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Prospective analysis of early lapse to drinking and smoking among individuals in concurrent alcohol and tobacco treatment

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  • Source:
    Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors 2012 Sep 26 3, 561 (561-72)
  • Additional Information
    • Author(s):
      Holt LJ, Litt MD, Cooney NL
    • Review Group(s):
      Cochrane Tobacco Addiction Group Trials in the Group's Specialized Register
    • Language:
      English
    • Publication Type:
      Comparative Study; Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S.
    • Record Status:
      This record is updated this issue.
    • Abstract:
      The aims of the current study were to examine, prospectively, (a) dynamic changes in affective state, self-efficacy, and urge in the hours before initial smoking and drinking lapses among individuals in concurrent alcohol and smoking treatment, and (b) the extent to which self-efficacy, urge to use, and/or the use of one substance predicted lapse to the other substance. Ninety-six men and women recruited for a clinical trial of concurrent alcohol and tobacco treatment were eligible for inclusion. Only data from those who experienced an initial lapse to drinking (n=29) or smoking (n=32) were included. Two outpatient substance abuse clinics provided concurrent alcohol and smoking treatment on a weekly basis for three months. Ecological Momentary Assessment (EMA) methods were employed over a 28-day monitoring period to assess antecedents to first drink, and a 14-day monitoring period was examined for initial smoking lapses. Baseline and EMA measures of positive and negative affect, alcohol/smoking urge, alcohol/smoking abstinence self-efficacy, nicotine withdrawal, and quantity/frequency of alcohol and tobacco use were examined as lapse predictors. Analyses of EMA ratings controlled for the corresponding baseline measure. Smoking lapse among individuals in concurrent alcohol and tobacco treatment was foreshadowed by higher urges to smoke, lower positive mood, and lower confidence to resist smoking. Drinking lapse was preceded by lower confidence to resist smoking, but only among individuals who reported recent smoking. Concurrent alcohol and smoking treatment should focus on the enhancement of abstinence self-efficacy, positive mood, and the curbing of urges in order to offset lapse risk.
    • Medical Subject Headings (MeSH):
      Adult
      Female
      Humans
      Male
      Middle Aged
      Ambulatory Care
      Cognitive Therapy
      Combined Modality Therapy
      Comorbidity
      Cues
      Prospective Studies
      Recurrence
      Self Efficacy
      Temperance/psychology
      Tobacco Use Cessation Products
      Alcoholism/*psychology
      Alcoholism/*rehabilitation
      Smoking/*psychology
      Smoking Cessation/*psychology
      Tobacco Use Disorder/*psychology
      Tobacco Use Disorder/*rehabilitation
    • Source:
      This document should be cited as: Holt LJ Litt MD Cooney NL. Prospective analysis of early lapse to drinking and smoking among individuals in concurrent alcohol and tobacco treatment 2012 Sep (The Cochrane Controlled Trials Register (CCTR/CENTRAL). DOI: 10.1037/a0026039. Oxford: Update Software. Updated quarterly.
    • Accession Number:
      CN-00854421
  • Citations
    • ABNT:
      HOLT LJ; LITT MD; COONEY NL. Prospective analysis of early lapse to drinking and smoking among individuals in concurrent alcohol and tobacco treatment. Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors, [s. l.], v. 26, n. 3, p. 561–572, 2012. DOI 10.1037/a0026039. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cgh&AN=CN-00854421. Acesso em: 29 set. 2020.
    • AMA:
      Holt LJ, Litt MD, Cooney NL. Prospective analysis of early lapse to drinking and smoking among individuals in concurrent alcohol and tobacco treatment. Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors. 2012;26(3):561-572. doi:10.1037/a0026039
    • APA:
      Holt LJ, Litt MD, & Cooney NL. (2012). Prospective analysis of early lapse to drinking and smoking among individuals in concurrent alcohol and tobacco treatment. Psychology of Addictive Behaviors : Journal of the Society of Psychologists in Addictive Behaviors, 26(3), 561–572. https://doi.org/10.1037/a0026039
    • Chicago/Turabian: Author-Date:
      Holt LJ, Litt MD, and Cooney NL. 2012. “Prospective Analysis of Early Lapse to Drinking and Smoking among Individuals in Concurrent Alcohol and Tobacco Treatment.” Psychology of Addictive Behaviors : Journal of the Society of Psychologists in Addictive Behaviors 26 (3): 561–72. doi:10.1037/a0026039.
    • Harvard:
      Holt LJ, Litt MD and Cooney NL (2012) ‘Prospective analysis of early lapse to drinking and smoking among individuals in concurrent alcohol and tobacco treatment’, Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors, 26(3), pp. 561–572. doi: 10.1037/a0026039.
    • Harvard: Australian:
      Holt LJ, Litt MD & Cooney NL 2012, ‘Prospective analysis of early lapse to drinking and smoking among individuals in concurrent alcohol and tobacco treatment’, Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors, vol. 26, no. 3, pp. 561–572, viewed 29 September 2020, .
    • MLA:
      Holt LJ, et al. “Prospective Analysis of Early Lapse to Drinking and Smoking among Individuals in Concurrent Alcohol and Tobacco Treatment.” Psychology of Addictive Behaviors : Journal of the Society of Psychologists in Addictive Behaviors, vol. 26, no. 3, Sept. 2012, pp. 561–572. EBSCOhost, doi:10.1037/a0026039.
    • Chicago/Turabian: Humanities:
      Holt LJ, Litt MD, and Cooney NL. “Prospective Analysis of Early Lapse to Drinking and Smoking among Individuals in Concurrent Alcohol and Tobacco Treatment.” Psychology of Addictive Behaviors : Journal of the Society of Psychologists in Addictive Behaviors 26, no. 3 (September 1, 2012): 561–72. doi:10.1037/a0026039.
    • Vancouver/ICMJE:
      Holt LJ, Litt MD, Cooney NL. Prospective analysis of early lapse to drinking and smoking among individuals in concurrent alcohol and tobacco treatment. Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors [Internet]. 2012 Sep 1 [cited 2020 Sep 29];26(3):561–72. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cgh&AN=CN-00854421