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Ecological momentary assessment of temptations and lapses in non-daily smokers.

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  • Additional Information
    • Author-Supplied Keywords:
      Coping
      Ecological momentary assessment
      Non-daily smoking
      Relapse
      Smoking
      Smoking cessation
    • NAICS/Industry Codes:
      453999 All other miscellaneous store retailers (except beer and wine-making supplies stores)
      453991 Tobacco Stores
      424940 Tobacco and Tobacco Product Merchant Wholesalers
      413310 Cigarette and tobacco product merchant wholesalers
      312230 Tobacco Manufacturing
      312220 Tobacco product manufacturing
      722410 Drinking Places (Alcoholic Beverages)
      621999 All Other Miscellaneous Ambulatory Health Care Services
      621990 All other ambulatory health care services
    • Abstract:
      Rationale: Little is known about relapse among non-daily, intermittent smokers (ITS), who have difficulty quitting, despite a lack of dependence. Objectives: To analyze situations associated with temptations to smoke and smoking lapses among ITS trying to maintain abstinence. Methods: Participants were 130 initially abstinent ITS in the placebo arm of a smoking cessation study. EMA data captured participants' situations and states in temptations (n = 976), including those that eventuated in lapses (n = 147), for up to 6 weeks. Randomly timed assessments assessed background states (n = 11,446). Participants also reported coping performed to prevent lapses. Multilevel analyses compared temptations to background situations, and lapse episodes to resolved temptations. Results: Temptations were marked by exposure to smoking cues, including others smoking, lax smoking restrictions, and alcohol consumption, as well as more negative affect. Lapses did not differ from resolved temptations in craving intensity, but were more often associated with smoking cues and availability of cigarettes, alcohol consumption, and worse affect, and were more often attributed to good moods. Both behavioral and cognitive coping responses were associated with avoiding lapsing, but behavioral coping had much larger effects. The effects of affective distress on lapse risk were mediated by its effects on coping. Conclusions: Smoking cues play a major role in ITS' temptations and lapses, perhaps indicating a degree of behavioral dependence. Affective distress also played a role in ITS lapses, undermining the idea that the affective distress seen in daily smokers' lapses is due to nicotine withdrawal. The data reinforce the important role of coping in preventing lapses. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Psychopharmacology is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • Author Affiliations:
      1Department of Psychology, University of Pittsburgh, 130 N. Bellefield Ave, Suite 510, 15213, Pittsburgh, PA, USA
      2Department of Biostatistics, University of Pittsburgh, Pittsburgh, PA, USA
      3College of Health & Medicine, University of Tasmania, Hobart, TAS, Australia
      4Department of Public Health Sciences, University of Chicago, Chicago, IL, USA
      5Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA
      6Geriatric Research Education and Clinical Centers (GRECC), Veterans Affairs Tennessee Valley Healthcare System, Nashville, TN, USA
    • ISSN:
      0033-3158
    • Accession Number:
      10.1007/s00213-020-05539-3
    • Accession Number:
      144498721
  • Citations
    • ABNT:
      SHIFFMAN, S. et al. Ecological momentary assessment of temptations and lapses in non-daily smokers. Psychopharmacology, [s. l.], v. 237, n. 8, p. 2353–2365, 2020. DOI 10.1007/s00213-020-05539-3. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=a9h&AN=144498721. Acesso em: 23 set. 2020.
    • AMA:
      Shiffman S, Scholl SM, Mao J, Ferguson SG, Hedeker D, Tindle HA. Ecological momentary assessment of temptations and lapses in non-daily smokers. Psychopharmacology. 2020;237(8):2353-2365. doi:10.1007/s00213-020-05539-3
    • APA:
      Shiffman, S., Scholl, S. M., Mao, J., Ferguson, S. G., Hedeker, D., & Tindle, H. A. (2020). Ecological momentary assessment of temptations and lapses in non-daily smokers. Psychopharmacology, 237(8), 2353–2365. https://doi.org/10.1007/s00213-020-05539-3
    • Chicago/Turabian: Author-Date:
      Shiffman, Saul, Sarah M. Scholl, Jason Mao, Stuart G. Ferguson, Donald Hedeker, and Hilary A. Tindle. 2020. “Ecological Momentary Assessment of Temptations and Lapses in Non-Daily Smokers.” Psychopharmacology 237 (8): 2353–65. doi:10.1007/s00213-020-05539-3.
    • Harvard:
      Shiffman, S. et al. (2020) ‘Ecological momentary assessment of temptations and lapses in non-daily smokers’, Psychopharmacology, 237(8), pp. 2353–2365. doi: 10.1007/s00213-020-05539-3.
    • Harvard: Australian:
      Shiffman, S, Scholl, SM, Mao, J, Ferguson, SG, Hedeker, D & Tindle, HA 2020, ‘Ecological momentary assessment of temptations and lapses in non-daily smokers’, Psychopharmacology, vol. 237, no. 8, pp. 2353–2365, viewed 23 September 2020, .
    • MLA:
      Shiffman, Saul, et al. “Ecological Momentary Assessment of Temptations and Lapses in Non-Daily Smokers.” Psychopharmacology, vol. 237, no. 8, Aug. 2020, pp. 2353–2365. EBSCOhost, doi:10.1007/s00213-020-05539-3.
    • Chicago/Turabian: Humanities:
      Shiffman, Saul, Sarah M. Scholl, Jason Mao, Stuart G. Ferguson, Donald Hedeker, and Hilary A. Tindle. “Ecological Momentary Assessment of Temptations and Lapses in Non-Daily Smokers.” Psychopharmacology 237, no. 8 (August 2020): 2353–65. doi:10.1007/s00213-020-05539-3.
    • Vancouver/ICMJE:
      Shiffman S, Scholl SM, Mao J, Ferguson SG, Hedeker D, Tindle HA. Ecological momentary assessment of temptations and lapses in non-daily smokers. Psychopharmacology [Internet]. 2020 Aug [cited 2020 Sep 23];237(8):2353–65. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=a9h&AN=144498721