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Related Experiment Videos

Postcessation cigarette use: the process of relapse.

T H Brandon1, S T Tiffany, K M Obremski

  • 1University of Wisconsin, Madison.

Addictive Behaviors
|January 1, 1990
PubMed
Summary

Smoking relapse is linked to pretreatment confidence and the circumstances of the first cigarette after quitting. Early smoking cues, not immediate reactions, predict return to daily smoking in cessation program graduates.

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Area of Science:

  • Behavioral Psychology
  • Addiction Research
  • Public Health

Background:

  • Chronic smoking presents a significant public health challenge.
  • Smoking cessation programs aim to help individuals quit, but relapse rates remain high.
  • Understanding relapse triggers is crucial for improving treatment efficacy.

Purpose of the Study:

  • To examine the progression from initial postcessation smoking to full relapse.
  • To identify factors influencing the latency to return to daily smoking.
  • To explore the relationship between pretreatment characteristics and relapse dynamics.

Main Methods:

  • A cohort of 129 chronic smokers completed a cessation program (behavioral counseling and aversive smoking).
  • Standardized telephone interviews were used to track smoking behavior over a two-year follow-up.

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  • Statistical analysis examined the correlation between pretreatment factors and relapse patterns.

    • Main Results:

    • 92 out of 129 subjects (71%) reported smoking during follow-up.
    • The time to relapse was significantly associated with pretreatment confidence levels.
    • The affective state and origin of the first cigarette postcessation also predicted relapse.
    • Immediate affective reactions or coping responses to the first cigarette did not correlate with relapse rate.

    Conclusions:

    • Pretreatment psychological factors and the context of the first lapse are key predictors of smoking relapse.
    • Targeting confidence and managing initial lapse situations may enhance smoking cessation interventions.
    • Further research should explore the nuances of relapse trajectories in diverse smoker populations.