Current Trends in the Modification of Cigarette Dependence

Lichtenstein, Edward; Brown, Richard A.

doi:10.1007/978-1-4615-7275-6_19

Cited by 28 publications

(6 citation statements)

References 132 publications

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“…The social learning model views smoking as a learned behavior acquired through classical and operant conditioning and through cognitive processes, including modeling, self-control mechanisms, self-efficacy, and outcome expectancies (Brown & Emmons, 1991). Behavioral smokingcessation interventions derived from the social learning model have traditionally been the most efficacious (Fiore, Bailey, & Cohen, 2000;Lichtenstein & Brown, 1982). These behavioral treatments include three interrelated phases: preparation, quitting, and maintenance ofcessation/prevention of relapse.…”

Section: Distress-tolerance Treatment Program Overviewmentioning

confidence: 99%

Distress Tolerance Treatment for Early-Lapse Smokers

et al. 2008

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A significant percentage of individuals attempting smoking cessation lapse within a matter of days, and very few are able to recover to achieve long-term abstinence. This observation suggests that many smokers may have quit-attempt histories characterized exclusively by early lapses to smoking following quit attempts. Recent negative-reinforcement conceptualizations of early lapse to smoking suggest that individuals' reactions to withdrawal and inability to tolerate the experience of these symptoms, rather than withdrawal severity itself, may represent an important treatment target in the development of new behavioral interventions for this subpopulation of smokers. This article presents the theoretical rationale and describes a novel, multicomponent distress-tolerance treatment for earlylapse smokers that incorporates behavioral and pharmacological elements of standard smokingcessation treatment, whereas drawing distress-tolerance elements from exposure-based and Acceptance and Commitment Therapy-based treatment approaches. Preliminary data from a pilot study (N = 16) are presented, and clinical implications are discussed.

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Section: Distress-tolerance Treatment Program Overviewmentioning

confidence: 99%

Distress Tolerance Treatment for Early-Lapse Smokers

et al. 2008

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“…Numerous pathological conditions are associated with cigarette smoking, the most devastating of which involve the cardiovascular and pulmonary systems (Clee and Clark, 1984). Despite persistent and imaginative efforts to identify and manipulate various social, psychological, and biological factors, no more than one-fourth to one-third of treated smokers achieve longterm abstinence (Evans and Lane, 1980;Lichtenstein and Brown, 1982;Pechacek, 1977). There is therefore a need to identify procedures and activities that might serve as behavioral alternatives or substitutes for smoking and that can either interfere with or provide some of the reinforcement derived from nicotine (for example, by mimicking some of the biochemical and physiological effects of smoking).…”

Section: Introductionmentioning

confidence: 99%

The effects of acute exercise on subsequent cigarette smoking

et al. 1987

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The present study was conducted to examine the effects of acute aerobic exercise on smoking behavior. On alternate days, 10 healthy young smokers were subjected to half an hour of sustained high exercise (about 56% of maximum work capacity) or of low exercise (about 28% of maximum, simulating normal daytime activity). During the high-exercise condition, there were pronounced increases in physiological markers of physical activity such as mean work, heart rate, and lactic acid as well as elevations in circulating hormones (norepinephrine, epinephrine, and immunoreactive beta-endorphin and cortisol) known to be affected by vigorous exercise. Despite a trend toward decreased desire for cigarettes after the high exercise condition, there were no differences in plasma nicotine levels following the smoking of a usual-brand cigarette 35 min later. The sustained effects of the two exercise conditions were also similar: plasma cotinine levels 24 hr later (reflecting nicotine intake over the entire exercise day) revealed no significant differences between high and low exercise.

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“…Diverse smoking cessation treatments share a high rate of relapse (Kamarck & Lichtenstein, 1985; Lichtenstein & Brown, 1982). Many researchers have suggested that research should be directed at understanding the processes involved in successful smoking cessation.…”

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confidence: 99%

Doing the right thing at the right time? The interaction of stages and processes of change in successful smoking cessation.

Perz¹,

DiClemente²,

Carbonari³

1996

Health Psychology

119

103

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Research on the transtheoretical model has provided substantial support for both stages of change and processes of change (coping strategies influencing successful behavior change). This study examined whether timing of process use (using particular change processes during one stage and not during others) influences quit success. Hypothesized patterns of optimal process use were those marked by more use of experiential processes and less use of behavioral processes during contemplation and preparation and by the reverse pattern during action. Participants (N = 388) began in contemplation or preparation and took action during a 4-6 week period. Multivariate analyses of covariance examined the relationship between patterns of process use and success in staying quit both at 1-month follow-up and 5-6 months later. For the most part, results supported the hypothesis that successful stage transitions involve doing the right thing at the right time: engaging in experiential process activities during contemplation and preparation stages and shifting to behavioral process activities during action.

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Current Trends in the Modification of Cigarette Dependence

Cited by 28 publications

References 132 publications

Distress Tolerance Treatment for Early-Lapse Smokers

Distress Tolerance Treatment for Early-Lapse Smokers

The effects of acute exercise on subsequent cigarette smoking

Doing the right thing at the right time? The interaction of stages and processes of change in successful smoking cessation.

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