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Brunault P, Ingrand I, Solinas M, Dugast E, Pérault-Pochat MC, Ingrand P, Vanderkam P, Lafay-Chebassier C. Smokers with higher positive or negative urgency have lower rates of smoking cessation success 12 months after a quit attempt. Sci Rep 2024; 14:12321. [PMID: 38811767 PMCID: PMC11137130 DOI: 10.1038/s41598-024-62972-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Accepted: 05/23/2024] [Indexed: 05/31/2024] Open
Abstract
Impulsivity dimensions have been shown to be associated with smoking status and tobacco use disorder severity. However, it is important to determine the specific impulsivity traits associated with smoking relapse. This study aimed at investigating the associations between impulsivity traits and smoking cessation success among adult smokers at 12 months after a quit attempt. Participants were 68 adult smokers enrolled in a 3-month course of simvastatine or placebo associated with behavioral cessation support, with a 9-month follow-up (ADDICSTATINE study). They were classified in 3 groups according to smoking status: abstinent, reduction ≥ 50%baseline or reduction < 50%baseline at 3 and 12 months. Impulsivity traits were assessed using the UPPS-P-scale. At 12 months, abstainers and participants who reduced smoking by 50% or more had significantly lower scores in negative and positive urgency compared to participants who reduced smoking by less than 50% (p = 0.011 and 0.0059). These urgency traits scores at 12 months were significantly and negatively correlated with smoking reduction at 12 months (p = 0.017 and 0.0012). These impulsivity traits were also associated with the smoking cessation success at 3 months. Patients who were abstinent at 3 months had also lower negative and positive urgency (p = 0.017 and 0.0039). Smoking cessation success at 3 and 12 months were not associated with the other impulsivity traits, sensation seeking, lack of premeditation or perseverance. Our findings suggest that positive and negative urgency are associated with smoking cessation success. Proposing better tailored-based-treatment targeting these impulsivity traits in combination with conventional treatment may help improving smoking treatment success.
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Affiliation(s)
- Paul Brunault
- CHRU de Tours, Service d'Addictologie Universitaire, Équipe de Liaison et de Soins en Addictologie, Tours, France
- UMR 1253, iBrain, Université de Tours, Inserm, Tours, France
- Université de Tours, QualiPsy, EE 1901, Tours, France
| | - Isabelle Ingrand
- Registre Des Cancers Poitou-Charentes, Université de Poitiers, Poitiers, France
| | - Marcello Solinas
- INSERM U-1084, Laboratoire de Neurosciences Expérimentales et Cliniques, Université de Poitiers, Poitiers, France
- Unité de Recherche Clinique Pierre Deniker, Centre Hospitalier Henri Laborit, Poitiers, France
| | - Emilie Dugast
- INSERM U-1084, Laboratoire de Neurosciences Expérimentales et Cliniques, Université de Poitiers, Poitiers, France
- INSERM, Centre d'Investigation Clinique CIC 1402, Université de Poitiers, CHU Poitiers, Poitiers, France
| | - Marie-Christine Pérault-Pochat
- INSERM U-1084, Laboratoire de Neurosciences Expérimentales et Cliniques, Université de Poitiers, Poitiers, France
- INSERM, Centre d'Investigation Clinique CIC 1402, Université de Poitiers, CHU Poitiers, Poitiers, France
- Service de Pharmacologie Clinique, CHU Poitiers, Poitiers, France
| | - Pierre Ingrand
- Registre Des Cancers Poitou-Charentes, Université de Poitiers, Poitiers, France
- INSERM, Centre d'Investigation Clinique CIC 1402, Université de Poitiers, CHU Poitiers, Poitiers, France
| | - Paul Vanderkam
- INSERM U-1084, Laboratoire de Neurosciences Expérimentales et Cliniques, Université de Poitiers, Poitiers, France
- Département de Médecine Générale, Université de Bordeaux, Bordeaux, France
| | - Claire Lafay-Chebassier
- INSERM U-1084, Laboratoire de Neurosciences Expérimentales et Cliniques, Université de Poitiers, Poitiers, France.
- INSERM, Centre d'Investigation Clinique CIC 1402, Université de Poitiers, CHU Poitiers, Poitiers, France.
- Service de Pharmacologie Clinique, CHU Poitiers, Poitiers, France.
- Centre Hospitalier Universitaire de Poitiers, 2 rue de la Milétrie - CS 90577, 86021, Poitiers Cedex, France.
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Russell CA, Buhrau D, Hamby A. Reducing Television Influences on US Adolescents Who are High Reactance. JOURNAL OF CHILDREN AND MEDIA 2019; 15:10.1080/17482798.2019.1706184. [PMID: 33927781 PMCID: PMC8078140 DOI: 10.1080/17482798.2019.1706184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/18/2019] [Revised: 10/12/2019] [Accepted: 12/15/2019] [Indexed: 06/12/2023]
Abstract
Watching a lot of television (TV), where alcohol consumption is depicted frequently and mostly positively, can enhance teens' drinking intentions. This influence is particularly problematic among high-reactance teens (that is, those with a predisposition to resist adult control). This study documents one strategy parents can use to counteract TV influences: parental presence during the TV viewing experience (co-viewing). Survey data were collected from a nationally representative sample of parents and their children aged 13-17 (N = 396). Parents reported how they monitored their children's TV consumption, and adolescents completed a survey in which they reported the amount of TV they watch, completed a trait reactance scale and indicated their views and intentions regarding drinking. Results revealed that the influence of TV viewing on adolescents' drinking intentions was lower for teens high in trait reactance who grew up with parents who co-view television with them. This did not occur when parents adopted instructive or restrictive communication strategies. The parental monitoring strategy of co-viewing thus emerges as a promising protective approach for a population that has traditionally been considered vulnerable (i.e., high reactance teens).
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Affiliation(s)
| | - Denise Buhrau
- College of Business, Stony Brook University, Stony Brook, NY 11794, USA
| | - Anne Hamby
- Boise State University, School of Business; Micron Business and Economics Building Room 2240; 1910 University Dr.; Boise, ID 83725, USA
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Ireland JL, Higgins P. Behavioural stimulation and sensation-seeking among prisoners: applications to substance dependency. INTERNATIONAL JOURNAL OF LAW AND PSYCHIATRY 2013; 36:229-234. [PMID: 23623718 DOI: 10.1016/j.ijlp.2013.04.006] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
BACKGROUND Sensation-seeking among prisoners with substance dependence difficulties (drug and/or alcohol) was examined. This topic is under-researched in a prisoner sample. AIMS The aims are to examine the association between sensation-seeking, other personality variables, and substance dependency among prisoners, and to examine if sensation-seeking can be refined. METHODS Adult male prisoners (n=200) completed self-report measures examining the constructs of interest. RESULTS Sensation-seeking comprised extraversion and openness to experience. It was more appropriately described as Behavioural-Stimulation-and-Sensation-Seeking (BStim-SS). BStim-SS is related to drug and poly-substance dependency but not alcohol-only dependency. Increased impulsivity was related to all substance use dependencies. CONCLUSIONS AND IMPLICATIONS FOR PRACTISE BStim-SS presents as a valuable concept to apply to forensic populations. It captures the need for behavioural and emotional stimulation and lends support to Reward Discounting theory as valuable concept to apply across substance dependency. Implications for practise include: • A need to identify a broader concept of sensation-seeking for prisoner samples; • The recognition of differences within substance dependent samples, with impulsivity presenting differently across drug and/or alcohol dependent groups; • Recognition that concepts regularly applied to community samples need to be examined more specifically among forensic samples to ascertain validity.
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Affiliation(s)
- Jane L Ireland
- Ashworth Research Centre (ARC), Mersey Care NHS Trust and University of Central Lancashire, Preston, Lancashire, UK.
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Spillane NS, Muller CJ, Noonan C, Goins RT, Mitchell CM, Manson S. Sensation-seeking predicts initiation of daily smoking behavior among American Indian high school students. Addict Behav 2012; 37:1303-6. [PMID: 22958862 DOI: 10.1016/j.addbeh.2012.06.021] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2011] [Revised: 06/22/2012] [Accepted: 06/28/2012] [Indexed: 11/27/2022]
Abstract
PURPOSE American Indian (AI) youth have a high risk of smoking initiation. Sensation-seeking, defined as the tendency to seek novel and thrilling experiences, has been associated with smoking initiation in other groups but has never been examined in AI youth. METHODS Data were from the Voices of Indian Teens Project (VOICES), a longitudinal study of AI youth from seven high schools in four AI communities in the western United States. Participants completed annual surveys in school over a three-year period. Our sample comprised 764 students who were non-smokers at baseline. Smoking initiation was defined as endorsement of daily smoking after baseline. We used binary logistic regression to evaluate the association of baseline sensation-seeking with odds of daily smoking initiation, stratified by gender. RESULTS Participants were 353 males and 411 females aged 13 to 21years at baseline. After adjusting for covariates, baseline sensation-seeking correlated with smoking initiation differently in males and females. Sensation-seeking did not predict daily smoking in males. Among females, however, higher sensation-seeking scores at baseline predicted daily smoking in both the unadjusted (odds ratio=1.4; 95% CI=1.1-1.8; p=0.005) and covariate-adjusted (odds ratio=1.3; 95% CI=1.0-1.6; p=0.04) models. CONCLUSION Gender-specific prevention programs may be warranted in addressing different risk-factor profiles in this high-risk population.
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Doran N, Sanders PE, Bekman NM, Worley MJ, Monreal TK, McGee E, Cummins K, Brown SA. Mediating influences of negative affect and risk perception on the relationship between sensation seeking and adolescent cigarette smoking. Nicotine Tob Res 2011; 13:457-65. [PMID: 21436297 PMCID: PMC3103719 DOI: 10.1093/ntr/ntr025] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2010] [Accepted: 02/03/2011] [Indexed: 11/13/2022]
Abstract
INTRODUCTION A substantial number of adolescents are current and regular cigarette smokers, and there is a need to better understand factors that contribute to smoking behavior during these years. Sensation seeking (SS) is one factor that has consistently been associated with smoking, but less is known about mechanisms that may explain this relationship. METHODS The present study tested the hypothesis that high school students high in SS would report heavier cigarette smoking and that this relationship would be mediated by negative affect and by perceptions about the risks of smoking. Students (n = 1,688) participated in an annual survey of substance use and related attitudes and characteristics. RESULTS As expected, higher SS was associated with greater levels of past 30-day (odds ratio [OR] = 1.46, p = .004) and lifetime (OR = 1.37, p = .004) smoking, particularly for males. Multiple mediation models indicated that effect of SS on both 30-day (combined indirect effect z = 5.38, p < .001) and lifetime (z = 6.14, p < .001) smoking was mediated by both negative affect and risk perception. CONCLUSIONS These findings suggest a need for increasing the sensation value of anti-tobacco messages to increase their efficacy for high SS youth. High SS youth may also benefit from prevention efforts designed to teach healthy ways of coping with negative affect.
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Affiliation(s)
- Neal Doran
- Department of Psychiatry, University of California, San Diego, CA, USA.
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Spillane NS, Smith GT, Kahler CW. Impulsivity-like traits and smoking behavior in college students. Addict Behav 2010; 35:700-5. [PMID: 20381971 PMCID: PMC3954819 DOI: 10.1016/j.addbeh.2010.03.008] [Citation(s) in RCA: 74] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2009] [Revised: 02/04/2010] [Accepted: 03/05/2010] [Indexed: 11/29/2022]
Abstract
Recent research has deconstructed the concept of impulsivity by identifying five different traits that influence engagement in impulsive behaviors: positive urgency (tendency to act rashly in response to a positive mood), negative urgency (tendency to act rashly in response to a negative mood), sensation seeking, lack of planning, and lack of perseverance. The traits are only moderately related to each other. The aim of this study was to apply this advance to the study of smoking. We tested a two-stage hypothesis: Higher sensation seeking was hypothesized to differentiate current smokers from non-smokers, and negative and positive urgencies were expected to predict concurrent level of nicotine dependence among smokers. As anticipated, greater sensation seeking was associated with a higher odds of being a current smoker (odds ratio=1.51). Greater positive urgency, but not other impulsivity-related traits, was associated with significantly higher levels of nicotine dependence, explaining 29% of the variance in level of nicotine dependence.
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Affiliation(s)
- Nichea S. Spillane
- Box G-S 121-4, Department of Community Health, Center for Alcohol and Addiction Studies, Brown University, United States
| | - Gregory T. Smith
- Psychology Department, 105 Kastle Hall, Lexington, University of Kentucky, KY 40505, United States
| | - Christopher W. Kahler
- Box G-S 121-4, Department of Community Health, Center for Alcohol and Addiction Studies, Brown University, United States
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Kahler CW, Spillane NS, Metrik J, Leventhal AM, Monti PM. Sensation seeking as a predictor of treatment compliance and smoking cessation treatment outcomes in heavy social drinkers. Pharmacol Biochem Behav 2009; 93:285-90. [PMID: 19593843 DOI: 10.1016/j.pbb.2009.01.003] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
The personality trait of sensation seeking has been positively associated with risk of smoking initiation and level of tobacco use. However, its role in smoking cessation is much less established. This study examined the association between sensation seeking and smoking cessation among 236 heavy social drinkers participating in a clinical trial testing the efficacy of incorporating brief alcohol intervention into smoking cessation treatment. As hypothesized, higher sensation seeking predicted reduced odds of abstinence from smoking as well as greater alcohol use over 26 weeks of follow-up. Sensation seeking also significantly interacted with age, having a protective influence on smoking outcomes among the youngest participants and an increasingly negative effect on smoking outcomes with greater age. Compliance with nicotine replacement therapy and use of smoking cessation strategies (e.g., planning for high risk situations, thinking about the benefits of quitting, avoiding smoking situations) were negatively associated with sensation seeking and accounted for most of the main effect of sensation seeking on smoking outcomes. Findings suggest (a) that smokers high in sensation seeking may require a specific emphasis on treatment compliance and behavioral rehearsal of cessation strategies, and (b) that the significance of sensation seeking for smoking cessation may change with increasing age.
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Affiliation(s)
- Christopher W Kahler
- Center for Alcohol and Addiction Studies, Brown University, Box G-S121-5, Providence, RI 02912, USA.
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