report
Ziedonis, D., Hitsman, B., Beckham, J. C., Zvolensky, M., Adler, L. E., Audrain-McGovern, J., Breslau, N., Brown, R. A., George, T. P., Williams, J., et al. (2008) · Nicotine & Tobacco Research · doi:10.1080/14622200802443569 · Cited by 735
Negative Affect and Smoking Lapses: A Prospective Analysis.
Shiffman, S., & Waters, A. J. (2004) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.72.2.192 · Cited by 427
Self-citationPerkins, K. A. (2001) · CNS Drugs · doi:10.2165/00023210-200115050-00005 · Cited by 403
Hatsukami, D. K., Stead, L. F., & Gupta, P. C. (2008) · The Lancet · doi:10.1016/s0140-6736(08)60871-5 · Cited by 227
Home smoking restrictions: Which smokers have them and how they are associated with smoking behavior
Gilpin, E. A., White, M. M., Farkas, A. J., & Pierce, J. P. (1999) · Nicotine & Tobacco Research · doi:10.1080/14622299050011261 · Cited by 218
Metadata
- Authors
- Shiffman, S., Gnys, M., Richards, T. J., Paty, J. A., Hickcox, M., & Kassel, J. D.
- Affiliations
- University of Pittsburgh (US)
- Venue
- Health Psychology
- Published
- 1996
- Volume
- 15
- Issue
- 6
- Pages
- 455-461
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- OpenAlex
- W1965171696
- Cited by
- 149
- References
- 0
- Citations by year
- 2026: 1 · 2024: 3 · 2023: 3 · 2022: 2 · 2021: 1 · 2020: 8 · 2019: 4 · 2018: 3 · 2017: 5 · 2016: 5 · 2015: 1 · 2014: 3 · 2013: 6 · 2012: 7
- FWCI
- 1.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health 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
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- smoking relapse, smoking abstinence, negative affect, restlessness, attention deficits, smoking cues, coping, smoking cessation
- MeSH terms
- Smoking Prevention, Adaptation, Psychological, Adult, Behavior Therapy, Cues, Female, Follow-Up Studies, Humans, Male, Recurrence, Risk Factors, Smoking, Smoking Cessation, Behavior, Addictive
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