Effects of depressive symptoms on antecedents of lapses during a smoking cessation attempt: An ecological momentary assessment study

Brodbeck, Jeannette and Bachmann, Monica S. and Brown, Anna and Znoj, Hans Joerg (2014) Effects of depressive symptoms on antecedents of lapses during a smoking cessation attempt: An ecological momentary assessment study. Addiction, 109 (8). pp. 1363-1370. ISSN 09652140. (doi:https://doi.org/10.1111/add.12563) (Full text available)

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AIMS: To investigate pathways through which momentary negative affect and depressive symptoms affect risk of lapse during smoking cessation attempts. DESIGN: Ecological Momentary Assessment was carried out during two weeks after an unassisted smoking cessation attempt. A three-month follow-up measured smoking frequency. SETTING:Data were collected via mobile devices in German-speaking Switzerland. PARTICIPANTS: A total of 242 individuals (age 20-40, 67% men) reported 7,112 observations. MEASUREMENTS: Online surveys assessed baseline depressive symptoms and nicotine dependence. Real-time data on negative affect, physical withdrawal symptoms, urge to smoke, abstinence-related self-efficacy, and lapses. FINDINGS: Two-level structural equation model suggested that on the situational level, negative affect increased the urge to smoke and decreased self-efficacy (β = .20; β = -.12, respectively), but had no direct effect on lapse risk. A higher urge to smoke (β = .09) and lower self-efficacy (β = -.11) were confirmed as situational antecedents of lapses. Depressive symptoms at baseline were a strong predictor of a person's average negative affect (β = .35, all p <.001). However, the baseline characteristics influenced smoking frequency three months later only indirectly, through influences of average states on the number of lapses during the quit attempt. CONCLUSIONS: Controlling for nicotine dependence, higher depressive symptoms at baseline were strongly associated with a worse longer-term outcome. Negative affect experienced during the quit attempt was the only pathway through which the baseline depressive symptoms were associated with a reduced self-efficacy and increased urges to smoke, all leading to the increased probability of lapses.

Item Type: Article
Uncontrolled keywords: depression, ecological momentary assessment, lapse, relapse, smoking
Subjects: B Philosophy. Psychology. Religion > BF Psychology
Divisions: Faculties > Social Sciences > School of Psychology > Applied Psychology
Depositing User: Anna Brown
Date Deposited: 14 Apr 2014 12:45 UTC
Last Modified: 06 Jul 2015 09:45 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/39146 (The current URI for this page, for reference purposes)
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