Independent and interactive effects of real-time risk factors on later temptations and lapses among smokers trying to quit

Content Provider	Scilit
Author	Bold, Krysten W. McCarthy, Danielle E. Minami, Haruka Yeh, Vivan M. Chapman, Gretchen B. Waters, Andrew J.
Copyright Year	2016
Description	Journal: Drug and alcohol dependence The current study sought to expand our understanding of relapse mechanisms by identifying the independent and interactive effects of real-time risk factors on temptations and the ability to resist temptations in smokers during a quit attempt. This study was a secondary analysis of data from 109 adult, treatment-seeking daily smokers. Ecological momentary assessment data was collected 4 times a day for 21 days following a quit attempt and was used to assess affect, urge, impulsiveness, recent cigarette exposure, and alcohol use as predictors of temptations to smoke and smoking up to 8h later. All smokers received nicotine replacement therapy and smoking cessation counseling. In multinomial hierarchical linear models, there were significant main (agitation odds ratio (OR)=1.22, 95% CI=1.02-1.48; urge OR=1.60, 95% CI=1.35-1.92; nicotine dependence measured by WISDM OR=1.04, 95% CI=1.01-1.08) and interactive effects (agitation×urge OR=1.12, 95% CI=1.01-1.27; urge×cigarette exposure OR=1.38, 95% CI=1.10-1.76; positive affect×impulsiveness OR=2.44, 95% CI=1.02-5.86) on the odds of temptations occurring, relative to abstinence without temptation. In contrast, prior smoking (OR=3.46, 95% CI=2.58-4.63), higher distress (OR=1.30, 95% CI=1.06-1.60), and recent alcohol use (OR=3.71, 95% CI=1.40-9.89) predicted smoking versus resisting temptation, and momentary impulsiveness was related to smoking for individuals with higher baseline impulsiveness (OR=1.12, 95% CI=1.04-1.22). The risk factors and combinations of factors associated with temptations and smoking lapses differ, suggesting a need for separate models of temptation and lapse.
Related Links	http://europepmc.org/articles/pmc4698113?pdf=render https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4698113/pdf
Ending Page	37
Page Count	8
Starting Page	30
ISSN	03768716
DOI	10.1016/j.drugalcdep.2015.10.024
Journal	Drug and alcohol dependence
Volume Number	158
Language	English
Publisher	Elsevier BV
Publisher Date	2016-01-01
Access Restriction	Open
Subject Keyword	Journal: Drug and alcohol dependence Substance Abuse Ecological Momentary Assessment Smoking Cessation
Content Type	Text
Resource Type	Article
Subject	Toxicology Pharmacology Pharmacology (medical) Psychiatry and Mental Health