Stress-related increases in risk taking and attentional failures predict earlier relapse to smoking in young adults: A pilot investigation

Experimental and Clinical Psychopharmacology
Ty S SchepisSuchitra Krishnan-Sarin

Abstract

Substantial evidence links greater impulsivity and stress exposure to poorer smoking cessation outcomes. Results from adolescents also indicate that stress-related change in risk taking can impede cessation attempts. We investigated the effects of stress-related change in impulsivity, risk taking, attention and nicotine withdrawal, and craving in young adult smokers on time to smoking relapse in a relapse analogue paradigm. Twenty-six young adult smokers (50% women; mean age: 20.9 ± 1.8) were exposed to a stress imagery session followed by a contingency management-based relapse analogue paradigm. Participants smoked at least 5 cigarettes daily, with a mean baseline carbon monoxide (CO) level of 13.7 (± 5.1) ppm. Repeated measures analysis of variance (ANOVA) and paired t tests examined stress induction validity and Cox regressions of proportional hazards examined the effects of stress-related changes in nicotine withdrawal, nicotine craving, attention, impulsivity, and risk taking on time to relapse. While stress-related change in impulsivity, nicotine craving and withdrawal did not predict time to relapse (all ps > .10), greater stress-related increases in reaction time (RT) variability (p = .02) were predictive of shorter tim...Continue Reading

Citations

May 10, 2017·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Michael J ZvolenskyRenee D Goodwin
Oct 27, 2018·Revista gaúcha de enfermagem·Keity Laís Siepmann SoccolJanaina Lunardi Canabarro
Apr 12, 2019·Journal of Preventive Medicine and Public Health = Yebang Ŭihakhoe Chi·Yeji Lee, Kang-Sook Lee
Jun 11, 2021·The American Journal on Addictions·Alan C SwannThomas R Kosten
Jun 7, 2021·Drug and Alcohol Dependence·Irene Pericot-ValverdeDiann E Gaalema

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