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Ecological Momentary Assessment of Antecedents and Consequences of Smoking in Adults with Attention-Deficit/Hyperactivity Disorder.

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  • Additional Information
    • Keyword(s):
      affect; attention-deficit/hyperactivity disorder; cigarette smoking; ecological momentary assessment; emotion dysregulation; nicotine dependence
    • Abstract:
      The current study assessed antecedents and consequences of ad lib cigarette smoking in smokers diagnosed with attention-deficit/hyperactivity disorder (ADHD) using ecological momentary assessment (EMA). Adult smokers with ADHD ( n = 17) completed 870 smoking and 622 nonsmoking electronic diary entries over a 7-day observation period of their naturalistic smoking behavior. Data collection occurred from 2011 to 2012. Generalized estimating equations indicated that ADHD smokers were more likely to smoke when urge to smoke, negative affect, boredom, stress, worry, and restlessness were elevated. In addition, participants were more likely to smoke in situations that elicited higher levels of nervousness and frustration. ADHD symptoms, in general, did not differ between smoking and nonsmoking contexts, though hyperactive-impulsive ADHD symptoms were elevated prior to smoking in frustrating situations. Additional situational antecedent variables were associated with smoking, including being in the presence of others smoking, being in a bar or restaurant, while outside, and while consuming caffeinated or alcoholic beverages. Participants also reported a significant improvement in urge to smoke, negative affect, stress, hunger, and ADHD symptoms after smoking a cigarette. Findings suggest certain contextual factors that may maintain ad lib cigarette smoking in smokers with ADHD and identify potential treatment targets in smoking cessation interventions for this at-risk group. Clinical implications and future research directions are discussed. Funding for this study was provided by the National Institute on Drug Abuse. ABSTRACT FROM AUTHOR
    • Author Affiliations:
      1 Duke University Medical Center, Durham, North Carolina, USA; 2 Durham, NC Veterans Affairs Medical Center, Durham, North Carolina, USA; 3 Mid-Atlantic Mental Illness Research Education and Clinical Center, Durham, North Carolina, USA; 4 VA Center for Health Services Research in Primary Care, Durham, North Carolina, USA
    • ISSN:
      10826084
    • Publication Type:
      Publication Type: Article Update Code: 20140730
    • Accession Number:
      97252104
  • Citations
    • ABNT:
      MITCHELL, J. T. et al. Ecological Momentary Assessment of Antecedents and Consequences of Smoking in Adults with Attention-Deficit/Hyperactivity Disorder. Substance Use & Misuse, [s. l.], v. 49, n. 11, p. 1446–1456, 2014. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=s3h&AN=97252104. Acesso em: 29 set. 2020.
    • AMA:
      Mitchell JT, Dennis MF, English JS, et al. Ecological Momentary Assessment of Antecedents and Consequences of Smoking in Adults with Attention-Deficit/Hyperactivity Disorder. Substance Use & Misuse. 2014;49(11):1446-1456. Accessed September 29, 2020. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=s3h&AN=97252104
    • APA:
      Mitchell, J. T., Dennis, M. F., English, J. S., Dennis, P. A., Brightwood, A., Beckham, J. C., & Kollins, S. H. (2014). Ecological Momentary Assessment of Antecedents and Consequences of Smoking in Adults with Attention-Deficit/Hyperactivity Disorder. Substance Use & Misuse, 49(11), 1446–1456.
    • Chicago/Turabian: Author-Date:
      Mitchell, John T., Michelle F. Dennis, Joseph S. English, Paul A. Dennis, Amy Brightwood, Jean C. Beckham, and Scott H. Kollins. 2014. “Ecological Momentary Assessment of Antecedents and Consequences of Smoking in Adults with Attention-Deficit/Hyperactivity Disorder.” Substance Use & Misuse 49 (11): 1446–56. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=s3h&AN=97252104.
    • Harvard:
      Mitchell, J. T. et al. (2014) ‘Ecological Momentary Assessment of Antecedents and Consequences of Smoking in Adults with Attention-Deficit/Hyperactivity Disorder’, Substance Use & Misuse, 49(11), pp. 1446–1456. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=s3h&AN=97252104 (Accessed: 29 September 2020).
    • Harvard: Australian:
      Mitchell, JT, Dennis, MF, English, JS, Dennis, PA, Brightwood, A, Beckham, JC & Kollins, SH 2014, ‘Ecological Momentary Assessment of Antecedents and Consequences of Smoking in Adults with Attention-Deficit/Hyperactivity Disorder’, Substance Use & Misuse, vol. 49, no. 11, pp. 1446–1456, viewed 29 September 2020, .
    • MLA:
      Mitchell, John T., et al. “Ecological Momentary Assessment of Antecedents and Consequences of Smoking in Adults with Attention-Deficit/Hyperactivity Disorder.” Substance Use & Misuse, vol. 49, no. 11, Sept. 2014, pp. 1446–1456. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=s3h&AN=97252104.
    • Chicago/Turabian: Humanities:
      Mitchell, John T., Michelle F. Dennis, Joseph S. English, Paul A. Dennis, Amy Brightwood, Jean C. Beckham, and Scott H. Kollins. “Ecological Momentary Assessment of Antecedents and Consequences of Smoking in Adults with Attention-Deficit/Hyperactivity Disorder.” Substance Use & Misuse 49, no. 11 (September 2014): 1446–56. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=s3h&AN=97252104.
    • Vancouver/ICMJE:
      Mitchell JT, Dennis MF, English JS, Dennis PA, Brightwood A, Beckham JC, et al. Ecological Momentary Assessment of Antecedents and Consequences of Smoking in Adults with Attention-Deficit/Hyperactivity Disorder. Substance Use & Misuse [Internet]. 2014 Sep [cited 2020 Sep 29];49(11):1446–56. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=s3h&AN=97252104