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Difficulties with Emotion Regulation and Psychopathology Interact to Predict Early Smoking Cessation Lapse.

Title: Difficulties with Emotion Regulation and Psychopathology Interact to Predict Early Smoking Cessation Lapse.
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Name(s): Farris, Samantha G, author
Zvolensky, Michael J, author
Schmidt, Norman B, author
Type of Resource: text
Genre: Journal Article
Text
Date Issued: 2016-06-01
Physical Form: computer
online resource
Extent: 1 online resource
Language(s): English
Abstract/Description: There is little knowledge about how emotion regulation difficulties interplay with psychopathology in terms of smoking cessation. Participants ( = 250; 53.2 % female, = 39.5, = 13.85) were community-recruited daily smokers (≥8 cigarettes per day) who self-reported motivation to quit smoking; 38.8 % of the sample met criteria for a current (past 12-month) psychological disorder. Emotion regulation deficits were assessed pre-quit using the Difficulties with Emotion Regulation Scale (DERS; Gratz and Roemer in J Psychopathol Behav Assess 26(1):41-54, 2004) and smoking behavior in the 28 days post-quit was assessed using the Timeline Follow-Back (TLFB; Sobell and Sobell in Measuring alcohol consumption: psychosocial and biochemical methods. Humana Press, Totowa, 1992). A Cox proportional-hazard regression analysis was used to model the effects of past-year psychopathology, DERS (total score), and their interaction, in terms of time to lapse post-quit day. After adjusting for the effects of gender, age, pre-quit level of nicotine dependence, and treatment condition, the model revealed a non-significant effect of past-year psychopathology ( = 1.14, = 0.82-1.61) and difficulties with emotion regulation ( = 1.01, = 1.00-1.01) on likelihood of lapse rate. However, the interactive effect of psychopathology status and difficulties with emotion regulation was significant ( = 0.98, = 0.97-0.99). Specifically, there was a significant conditional effect of psychopathology status on lapse rate likelihood at low, but not high, levels of emotion regulation difficulties. Plots of the cumulative survival functions indicated that for smokers without a past-year psychological disorder, those with lower DERS scores relative to elevated DERS scores had significantly lower likelihood of early smoking lapse, whereas for smokers with past-year psychopathology, DERS scores did not differentially impact lapse rate likelihood. Smokers with emotion regulation difficulties may have challenges quitting, and not having such difficulties, especially without psychopathology, decreases the potential likelihood of early lapse.
Identifier: FSU_pmch_27239081 (IID), 10.1007/s10608-015-9705-5 (DOI), PMC4879832 (PMCID), 27239081 (RID), 27239081 (EID)
Keywords: Emotion regulation, Lapse, Nicotine, Psychopathology, Tobacco
Grant Number: F31 DA035564, R01 MH076629
Publication Note: This NIH-funded author manuscript originally appeared in PubMed Central at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4879832.
Persistent Link to This Record: http://purl.flvc.org/fsu/fd/FSU_pmch_27239081
Host Institution: FSU
Is Part Of: Cognitive therapy and research.
0147-5916
Issue: iss. 3, vol. 40

Choose the citation style.
Farris, S. G., Zvolensky, M. J., & Schmidt, N. B. (2016). Difficulties with Emotion Regulation and Psychopathology Interact to Predict Early Smoking Cessation Lapse. Cognitive Therapy And Research. Retrieved from http://purl.flvc.org/fsu/fd/FSU_pmch_27239081