Pain characteristics and nicotine deprivation as predictors of performance during a laboratory paradigm of smoking cessation.

Powers, Jessica M.; LaRowe, Lisa R.; Heckman, Bryan W.; Ditre, Joseph W.

doi:10.1037/adb0000532

Cited by 9 publications

(5 citation statements)

References 117 publications

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“…They concluded that assessment of pain perception (e.g., by cold pressor test) could be used to identify smokers at increased risk of relapse. Furthermore, Powers concluded in their study that prolonged pain might lead to increased nicotine use, and it will be essential to investigate the benefits of pharmacotherapy to improve the control of these symptoms [ 49 ].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Smoking Cessation on Acute Pain: A Systematic Review

et al. 2022

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Smoking is a known risk factor for developing various pain-related disorders. However, acute pain often triggers the craving for cigarette consumption, resulting in a positive feedback mechanism. In addition, there is evidence of decreased pain tolerance during the early stages of abstinence. Therefore, in this study, we aimed to investigate whether a period of decreased pain tolerance and increased pain intensity occurs during smoking cessation. A systematic literature search was conducted through PubMed and Web of Science databases for controlled studies investigating the influence of smoking cessation on acute (defined as pain presentation of \ 3 months) and postoperative pain. The outcomes of interest included pain perception threshold, pain tolerance, pain intensity, and postoperative opioid requirements. The search strategy yielded 1478 studies, of which 13 clinical studies met our inclusion criteria. The included studies collectively represented data from 1721 participants from four countries. Of these, 43.3% of the included individuals were females. The mean age of the included subjects was 44.2 ± 8.2 years. The duration of smoking cessation varied considerably. The shortest duration was 2 h; others investigated the effect after more than 1 month of smoking cessation. Smokers had a history of 14.6 ± 9.9 years of nicotine abuse. The mean number of daily smoked cigarettes was 17.5 ± 10.3. Most studies examined in this systematic review show a negative influence of smoking cessation on acute pain. However, the affected pain modalities, the duration of the altered pain perception, and whether male and female smokers are equally affected could not be ascertained due to high heterogeneity and few available studies.

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Section: Discussionmentioning

confidence: 99%

The Effect of Smoking Cessation on Acute Pain: A Systematic Review

et al. 2022

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“…Smokers with chronic pain are also more likely to report severe problems with mobility and with performing usual activities [ 77 ]. Furthermore, in a laboratory paradigm of smoking withdrawal, greater pain-related disability has been shown to predict shorter latency to lapse [ 83 ]. Our study also reported high rates of pain-related anxiety and low self-efficacy, with a mean pain-related anxiety score of 47.9 out of 100 points.…”

Section: Discussionmentioning

confidence: 99%

Pain and smoking study (PASS): A comparative effectiveness trial of smoking cessation counseling for veterans with chronic pain

Bastian¹,

Driscoll²,

DeRycke³

et al. 2021

Contemporary Clinical Trials Communications

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Introduction Smoking is associated with greater pain intensity and pain-related functional interference in people with chronic pain. Interventions that teach smokers with chronic pain how to apply adaptive coping strategies to promote both smoking cessation and pain self-management may be effective. Methods The Pain and Smoking Study (PASS) is a randomized clinical trial of a telephone-delivered, cognitive behavioral intervention among Veterans with chronic pain who smoke cigarettes. PASS participants are randomized to a standard telephone counseling intervention that includes five sessions focusing on motivational interviewing, craving and relapse management, rewards, and nicotine replacement therapy versus the same components with the addition of a cognitive behavioral intervention for pain management. Participants are assessed at baseline, 6, and 12 months. The primary outcome is smoking cessation. Results The 371 participants are 88% male, a median age of 60 years old (range 24–82), and smoke a median of 15 cigarettes per day. Participants are mainly white (61%), unemployed (70%), 33% had a high school degree or less, and report their overall health as “Fair” (40%) to “Poor” (11%). Overall, pain was moderately high (mean pain intensity in past week = 5.2 (Standard Deviation (SD) = 1.6) and mean pain interference = 5.5 (SD = 2.2)). Pain-related anxiety was high (mean = 47.0 (SD = 22.2)) and self-efficacy was low (mean = 3.8 (SD = 1.6)). Conclusions PASS utilizes an innovative smoking and pain intervention to promote smoking cessation among Veterans with chronic pain. Baseline characteristics reflect a socioeconomically vulnerable population with a high burden of mental health comorbidities.

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“…In a conceptual synthesis, Ditre et al hypothesized a reciprocal model for the link between pain and smoking fueled by myriad social, biological, and physiological factors in which pain and smoking exacerbate each other, resulting in a positive feedback loop of greater pain and increased smoking [8,9]. This feedback loop has been validated in recent studies showing that pain increases the urge to smoke in a dose-dependent relationship, [10][11][12] and that smokers with co-occurring pain are less likely to initiate and maintain a cessation attempt [13].…”

Section: Introductionmentioning

confidence: 99%