Hostility as a Predictor of Affective Changes During Acute Tobacco Withdrawal

Quinn, Audra; Sekimura, Stephanie; Pang, Raina D.; Trujillo, Michal; Kahler, Christopher W.; Leventhal, Adam M.

doi:10.1093/ntr/ntt151

Cited by 9 publications

(5 citation statements)

References 28 publications

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“…The second explanation is that depressed smokers are more sensitive to a wide range of correlated adverse triggers for smoking. In fact, a wide range of adverse states (in addition to negative affect and abstinence) have been shown to augment tobacco motivation including stress/anxiety (Owens et al, 2014), rumination (Dvorak et al, 2011), anger/hostility (Quinn et al, 2014; Zuo et al, 2016), cognitive dysfunction (Hall et al, 2015), fatigue/sleepiness (Hamidovic and de Wit, 2009) and reward hyposensitivity (Peechatka et al, 2015). Although it remains to be tested whether depressed smokers are more sensitive to all of these adverse triggers, our finding that they are more sensitive to both mood induction and abstinence suggests this may be the case.…”

Section: Discussionmentioning

confidence: 99%

Current major depression is associated with greater sensitivity to the motivational effect of both negative mood induction and abstinence on tobacco-seeking behavior

Hogarth

Mathew

Hitsman

2017

Drug and Alcohol Dependence

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Background Although depression and smoking commonly co-occur, the mechanisms underpinning this association are poorly understood. One hypothesis is that depression promotes tobacco dependence, persistence and relapse by increasing sensitivity to acute negative mood and abstinence induced tobacco-seeking behavior. Methods Twenty nine daily smokers of >10 cigarettes per day, nine with major depression and 20 without, completed two laboratory sessions one week apart, smoking as normal prior to session 1 (sated session), and 6 hours abstinent prior to session 2 (abstinent session). In both sessions, tobacco-seeking was measured at baseline by preference to view smoking versus food images. Negative mood was then induced by negative ruminative statements and sad music, before tobacco-seeking was measured again at test. Results In the sated session, negative mood induction produced a greater increase in tobacco choice from baseline to test in depressed (p<.001, ηp2=.782) compared to non-depressed smokers (p=.045, ηp2=.216, interaction: p=.046, ηp2=.150). Abstinence also produced a greater increase in baseline tobacco choice between the sated and abstinent sessions in depressed (p=.002, ηp2=.771) compared to non-depressed smokers (p=.22, ηp2=.089, interaction: p=.023, ηp2=.189). These mood and abstinence induced increases in tobacco choice were positively associated with depression symptoms across the sample as a whole (ps≤.04, ηp2≥.159), and correlated with each other (r=.67, p<.001). Conclusions Current major depression or depression symptoms may promote tobacco dependence, persistence and relapse by increasing sensitivity to both acute negative mood and abstinence induced tobacco-seeking behavior. Treatments should seek to break the association between adverse states and smoking to cope.

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Section: Discussionmentioning

confidence: 99%

Current major depression is associated with greater sensitivity to the motivational effect of both negative mood induction and abstinence on tobacco-seeking behavior

Hogarth

Mathew

Hitsman

2017

Drug and Alcohol Dependence

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“…33 Based on the situation Â trait adaptive response model of smoking that hypothesizes that motivation to smoke is determined by the interaction of trait dispositions and statespecific circumstances, we suspect that trait PMA may amplify one's sensitivity to the acute effects of tobacco administration and abstinence in a trait-consistent manner. 34 As has been shown with other psychopathological traits implicated in smoking (ie, neuroticism, hostility, and impulsivity), [34][35][36][37] we suspect that smokers with high (vs. low) PMA may experience more mood enhancement and dysregulation upon tobacco administration and withdrawal, respectively. The current study's cross-sectional relations with mood-relevant smoking expectancies, motivation, and retrospective nicotine withdrawal are consistent with this notion, though future research is required to test these specific hypotheses.…”

Section: Discussionmentioning

confidence: 81%

Smoking-related correlates of psychomotor restlessness and agitation in a community sample of daily cigarette smokers

Wong

Leventhal

2014

Am J Addict

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Background and Objectives: Psychomotor restlessness and agitation (PMA) is a putatively important, yet understudied, psychopathologic correlate of smoking. The scant smoking research on PMA previously conducted has been narrow in scope and conducted among psychiatric patients. To examine the generalizability and relevance of PMA to smoking, this cross-sectional study investigated associations between PMA and a variety of smoking processes in a community sample. Methods: Participants in this study were non-treatment-seeking smokers (N ¼ 254, !10 cig/day, M age ¼ 44 years) from the community without an active mood disorder. At baseline, they completed a PMA symptom checklist, a composite depressive symptom index, and a battery of smoking questionnaires. Results: Linear regression models adjusting for depressive symptoms and demographics indicated that PMA level was positively associated with severity of nicotine withdrawal symptoms during prior quit attempts (b ¼ .18, p < .05), anticipated likelihood of withdrawal in a future quit attempt (b ¼ .19, p < .05), motivation to smoke for negative reinforcement (b ¼ .14, p < .05), and smoking expectancies for negative reinforcement (b ¼ .17, p < .05), negative consequences (b ¼ .22, p < .01), and positive reinforcement (b ¼ .14, p < .05). PMA was not significantly associated with smoking chronicity, frequency, or dependence severity. Conclusion and Scientific Significance: Smokers with elevated PMA appear to experience greater smoking-induced affect modulation and nicotine withdrawal than the average smoker, regardless of other depressive symptoms. Given that PMA differentiates a qualitatively unique profile of smoking characteristics, PMA warrants consideration in tobacco addiction research and practice. (Am J Addict 2014;23:1-7)BACKGROUND AND OBJECTIVES

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“…Based on the situation × trait adaptive response model of smoking that hypothesizes that motivation to smoke is determined by the interaction of trait dispositions and state‐specific circumstances, we suspect that trait PMA may amplify one's sensitivity to the acute effects of tobacco administration and abstinence in a trait‐consistent manner . As has been shown with other psychopathological traits implicated in smoking (ie, neuroticism, hostility, and impulsivity), we suspect that smokers with high (vs. low) PMA may experience more mood enhancement and dysregulation upon tobacco administration and withdrawal, respectively. The current study's cross‐sectional relations with mood‐relevant smoking expectancies, motivation, and retrospective nicotine withdrawal are consistent with this notion, though future research is required to test these specific hypotheses.…”

Section: Discussionmentioning

confidence: 90%

Smoking‐related correlates of psychomotor restlessness and agitation in a community sample of daily cigarette smokers

Wong

Leventhal²

2015

American J Addict

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Background and Objectives Psychomotor restlessness and agitation (PMA) is a putatively important, yet understudied, psychopathologic correlate of smoking. The scant smoking research on PMA previously conducted has been narrow in scope and conducted among psychiatric patients. To examine the generalizability and relevance of PMA to smoking, this cross-sectional study investigated associations between PMA and a variety of smoking processes in a community sample. Methods Participants in this study were non-treatment-seeking smokers (N = 254, ≥10 cig/day, M age = 44 years) from the community without an active mood disorder. At baseline, they completed a PMA symptom checklist, a composite depressive symptom index, and a battery of smoking questionnaires. Results Linear regression models adjusting for depressive symptoms and demographics indicated that PMA level was positively associated with severity of nicotine withdrawal symptoms during prior quit attempts (β = .18, p < .05), anticipated likelihood of withdrawal in a future quit attempt (β = .19, p < .05), motivation to smoke for negative reinforcement (β = .14, p < .05), and smoking expectancies for negative reinforcement (β = .17, p < .05), negative consequences (β = .22, p < .01), and positive reinforcement (β = .14, p < .05). PMA was not significantly associated with smoking chronicity, frequency, or dependence severity. Conclusion and Scientific Significance Smokers with elevated PMA appear to experience greater smoking-induced affect modulation and nicotine withdrawal than the average smoker, regardless of other depressive symptoms. Given that PMA differentiates a qualitatively unique profile of smoking characteristics, PMA warrants consideration in tobacco addiction research and practice.

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Hostility as a Predictor of Affective Changes During Acute Tobacco Withdrawal

Cited by 9 publications

References 28 publications

Current major depression is associated with greater sensitivity to the motivational effect of both negative mood induction and abstinence on tobacco-seeking behavior

Current major depression is associated with greater sensitivity to the motivational effect of both negative mood induction and abstinence on tobacco-seeking behavior

Smoking-related correlates of psychomotor restlessness and agitation in a community sample of daily cigarette smokers

Smoking‐related correlates of psychomotor restlessness and agitation in a community sample of daily cigarette smokers

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