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Impulsivity and smoking relapse.

Neal Doran1, Bonnie Spring, Dennis McChargue

  • 1Department of Psychology, University of Illinois at Chicago, 60607, USA. ndoran1@uic.edu

Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco
|September 17, 2004
PubMed
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Higher trait-impulsivity predicts faster relapse to smoking after nicotine abstinence. This suggests impulsivity, not mood or craving, drives relapse in some smokers.

Area of Science:

  • Behavioral Psychology
  • Neuroscience
  • Addiction Research

Background:

  • Elevated trait-impulsivity is linked to initiating tobacco use.
  • Nicotine may be more rewarding for impulsive individuals.
  • The impact of impulsivity on maintaining nicotine abstinence is unknown.

Purpose of the Study:

  • To test if higher trait-impulsivity predicts relapse after nicotine abstinence.
  • To investigate the relationship between impulsivity and smoking relapse.
  • To understand factors influencing smoking cessation success.

Main Methods:

  • 45 euthymic regular smokers with prior major depressive episodes participated.
  • Participants underwent a 1-day skills training workshop.
  • Bioverified 48-hour nicotine abstinence followed, with 1-month follow-up.

Related Experiment Videos

Main Results:

  • Higher impulsivity significantly predicted shorter time to relapse (beta=-.39, p=.011).
  • Impulsivity explained 14.7% of the variance in relapse.
  • Relapse was not mediated by positive affect, negative affect, or craving.

Conclusions:

  • Trait-impulsivity is a predictor of smoking relapse after abstinence.
  • Mechanisms beyond mood and craving explain impulsive smokers' difficulty maintaining abstinence.
  • Targeted treatments for impulsive smokers are needed.