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Effects of depressive symptoms on antecedents of lapses during a smoking cessation attempt: an ecological momentary assessment study.

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  • Additional Information
    • Subject Terms:
    • Keyword(s):
      Depression; ecological momentary assessment; lapse; negative affect; relapse; self‐efficacy; self-efficacy; smoking; urge; withdrawal
    • Abstract:
      Aims To investigate pathways through which momentary negative affect and depressive symptoms affect risk of lapse during smoking cessation attempts. Design Ecological momentary assessment was carried out during 2 weeks after an unassisted smoking cessation attempt. A 3-month follow-up measured smoking frequency. Setting Data were collected via mobile devices in German-speaking Switzerland. Participants A total of 242 individuals (age 20-40, 67% men) reported 7112 observations. Measurements Online surveys assessed baseline depressive symptoms and nicotine dependence. Real-time data on negative affect, physical withdrawal symptoms, urge to smoke, abstinence-related self-efficacy and lapses. Findings A two-level structural equation model suggested that on the situational level, negative affect increased the urge to smoke and decreased self-efficacy (β = 0.20; β = −0.12, respectively), but had no direct effect on lapse risk. A higher urge to smoke (β = 0.09) and lower self-efficacy (β = −0.11) were confirmed as situational antecedents of lapses. Depressive symptoms at baseline were a strong predictor of a person's average negative affect (β = 0.35, all P < 0.001). However, the baseline characteristics influenced smoking frequency 3 months later only indirectly, through influences of average states on the number of lapses during the quit attempt. Conclusions Controlling for nicotine dependence, higher depressive symptoms at baseline were associated strongly with a worse longer-term outcome. Negative affect experienced during the quit attempt was the only pathway through which the baseline depressive symptoms were associated with a reduced self-efficacy and increased urges to smoke, all leading to the increased probability of lapses. ABSTRACT FROM AUTHOR
    • Author Affiliations:
      1 University of Berne, Berne Switzerland; 2 University of Kent, Canterbury UK
    • ISSN:
      09652140
    • Publication Type:
      Publication Type: Article Update Code: 20140709
    • Accession Number:
      96956390
  • Citations
    • ABNT:
      BRODBECK, J. et al. Effects of depressive symptoms on antecedents of lapses during a smoking cessation attempt: an ecological momentary assessment study. Addiction, [s. l.], v. 109, n. 8, p. 1363–1370, 2014. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=s3h&AN=96956390. Acesso em: 26 set. 2020.
    • AMA:
      Brodbeck J, Bachmann MS, Brown A, Znoj HJ. Effects of depressive symptoms on antecedents of lapses during a smoking cessation attempt: an ecological momentary assessment study. Addiction. 2014;109(8):1363-1370. Accessed September 26, 2020. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=s3h&AN=96956390
    • APA:
      Brodbeck, J., Bachmann, M. S., Brown, A., & Znoj, H. J. (2014). Effects of depressive symptoms on antecedents of lapses during a smoking cessation attempt: an ecological momentary assessment study. Addiction, 109(8), 1363–1370.
    • Chicago/Turabian: Author-Date:
      Brodbeck, Jeannette, Monica S. Bachmann, Anna Brown, and Hans Joerg Znoj. 2014. “Effects of Depressive Symptoms on Antecedents of Lapses during a Smoking Cessation Attempt: An Ecological Momentary Assessment Study.” Addiction 109 (8): 1363–70. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=s3h&AN=96956390.
    • Harvard:
      Brodbeck, J. et al. (2014) ‘Effects of depressive symptoms on antecedents of lapses during a smoking cessation attempt: an ecological momentary assessment study’, Addiction, 109(8), pp. 1363–1370. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=s3h&AN=96956390 (Accessed: 26 September 2020).
    • Harvard: Australian:
      Brodbeck, J, Bachmann, MS, Brown, A & Znoj, HJ 2014, ‘Effects of depressive symptoms on antecedents of lapses during a smoking cessation attempt: an ecological momentary assessment study’, Addiction, vol. 109, no. 8, pp. 1363–1370, viewed 26 September 2020, .
    • MLA:
      Brodbeck, Jeannette, et al. “Effects of Depressive Symptoms on Antecedents of Lapses during a Smoking Cessation Attempt: An Ecological Momentary Assessment Study.” Addiction, vol. 109, no. 8, Aug. 2014, pp. 1363–1370. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=s3h&AN=96956390.
    • Chicago/Turabian: Humanities:
      Brodbeck, Jeannette, Monica S. Bachmann, Anna Brown, and Hans Joerg Znoj. “Effects of Depressive Symptoms on Antecedents of Lapses during a Smoking Cessation Attempt: An Ecological Momentary Assessment Study.” Addiction 109, no. 8 (August 2014): 1363–70. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=s3h&AN=96956390.
    • Vancouver/ICMJE:
      Brodbeck J, Bachmann MS, Brown A, Znoj HJ. Effects of depressive symptoms on antecedents of lapses during a smoking cessation attempt: an ecological momentary assessment study. Addiction [Internet]. 2014 Aug [cited 2020 Sep 26];109(8):1363–70. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=s3h&AN=96956390