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Published on: August 6, 2013
Task persistence predicts smoking cessation in smokers with and without schizophrenia
Marc L Steinberg1, Jill M Williams, Kunal K Gandhi
1Department of Psychiatry, Robert Wood Johnson Medical School, 317 George Street, Suite 105, New Brunswick, NJ 08901, USA. marc.steinberg@umdnj.edu
Task persistence, or distress tolerance, is key for quitting smoking. This trait predicts successful smoking cessation in both individuals with and without schizophrenia, suggesting targeted interventions may help.
Area of Science:
- Psychology
- Psychiatry
- Behavioral Science
Background:
- Achieving and maintaining smoking abstinence requires cognitive and behavioral coping strategies.
- Task persistence, the ability to persist in difficult tasks, is crucial for managing smoking cues, urges, and withdrawal symptoms.
Purpose of the Study:
- To investigate if task persistence prospectively predicts smoking cessation.
- To examine this relationship in a mixed sample of smokers with and without schizophrenia.
Main Methods:
- A prospective study involving 71 smokers with schizophrenia or schizoaffective disorder and 78 nonpsychiatric smokers.
- Task persistence was measured using a mirror-tracing task before the quit date.
- Tobacco use was tracked for 6 months post-quit date using generalized estimating equations.
Main Results:
- Task persistence significantly predicted smoking cessation.
- This prediction remained valid after controlling for psychiatric diagnosis, nicotine dependence, and self-efficacy to quit.
- The predictive value of task persistence was consistent across smokers with and without schizophrenia.
Conclusions:
- Task persistence is an important factor in successful smoking cessation.
- Interventions aimed at enhancing task persistence may be beneficial for smoking cessation protocols, including for individuals with schizophrenia.
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