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Elevated positive mood: a mixed blessing for abstinence.

Neal Doran1, Bonnie Spring, Belinda Borrelli

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

Psychology of Addictive Behaviors : Journal of the Society of Psychologists in Addictive Behaviors
|March 16, 2006
PubMed
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Initial positive mood (PM) impacts smoking cessation success. Smokers with lower baseline PM may benefit from fluoxetine treatment for improved long-term abstinence.

Area of Science:

  • Psychiatry
  • Behavioral Science
  • Addiction Medicine

Background:

  • Positive mood (PM) is a psychological factor that may influence smoking cessation.
  • Understanding the role of PM in smoking cessation is crucial for developing effective interventions.
  • Previous research has not fully elucidated the relationship between initial PM levels and cessation outcomes or treatment efficacy.

Purpose of the Study:

  • To examine the influence of initial positive mood (PM) on smoking cessation.
  • To determine if smokers with low initial PM benefit from fluoxetine compared to placebo for smoking cessation.

Main Methods:

  • Secondary analysis of published data from a randomized controlled trial.
  • Included 103 euthymic adult smokers undergoing 10 weeks of smoking cessation treatment.

Related Experiment Videos

  • Analyzed the interaction between baseline PM, treatment (fluoxetine vs. placebo), and smoking abstinence over time.
  • Main Results:

    • A significant Time x PM interaction indicated that higher baseline PM predicted decreased abstinence during treatment but increased abstinence post-treatment, mediated by dropout.
    • A significant interaction between dichotomous initial PM and drug treatment suggested fluoxetine provided a benefit for smokers with low baseline PM.
    • Lower pretreatment PM was associated with inhibited long-term smoking cessation.

    Conclusions:

    • Initial positive mood is a significant predictor of smoking cessation outcomes.
    • Smokers with lower baseline positive mood may experience greater long-term cessation success with fluoxetine treatment.
    • Interventions aimed at increasing positive mood in smokers with low baseline PM may enhance cessation efforts.