Applying a behavioral economic approach to understanding smoking processes: The indirect effect of past quit experiences.

Autor: Robison J; Department of Psychology, University of Houston, 3695 Cullen Boulevard, Suite 104, Houston, TX, United States. Electronic address: jrobiso2@cougarnet.uh.edu., Aston ER; Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, RI, United States., Matoska CT; Department of Psychology, University of Houston, 3695 Cullen Boulevard, Suite 104, Houston, TX, United States., Smit T; Department of Psychology, University of Houston, 3695 Cullen Boulevard, Suite 104, Houston, TX, United States., Neighbors C; Department of Psychology, University of Houston, 3695 Cullen Boulevard, Suite 104, Houston, TX, United States., Businelle M; TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences, 655 Research Parkway, Oklahoma City, OK, United States; Department of Family and Preventive Medicine, The University of Oklahoma Health Sciences, Oklahoma City, OK, United States., Zvolensky MJ; Department of Psychology, University of Houston, 3695 Cullen Boulevard, Suite 104, Houston, TX, United States; Department of Behavioral Sciences, University of Texas MD Anderson Cancer Center, Houston, TX, United States; HEALTH Institute, University of Houston, Houston, TX, United States., Garey L; Department of Psychology, University of Houston, 3695 Cullen Boulevard, Suite 104, Houston, TX, United States; HEALTH Institute, University of Houston, Houston, TX, United States.
Jazyk: angličtina
Zdroj: Drug and alcohol dependence [Drug Alcohol Depend] 2024 Dec 01; Vol. 265, pp. 112492. Date of Electronic Publication: 2024 Nov 01.
DOI: 10.1016/j.drugalcdep.2024.112492
Abstrakt: Background: The Cigarette Purchase Tasks (CPT) measures the relative reinforcing value of cigarettes (i.e., cigarette demand). Extant work supports a relation between cigarette demand and smoking dependence and abstinence. However, little work has focused on how demand relates to cognitive processes hindering smoking cessation (i.e., negative affect reduction smoking motives and expectancies, perceived barriers for quitting) or explanatory variables (i.e., negative quit-related experiences) that may underlie such relations.
Methods: The present study (N=100; 70 % male; M age =45.34 years, SD=11.02) evaluated the indirect effect of cigarette demand, including intensity (i.e., consumption at zero cost), O max (i.e., maximum expenditure across prices), and elasticity (i.e., price associated with O max ) on smoking motives, smoking expectancies, and perceived barriers for quitting through negative experiences with past quit attempts.
Results: Results indicated statistically significant indirect effects of intensity on negative affect reduction smoking motives (ab=.06, SE=.03, CI 95 % [.017,.123]), expectancies for smoking to relieve negative affect (ab=.01, SE=.01, CI 95 % [.002,.025], and perceived barriers for quitting (ab=.16, SE=.06, CI 95 % [.045,.294]) through past quit challenges. In contrast, O max and elasticity did not show significant indirect effects, highlighting the uniqueness of intensity relative to O max and elasticity.
Conclusions: Findings suggest intensity may be a useful metric for identifying those at risk for negative quit-related experiences, an important finding given negative experiences are associated with poorer cessation-related outcomes. Future work should replicate and extend these findings across diverse populations and evaluate the temporal relationship between high levels of cigarette demand and cessation related challenges.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024. Published by Elsevier B.V.)
Databáze: MEDLINE
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