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Cited by 16Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Positive Affect as a Predictor of Smoking Cessation and Relapse: Does It Offer Unique Predictive Value among Depressive Symptom Domains?

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Heffner, Jaimee L., Mull, Kristin E., McClure, Jennifer B., Bricker, Jonathan B.·2018·Substance Use & Misuse
DOI 10.1080/10826084.2017.1387569PMC PMC6159215
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Abstract

BACKGROUND: Prior studies have suggested that, among the domains of depressive symptoms, low positive affect (PA) may have a distinct relationship with smoking cessation and relapse. However, the empirical basis for PA-focused interventions cessation is limited, with some mixed findings. OBJECTIVES: Using a large, diverse sample of treatment-seeking smokers, this study tested the hypothesis that PA adds unique predictive value beyond the effects of the other symptom domains in models of cessation and relapse. METHODS: Adult smokers participating in a smoking cessation trial (n = 450) were included in this post hoc analysis. Cessation outcomes included smoking abstinence at end of treatment and at 6-month follow-up. Relapse was defined as recurrence of smoking at 6-month follow-up among the end-of-treatment abstainers. Depressive symptoms were assessed at baseline using the Center for Epidemiologic Studies-Depression (CES-D) scale. RESULTS: With the exception of PA, all of the CES-D domains predicted reduced likelihood of smoking abstinence at end of treatment and cotinine-confirmed (but not self-reported) abstinence at 6 months, as did total CES-D score (all p-values < .05). None of the symptom domains predicted relapse. Conclusions/Importance: Our results provide further evidence that current depressive symptoms predict worse cessation outcomes, but they fail to support recent work suggesting that low PA has incremental predictive value for cessation or relapse beyond the other depressive symptom domains. To improve quit rates for smokers with depressive symptoms, evidence-based mood management interventions should be included in treatment planning.

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Cited by

Sorted by citations

Authors
Heffner, J. L., Mull, K. E., McClure, J. B., & Bricker, J. B.
Affiliations
  • Fred Hutch Cancer Center (US)
  • Kaiser Permanente Washington Health Research Institute (US)
  • University of Washington (US)
Corresponding author
Heffner, Jaimee L.
ORCID
Venue
Substance Use & Misuse
Publisher
Informa UK Limited
Published
2017-11-21
Volume
53
Issue
6
Pages
980-988
ISSN
  • 1082-6084 (ISSN-L)
  • 1532-2491
DOI
10.1080/10826084.2017.1387569
PMC
PMC6159215
OpenAlex
W2770338146
Cited by
16
References
6
Citations by year
2024: 2 · 2023: 3 · 2022: 1 · 2021: 1 · 2020: 3 · 2019: 2 · 2018: 4
FWCI
1.75
Type
journal article
Language
en
Open access
Locations
  • Substance Use & Misuse (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • GlaxoSmithKline
  • Kaiser Permanente
  • National Institutes of Health
  • National Cancer Institute (R01CA151251)
Topics
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
positive affect, smoking cessation, smoking relapse, depressive symptoms, smoking abstinence, treatment-seeking smokers, CES-D
MeSH terms
Affect, Depression, Female, Humans, Male, Middle Aged, Recurrence, Smoking Cessation, Secondary Prevention

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