Real-time craving and mood assessments before and after smoking.
- Authors
- Carter, Brian L; Lam, Cho Y; Robinson, Jason D; Paris, Megan M; Waters, Andrew J; Wetter, David W; Cinciripini, Paul M
- Year
- 2008
- Journal
- Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
- PMID
- 18629726
- DOI
- 10.1080/14622200802163084
- PMCID
- PMC4346280
This study explored some quandaries concerning craving and mood as motivators to smoke. Craving and negative mood have long been associated with day-to-day smoking as two of the primary motivational forces behind the maintenance of the behavior, as well as significant barriers in smokers' attempts to quit. Craving remains a clinically relevant phenomenon, with most smokers describing craving as a troublesome problem when quitting. Smokers' self-reports of negative mood, as an antecedent for smoking, are so robustly reported that many models of nicotine dependence have incorporated a critical role for negative mood in maintaining smoking behavior. However, several naturalistic studies that collected mood ratings with hand held computers from smokers in real time, just before smoking a cigarette, have provided scant evidence that negative mood plays a major role in motivation to smoke. No study to date has examined craving and mood data as a consequence of smoking, that is, collecting the same data immediately after smoking. This study used personal digital assistants (PDAs) to collect craving and mood data immediately before smoking, immediately after smoking, and at random times of day. Nontreatment seeking smokers (N = 72) carried a PDA for an average of 10 days while they recorded their smoking behavior. Results showed that craving and negative mood ratings were lowest immediately after smoking compared with immediately before smoking and at random times of day. These findings suggest that smokers may be at least partially motivated to smoke to lower their craving and improve their mood states.
Mean craving scores by assessment type. Note: Standard error bars were omitted because the size of the standard errors (~.021) lacks visual utility. Means and standard deviations were Before=3.89 (SD=.44), After 2.97, (SD=.67), and Random 3.21 (SD=.78). All means were significantly different from each other at the p<.0001 level using Bonferroni adjustment.
LLM interpretation
This bar chart displays mean negative mood scores across three cigarette smoking conditions: "BEFORE," "AFTER," and "RANDOM." The "AFTER" condition shows the lowest mean score (approximately 2.15), while the "BEFORE" and "RANDOM" conditions show higher, similar scores (approximately 2.22–2.24). The y-axis represents "Negative mood" on a scale from 2.0 to 2.5.
Mean negative mood scores by assessment type. Note: Standard error bars were omitted because the size of the standard errors (~.015) lacks visual utility. Also note that the y-axis has been truncated to illustrate the effect. Means and standard deviations were Before=2.22 (SD=.54), After 2.15, (SD=.54), and Random 2.23, (SD=.55). Before and Random means were not significantly different, but both were significant from After at the p<.05 level using Bonferroni adjustment.
LLM interpretation
This is a bar chart showing mean craving scores across three cigarette smoking conditions: "BEFORE," "AFTER," and "RANDOM." The y-axis represents "Craving" on a scale from 0 to 5, with the "AFTER" condition showing the lowest mean score compared to the other two groups. According to the legend, the "AFTER" mean is significantly different from both "BEFORE" and "RANDOM" (p < .05), while no significant difference exists between "BEFORE" and "RANDOM."
| Name | Type |
|---|---|
| abstinence | phenotype |
| After assessment compliance local | phenotype |
| age | phenotype |
| assessment time local | phenotype |
| assessment type local | phenotype |
| baseline stress and anxiety local | phenotype |
| Beckham et al. (2007) local | cohort |
| chippers local | cohort |
| Chippers local | cohort |
| cigarettes | phenotype |
| Cognitive factors | phenotype |
| Conklin and Perkins (2005) local | cohort |
| cotinine | drug |
| craving | phenotype |
| Craving self-report local | phenotype |
| Day-to-Day Smoking local | phenotype |
| Emotional factors local | phenotype |
| expectancy | phenotype |
| expectation | phenotype |
| Expired carbon monoxide level local | phenotype |
| FTND | phenotype |
| heavy drinking | phenotype |
| mood disorders | phenotype |
| negative affect | phenotype |
| negative mood | phenotype |
| nicotine | drug |
| nicotine dependence | phenotype |
| nicotine withdrawal | phenotype |
| nontreatment seeking smokers local | cohort |
| Non-treatment-seeking smokers local | cohort |
| Nontreatment seeking smokers local | cohort |
| participants | cohort |
| Physical factors local | phenotype |
| positive mood | phenotype |
| positive mood ratings local | phenotype |
| posttraumatic stress disorder | phenotype |
| Psychosocial factors | phenotype |
| Random assessment compliance local | phenotype |
| sex | phenotype |
| Shiffman et al. (2002) local | cohort |
| smokers with posttraumatic stress disorder local | cohort |
| smoking | phenotype |
| smoking behavior | phenotype |
| smoking cessation | phenotype |
| Smoking enjoyment local | phenotype |
| smoking enjoyment ratings local | phenotype |
| Smoking expectancy local | phenotype |
| stress | phenotype |
| subsequent smoking local | phenotype |
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| Negative affect among daily smokers: A systematic review and meta-analysis. | Akbari M et al. | — | 2020 | → |
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| Emotion dysregulation and smoking among treatment-seeking smokers. | Rogers AH et al. | — | 2018 | → |
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| Depressive Symptoms and Cigarette Demand as a Function of Induced Stress. | Dahne J et al. | — | 2017 | → |
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| Associations Between Anxiety Sensitivity, Negative Affect, and Smoking During a Self-Guided Smoking Cessation Attempt. | Langdon KJ et al. | — | 2016 | → |
| Concordance of Text Message Ecological Momentary Assessment and Retrospective Survey Data Among Substance-Using Men Who Have Sex With Men: A Secondary Analysis of a Randomized Controlled Trial. | Rowe C et al. | — | 2016 | → |
| Developing an Internet- and Mobile-Based System to Measure Cigarette Use Among Pacific Islanders: An Ecological Momentary Assessment Study. | Pike JR et al. | — | 2016 | → |
| Realising the technological promise of smartphones in addiction research and treatment: An ethical review. | Capon H et al. | — | 2016 | → |
| Spatio-temporal determinants of mental health and well-being: advances in geographically-explicit ecological momentary assessment (GEMA). | Kirchner TR et al. | — | 2016 | → |
| Technological aids for improving longitudinal research on substance use disorders. | Farabee D et al. | — | 2016 | → |
| An Internet-based ecological momentary assessment study relying on participants' own mobile phones: insights from a study with young adult smokers. | Thrul J et al. | — | 2015 | → |
| Ecological momentary assessment in the investigation of craving and substance use in daily life: a systematic review. | Serre F et al. | — | 2015 | → |
| Effects of experimental negative affect manipulations on ad libitum smoking: a meta-analysis. | Heckman BW et al. | — | 2015 | → |
| Influence of smoking cigarettes on cerebral blood flow parameters. | Kochanowicz J et al. | — | 2015 | → |
| Ecological momentary assessment of antecedents and consequences of smoking in adults with attention-deficit/hyperactivity disorder. | Mitchell JT et al. | — | 2014 | → |
| Individual and combined effects of multiple high-risk triggers on postcessation smoking urge and lapse. | Lam CY et al. | — | 2014 | → |
| Reward and affective regulation in depression-prone smokers. | Audrain-McGovern J et al. | — | 2014 | → |
| Craving to quit: psychological models and neurobiological mechanisms of mindfulness training as treatment for addictions. | Brewer JA et al. | — | 2013 | → |
| Influence of affective manipulations on cigarette craving: a meta-analysis. | Heckman BW et al. | — | 2013 | → |
| Mindfulness training for smoking cessation: moderation of the relationship between craving and cigarette use. | Elwafi HM et al. | — | 2013 | → |
| An ecological momentary assessment analysis of prequit markers for smoking-cessation failure. | Yeh VM et al. | — | 2012 | → |
| Ecological momentary assessment in alcohol, tobacco, cannabis and opiate dependence: a comparison of feasibility and validity. | Serre F et al. | — | 2012 | → |
| I (should) need a cigarette: adolescent social anxiety and cigarette smoking. | Henry SL et al. | — | 2012 | → |
| Negative moods correlate with craving in female methamphetamine users enrolled in compulsory detoxification. | Shen W et al. | — | 2012 | → |
| Smoking motives of daily and non-daily smokers: a profile analysis. | Shiffman S et al. | — | 2012 | → |
| Factors predicting the initiation of a tobacco cessation program in Spain. | Lopez-Campos JL et al. | — | 2011 | → |
| Mindfulness training for smoking cessation: results from a randomized controlled trial. | Brewer JA et al. | — | 2011 | → |
| Point process analyses of variations in smoking rate by setting, mood, gender, and dependence. | Shiffman S et al. | — | 2011 | → |
| The subjective effects of alcohol-tobacco co-use: an ecological momentary assessment investigation. | Piasecki TM et al. | — | 2011 | → |
| Using SMS text messaging to assess moderators of smoking reduction: Validating a new tool for ecological measurement of health behaviors. | Berkman ET et al. | — | 2011 | → |
| Within-day temporal patterns of smoking, withdrawal symptoms, and craving. | Chandra S et al. | — | 2011 | → |
| Contextual and subjective antecedents of smoking in a college student sample. | Cronk NJ et al. | — | 2010 | → |
| Depression, craving, and substance use following a randomized trial of mindfulness-based relapse prevention. | Witkiewitz K et al. | — | 2010 | → |
| Emergence of dormant conditioned incentive approach by conditioned withdrawal in nicotine addiction. | Scott D et al. | — | 2010 | → |
| Visuospatial tasks suppress craving for cigarettes. | May J et al. | — | 2010 | → |
| Best practices for smoking cessation: implications for employer-based programs. | Musich S et al. | — | 2009 | → |
| Cocaine craving and use during daily life. | Preston KL et al. | — | 2009 | → |
| Ecological momentary assessment (EMA) in studies of substance use. | Shiffman S | — | 2009 | → |
| Generalized craving, self-report of arousal, and cue reactivity after brief abstinence. | Carter BL et al. | — | 2009 | → |
| Minocycline reduced craving for cigarettes but did not affect smoking or intravenous nicotine responses in humans. | Sofuoglu M et al. | — | 2009 | → |