Distress tolerance and duration of past smoking cessation attempts.

Brown, Richard A.; Lejuez, Carl W.; Kahler, Christopher W.; Strong, David R.

doi:10.1037/0021-843x.111.1.180

Cited by 567 publications

(547 citation statements)

References 18 publications

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“…Although the present study methodology cannot explicate the extent to which memory or recall biases play a role in such effects, future work could examine the significance of such symptoms prospectively during quit attempts. Some work suggests that hypervigilance to internal cues, emotional reactivity, and distress intolerance to early signs of withdrawal and other stressors each are related to duration of quit attempts (Brown, Lejuez, Kahler, & Strong, 2002;Quinn, Brandon & Copeland, 1996;Zvolensky, Feldner, Eifert, & Stewart, 2001). To the extent that such affective variables -hypervigilance, emotional reactivity, and distress intolerancecharacterize, at least in part, PD and PTSD, individuals with these disorders may be more apt to experience (perceived or objective) aversive symptoms, triggered by the cessation of smoking, to be problematic in efforts to abstain.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Evaluation of smoking characteristics among community-recruited daily smokers with and without posttraumatic stress disorder and panic psychopathology

Marshall¹,

Zvolensky²,

Vujanovic³

et al. 2008

Journal of Anxiety Disorders

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The present investigation compared 123 community-recruited daily smokers with posttraumatic stress disorder (PTSD), panic disorder (PD), nonclinical panic attacks (PA), or no current Axis I psychopathology (controls; C) in terms of nicotine dependence, smoking rate, quit history, severity of symptoms during past quit attempts, and motivation for and expectancies about smoking. No differences were observed between groups in regard to smoking rate or nicotine dependence. The PTSD group reported making more lifetime quit attempts than the other groups, and the PTSD and PD groups perceived more severe symptoms during past quit attempts. The PD and PTSD groups reported greater motivation to smoke to reduce negative affect. Individuals with PTSD endorsed a stronger expectation that smoking would alleviate negative mood states and would produce negative consequences. Overall, results suggest that smokers with PD or PTSD differ from other smoking groups in a number of clinically significant ways. Keywords Smoking; Panic; PTSD; Anxiety Disorders; Smoking Motives and ExpectanciesCorrespondence concerning this article should be addressed to Michael J. Zvolensky, Ph.D. at The University of Vermont, Department of Psychology, 2 Colchester Avenue, John Dewey Hall, Burlington,. Electronic mail may be sent to Michael.Zvolensky@uvm.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. There is an increasing empirical recognition that tobacco use and dependence are elevated among those with psychopathology compared to those without psychiatric conditions (Kalman, Morissette, & George, 2005). For example, persons with, relative to those without, psychiatric disorders are approximately twice as likely to be current smokers (Lasser et al., 2000). Moreover, it is estimated that although smokers with psychiatric disorders represent approximately 20% of persons in the United States (U.S.), they consume over 40% of the cigarettes in the nation (Lasser et al., 2000). Such high rates of smoking among those with psychiatric disorders may play a clinically significant role in the high rates of diagnostic comorbidity and mortality observed in people with psychiatric disorders (Kalman et al., 2005). NIH Public AccessRecent studies have found important linkages between smoking and certain anxiety disorders (Feldner, Babson, & Zvolensky, 2007a;Morissette, Tull, Gulliver, Kamholz, & Zimering, 2007;Patton, Carlin, Coffey, Wolfe, Hibbert, & Bowes, 1998; Zvolensky, Feldner, LeenFeldner, & McLeish, 2005 (Beckham et al., 1995;Breslau et al., 2003;Buckley et al., 2004;Feldner et al., 2007a). Recent contr...

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Section: Discussionmentioning

confidence: 99%

“…Smoking History Questionnaire-(SHQ; Brown, Lejuez, Kahler, & Brown, 2002). The SHQ is a self-report questionnaire used to assess smoking history and pattern.…”

Section: Methodsmentioning

confidence: 99%

Evaluation of smoking characteristics among community-recruited daily smokers with and without posttraumatic stress disorder and panic psychopathology

Marshall¹,

Zvolensky²,

Vujanovic³

et al. 2008

Journal of Anxiety Disorders

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“…We use the term distress tolerance to convey a behavioral tendency to continue to pursue a goal despite encountering various states of affective discomfort, which may be in response to perceived physical or psychological distress ( Brown, Lejuez, Kahler, & Strong, 2002 ). Interest in behavioral reactions to affective discomfort arises in part from research, suggesting that negative affect is the " motivational basis " of the nicotine withdrawal syndrome ( Baker, Piper, McCarthy, Majeskie, & Fiore, 2004 ).…”

Section: Introductionmentioning

confidence: 99%

“…In some of the earliest studies within this domain, Hajek and colleagues ( Hajek, 1991 ;Hajek, Belcher, & Stapleton, 1987 ;West, Hajek, & Belcher, 1989 ) found consistent positive associations between duration of breath holding, as an index of tolerance for physical discomfort, and duration of abstinence from smoking among daily smokers. Building from such work, we examined current, daily smokers ( N = 32) who were classifi ed according to whether they had not previously quit for more than 24 hr compared with those who had quit for at least 3 months ( Brown et al, 2002 ). Using laboratory tasks that tapped distress tolerance, defi ned as persistence on psychologically distressing (Paced Auditory Serial Addition Task [PASAT]; and physical (carbon dioxide [CO 2 ] -enriched air inhalation and breath-holding duration) challenge provocation tests designed to generate physical symptoms of interoceptive distress, we examined the relationship between termination of a task prior to its scheduled endpoint and the two smoking groups.…”

Section: Introductionmentioning

confidence: 99%

A prospective examination of distress tolerance and early smoking lapse in adult self-quitters

Brown¹,

Lejuez²,

Strong³

et al. 2009

Nicotine &Amp; Tobacco Research

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151

165

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Auditory Serial Addition Test (a psychological challenge task) was not a signifi cant predictor of earlier smoking lapse.Discussion: These results are discussed in relation to refi ning theoretical models of the role of distress tolerance in early smoking lapse and the utility of such models in the development of specialized treatment approaches for smoking cessation. IntroductionAn increased level of theoretical and empirical attention has focused on better understanding the nature of early smoking lapse in the context of smoking cessation ( Brown, Lejuez, Kahler, Strong, & Zvolensky, 2005 ). This scientifi c work has been stimulated, at least in part, by the observation that a signifi cant percentage of smokers attempting cessation lapse to smoking within a matter of days and very few of these individuals recover to achieve abstinence ( Brown, Kahler, Niaura, et al., 2001 ;Cook, Gerkovich, O'Connell, & Potocky, 1995 ;Doherty, Kinnunen, Militello, & Garvey, 1995 ;Garvey, Bliss, Hitchcock, Heinold, & Rosner, 1992 ). It also rests on the larger recognition that the general population contains signifi cant numbers of at-risk, recalcitrant smokers ( Augustson & Marcus, 2004 ) and that targeted efforts to develop specialized treatment for such subgroups of smokers have been inadequate Irvin & Brandon, 2000 ;Lichtenstein & Glasgow, 1992 ;Niaura & Abrams, 2002 ;Shiffman, 1993 ). AbstractIntroduction: A signifi cant percentage of smokers attempting cessation lapse to smoking within a matter of days, and current models of relapse devote insuffi cient attention to such early smoking lapse. Studies attempting to relate severity of nicotine withdrawal symptoms to short-term smoking cessation outcomes have yielded equivocal results. How one reacts to the discomfort of nicotine withdrawal and quitting smoking (i.e., distress tolerance) may be a more promising avenue of investigation with important treatment implications. Methods:The present investigation examined distress tolerance and early smoking lapse using a prospective design. Participants were 81 adult daily smokers recruited through newspaper advertisements targeted at smokers planning to quit smoking without assistance (i.e., no pharmacotherapy or psychosocial treatment; 42 males and 39 females; mean age = 42.6 years, SD = 12.20).Results: As hypothesized, both greater breath-holding duration and carbon dioxide -enriched air persistence were associated with a signifi cantly lower risk of smoking lapse following an unaided quit attempt. These effects were above and beyond the risk associated with levels of nicotine dependence, education, and history of major depressive disorder, suggesting that distress tolerance and task persistence may operate independently of risk factors such as nicotine dependence and depressive history. In contrast to expectation, persistence on the Paced

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“…These findings are, however, consistent with previous observations indicating that smokers who experience heightened craving and negative affect after initial abstinence are at increased risk for relapse. [53][54][55] It is possible that withdrawal-and/or stress-related changes in the HPA function mediate the link between craving and smoking relapse. However this mechanism may be influenced by other factors such as the menstrual cycle.…”

Section: Discussionmentioning

confidence: 99%

Sex Differences in Hormonal Responses to Stress and Smoking Relapse: A Prospective Examination

Al’Absi

Nakajima

Allen

et al. 2015

Nicotine & Tobacco Research

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Distress tolerance and duration of past smoking cessation attempts.

Cited by 567 publications

References 18 publications

Evaluation of smoking characteristics among community-recruited daily smokers with and without posttraumatic stress disorder and panic psychopathology

Evaluation of smoking characteristics among community-recruited daily smokers with and without posttraumatic stress disorder and panic psychopathology

A prospective examination of distress tolerance and early smoking lapse in adult self-quitters

Sex Differences in Hormonal Responses to Stress and Smoking Relapse: A Prospective Examination

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