Dimensions of depressive symptoms and smoking cessation

Leventhal, Adam M.; Ramsey, Susan E.; Brown, Richard A.; LaChance, Heather R.; Kahler, Christopher W.

doi:10.1080/14622200801901971

Cited by 201 publications

(227 citation statements)

References 70 publications

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“…In any event, if some smokers do experience a loss of interest in nondrug rewards and pleasures (anhedonia) during early cessation and are able to reverse this by smoking, then they are likely to be at elevated risk of relapse (e.g. Leventhal et al, 2008).…”

Section: Salience Attribution Attentional and Motivational Responsesmentioning

confidence: 99%

Relapse to smoking during unaided cessation: clinical, cognitive and motivational predictors

et al. 2010

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Rationale: Neurobiological models of addiction suggest that abnormalities of brain reward circuitry distort salience attribution and inhibitory control processes, which in turn contribute to high relapse rates. Objectives:To determine whether impairments of salience attribution and inhibitory control predict relapse in a pharmacologically unaided attempt at smoking cessation.Methods: 141 smokers were assessed on indices of nicotine consumption / dependence (e.g. the FTND, cigarettes per day, salivary cotinine), and three trait impulsivity measures. After overnight abstinence they completed experimental tests of cue reactivity, attentional bias to smoking cues, response to financial reward, motor impulsiveness, and response inhibition (antisaccades). They then started a quit attempt with follow-up after 7 days, 1 month, and 3 months; abstinence was verified via salivary cotinine levels ≤ 20ng/ml. Results:Relapse rates at each point were 52.5%, 64% and 76.3%. The strongest predictor was pre-cessation salivary cotinine; other smoking / dependence indices did not explain additional outcome variance and neither did trait impulsivity. All experimental indices except responsivity to financial reward significantly predicted one week outcome. Salivary cotinine, attentional bias to smoking cues and antisaccade errors explained unique as well as shared variance. At one and three months, salivary cotinine, motor impulsiveness and cue reactivity were all individually predictive; the effects of salivary cotinine and motor impulsiveness were additive.Conclusions: These data provide some support for the involvement of abnormal cognitive and motivational processes in sustaining smoking dependence and suggest that they might be a focus of interventions, especially in the early stages of cessation.2

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Section: Salience Attribution Attentional and Motivational Responsesmentioning

confidence: 99%

Relapse to smoking during unaided cessation: clinical, cognitive and motivational predictors

et al. 2010

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“…Only one longitudinal study has examined positive affect among participants in a smoking cessation treatment program. For each one-unit reduction in positive affect at baseline, participants were 9% less likely to be abstinent 26 weeks after their planned quit date (Leventhal, Ramsey, Brown, LaChance, & Kahler, 2008). Analyses controlled for nicotine dependence, number of cigarettes smoked per day, negative affect, and depression.…”

Section: Health Behaviorsmentioning

confidence: 99%

The heart's content: The association between positive psychological well-being and cardiovascular health.

Boehm

Kubzansky

2012

Psychological Bulletin

749

698

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This review investigates the association between positive psychological well-being (PPWB) and cardiovascular disease (CVD). We also consider the mechanisms by which PPWB may be linked with CVD, focusing on the health behaviors (e.g., smoking, alcohol consumption, physical activity, sleep quality and quantity, and food consumption) and biological functions (e.g., cardiovascular, inflammatory, and metabolic processes) that are most relevant for cardiovascular health. Because PPWB is a broad concept, not all aspects of PPWB may be associated with cardiovascular health. Thus, we distinguish between eudaimonic well-being, hedonic well-being, optimism, and other measures of well-being when reviewing the literature. Findings suggest that PPWB protects consistently against CVD, independently of traditional risk factors and ill-being. Specifically, optimism is most robustly associated with a reduced risk of cardiovascular events. In general, PPWB is also positively associated with restorative health behaviors and biological function and inversely associated with deteriorative health behaviors and biological function. Cardiovascular health is more consistently associated with optimism and hedonic well-being than with eudaimonic well-being, although this could be due in part to more limited evidence being available concerning eudaimonic well-being. Some similarities were also evident across different measures of PPWB, which is likely due to measurement overlap. A theoretical context for this research is provided, and suggestions for future research are given, including the need for additional prospective investigations and research that includes multiple constructs of psychological well-being and ill-being.Keywords: cardiovascular disease, health behaviors, biological function, eudaimonic well-being, hedonic well-being Scholars have long recognized the connection between mental health and physical health. From the ancient Roman poet Juvenal who declared, "A healthy mind in a healthy body," to early 20th century psychoanalysts who investigated the connection between mental states and physiology (Menninger & Menninger, 1936), and to researchers in the late 20th century seeking to identify disease-prone personalities (H. S. Friedman & Booth-Kewley, 1987;Rosenman et al., 1964), the complex relationship between psychological attributes and physical ailments has been the subject of fascination across time. Although past research has predominantly focused on the relationship between poor psychological functioning (e.g., anxiety, depression, hostility) and physical health, increasing research also suggests that a protective relationship exists between positive psychological functioning and physical health (Diener & Chan, 2011;Pressman & Cohen, 2005). Because the effects of psychological well-being and psychological ill-being are not merely opposites of one another and the absence of one does not necessarily indicate the presence of the other (Ryff et al., 2006;Ryff & Singer, 1998), it is critical to consider each separately in rel...

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“…1 It has been demonstrated that anhedonia, or the absence of positive affect, predicts difficulty quitting above and beyond other dimensions of depression. 2 Anhedonia is also associated with greater withdrawal symptoms and cigarette cravings during a quit attempt. 3,4 Anhedonic smokers may have a heightened bias toward the rewarding value of smoking, which may serve as a primary reinforcing mechanism for smoking behavior.…”

Section: Introductionmentioning

confidence: 99%

Is the Effect of Anhedonia on Smoking Cessation Greater for Women Versus Men?

Powers

Carroll

Veluz-Wilkins

et al. 2016

NICTOB

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Introduction: Anhedonia has been recognized as a major risk factor for smoking persistence. Potential gender differences in the effect of anhedonia on smoking cessation have not been studied. Using data from a completed clinical trial of maintenance nicotine patch therapy, we hypothesized that gender would moderate the effect of anhedonia on short-term abstinence, such that anhedonic women would be less likely to achieve abstinence. Methods: Participants (N = 525; 50% female, 48.2% Black/African American, average age: 46 years) received 21 mg/day nicotine patch and four brief behavior counseling sessions over 8 weeks. Participants were classified at baseline using the Snaith-Hamilton Pleasure Scale as anhedonic (scores > 2) or hedonic (scores ≤ 2). Bioverified 7-day point prevalence abstinence was measured at week 8. Using logistic regression analysis, we tested the interaction of anhedonia by gender predicting abstinence, adjusting for age, race, nicotine dependence, and baseline depressive symptomatology. Results: Seventy participants (13%) were classified as anhedonic. Men were more likely to be anhedonic than women (16.6% vs. 10.2%, p = .03). Contrary to our hypothesis, the interaction of anhedonic status (hedonic vs. anhedonic) by gender was nonsignificant (p = .18). There was a main effect of hedonic capacity, such that anhedonia predicted abstinence, odds ratio = 3.24, 95% confidence interval = 1.39-7.51, p = .006. Conclusion: Both male and female anhedonic smokers were more likely to be abstinent, which contrasts with prior research indicating that anhedonia is a risk factor for difficulty quitting. This unexpected finding may be explained by a possible selective benefit of nicotine patch therapy, which has been observed in some studies to have antidepressant effects. Implications: This is the first study to examine whether the association between pretreatment anhedonia and smoking cessation differs by gender. For both women and men, anhedonia was associated with a greater likelihood of abstinence after 8 weeks of treatment with 21 mg/day nicotine patch and behavior counseling. Our findings indicate that the association between anhedonia and smoking cessation is not as clear as has been assumed and may depend in part on the type of treatment delivered.

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Dimensions of depressive symptoms and smoking cessation

Cited by 201 publications

References 70 publications

Relapse to smoking during unaided cessation: clinical, cognitive and motivational predictors

Relapse to smoking during unaided cessation: clinical, cognitive and motivational predictors

The heart's content: The association between positive psychological well-being and cardiovascular health.

Is the Effect of Anhedonia on Smoking Cessation Greater for Women Versus Men?

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