Chronic Pain Status, Nicotine Withdrawal, and Expectancies for Smoking Cessation Among Lighter Smokers

Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine
Joseph W DitreStephen A Maisto

Abstract

Chronic pain and tobacco smoking are both highly prevalent and comorbid conditions, and chronic pain may pose a barrier to smoking cessation. The objective of this study was to test associations between chronic pain status and several smoking-related factors that have previously been shown to predict cessation outcomes. Daily smokers (N = 205) were recruited from the general population to complete an online survey of pain and tobacco smoking. Results indicated that smokers with chronic pain (vs. no chronic pain) consumed more cigarettes per day, scored higher on an established measure of tobacco dependence, reported having less confidence in their ability to quit, and endorsed expectations for experiencing greater difficulty and more severe nicotine withdrawal during future cessation attempts. Mediation analyses further indicated that the inverse association between chronic pain and abstinence self-efficacy was indirectly influenced by past cessation failures. These findings suggest that individuals with chronic pain may constitute an important subgroup of tobacco smokers who tend to experience lower confidence and greater difficulty when attempting to quit. Future research would benefit from replicating these findings among ol...Continue Reading

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Citations

Feb 3, 2018·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Andrea H WeinbergerJonathan Shuter
Jul 10, 2019·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Romano EndrighiBelinda Borrelli
Mar 25, 2020·Pain·Lisa R LaRowe, Joseph W Ditre
Jul 1, 2020·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Joseph W DitreJessica M Powers
Sep 17, 2020·Global Spine Journal·Benjamin T RainesJames L Cook
Jul 24, 2020·Pain·Lisa R LaRowe, Joseph W Ditre
Jan 1, 2019·Current Addiction Reports·Sarah D LichensteinKathleen A Garrison
Mar 30, 2016·Pain·Joseph W DitreStephen A Maisto
Jan 28, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Patrick J HammettSteven S Fu

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