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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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  • Additional Information
    • Publication Date:
      2012
    • 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.
    • Author Affiliations:
      1Department of Psychology, Trinity College 2Division of Behavioral Sciences and Community Health, University of Connecticut Health Center, Farmington, CT 3Yale University School of Medicine and VA Connecticut Health Care System, Newington, CT
    • ISSN:
      0893-164X
    • Accession Number:
      10.1037/a0026039
    • Online Access: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=fulltext&D=ovft&CSC=Y&NEWS=N&SEARCH=%2210.1037/a0026039%22.di
    • Rights:
      © 2012 by the American Psychological Association
    • Accession Number:
      edsovi.10.1037.a0026039
  • Citations
    • ABNT:
      LAURA J., H.; MARK D., L.; NED L., C. Prospective Analysis of Early Lapse to Drinking and Smoking Among Individuals in Concurrent Alcohol and Tobacco Treatment. Psychology of 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=edsovi&AN=edsovi.10.1037.a0026039. Acesso em: 29 set. 2020.
    • AMA:
      Laura J. H, Mark D. L, Ned L. C. Prospective Analysis of Early Lapse to Drinking and Smoking Among Individuals in Concurrent Alcohol and Tobacco Treatment. Psychology of Addictive Behaviors. 2012;26(3):561-572. doi:10.1037/a0026039
    • APA:
      Laura J., H., Mark D., L., & Ned L., C. (2012). Prospective Analysis of Early Lapse to Drinking and Smoking Among Individuals in Concurrent Alcohol and Tobacco Treatment. Psychology of Addictive Behaviors, 26(3), 561–572. https://doi.org/10.1037/a0026039
    • Chicago/Turabian: Author-Date:
      Laura J., Holt, Litt Mark D., and Cooney Ned L. 2012. “Prospective Analysis of Early Lapse to Drinking and Smoking Among Individuals in Concurrent Alcohol and Tobacco Treatment.” Psychology of Addictive Behaviors 26 (3): 561–72. doi:10.1037/a0026039.
    • Harvard:
      Laura J., H., Mark D., L. and Ned L., C. (2012) ‘Prospective Analysis of Early Lapse to Drinking and Smoking Among Individuals in Concurrent Alcohol and Tobacco Treatment’, Psychology of Addictive Behaviors, 26(3), pp. 561–572. doi: 10.1037/a0026039.
    • Harvard: Australian:
      Laura J., H, Mark D., L & Ned L., C 2012, ‘Prospective Analysis of Early Lapse to Drinking and Smoking Among Individuals in Concurrent Alcohol and Tobacco Treatment’, Psychology of Addictive Behaviors, vol. 26, no. 3, pp. 561–572, viewed 29 September 2020, .
    • MLA:
      Laura J., Holt, et al. “Prospective Analysis of Early Lapse to Drinking and Smoking Among Individuals in Concurrent Alcohol and Tobacco Treatment.” Psychology of Addictive Behaviors, vol. 26, no. 3, Sept. 2012, pp. 561–572. EBSCOhost, doi:10.1037/a0026039.
    • Chicago/Turabian: Humanities:
      Laura J., Holt, Litt Mark D., and Cooney Ned L. “Prospective Analysis of Early Lapse to Drinking and Smoking Among Individuals in Concurrent Alcohol and Tobacco Treatment.” Psychology of Addictive Behaviors 26, no. 3 (September 1, 2012): 561–72. doi:10.1037/a0026039.
    • Vancouver/ICMJE:
      Laura J. H, Mark D. L, Ned L. C. Prospective Analysis of Early Lapse to Drinking and Smoking Among Individuals in Concurrent Alcohol and Tobacco Treatment. Psychology of 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=edsovi&AN=edsovi.10.1037.a0026039