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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
    • Affiliation:
      Department of Psychology, Trinity College, Hartford, CT 06106, USA
      Department of Psychology, Trinity College.
    • Subject Terms:
    • Subject Terms:
    • 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.
    • Journal Subset:
      Biomedical; Peer Reviewed; USA
    • Special Interest:
      Psychiatry/Psychology
    • ISSN:
      0893-164X
    • MEDLINE Info:
      PMID: NLM22023022 NLM UID: 8802734
    • Grant Information:
      R01 AA011197-08/AA/NIAAA NIH HHS/United States; R01 AA011197/AA/NIAAA NIH HHS/United States
    • Publication Date:
      20130329
    • Publication Date:
      20200708
    • PubMed Central ID:
      PMC3336035
    • DOI:
      http://dx.doi.org/10.1037/a0026039
    • Accession Number:
      108069827
  • Citations
    • ABNT:
      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, [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=rzh&AN=108069827. Acesso em: 14 ago. 2020.
    • AMA:
      Holt LJ, Litt MD, Cooney NL, 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. 2012;26(3):561-572. doi:10.1037/a0026039
    • APA:
      Holt LJ, Litt MD, Cooney NL, Holt, L. J., Litt, M. D., & Cooney, N. 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), 561–572. https://doi.org/10.1037/a0026039
    • Chicago/Turabian: Author-Date:
      Holt LJ, Litt MD, Cooney NL, Laura J Holt, Mark D Litt, and Ned L Cooney. 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:
      Holt LJ et al. (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:
      Holt LJ, Litt MD, Cooney NL, 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, vol. 26, no. 3, pp. 561–572, viewed 14 August 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, vol. 26, no. 3, Sept. 2012, pp. 561–572. EBSCOhost, doi:10.1037/a0026039.
    • Chicago/Turabian: Humanities:
      Holt LJ, Litt MD, Cooney NL, Laura J Holt, Mark D Litt, and Ned L Cooney. “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 2012): 561–72. doi:10.1037/a0026039.
    • Vancouver/ICMJE:
      Holt LJ, Litt MD, Cooney NL, 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 [Internet]. 2012 Sep [cited 2020 Aug 14];26(3):561–72. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=108069827