Compensation predicts smoking cessation failure
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Compensation is a potential result of decreasing the available nicotine and tar dose in cigarettes. There is little published data linking compensation with cessation.
We sought to examine whether compensation in response to restricted cigarette yield is associated with difficulty quitting smoking.
Questionnaires and blood samples were collected from 174 smokers interested in quitting smoking as part of a larger smoking cessation study. Participants were instructed to use a filter designed to remove 50 % of tar and nicotine from the cigarette but otherwise smoke normally. Participants returned after 3 days of using the filter for follow-up data collection.
Nicotine levels and cigarettes per day decreased after use of the filter. Baseline nicotine and change in nicotine pre/post filter use, but not cigarettes per day or change in cigarettes per day were associated with smoking abstinence at 30 days.
Smokers who demonstrate sensitivity to the biological or behavioral consequences of decreased nicotine content in tobacco smoke have greater difficulty quitting. These findings suggest the need for personalized cessation treatment linked to behavioral compensation.
- Abrams, DB, Orleans, CT, Niaura, RS, Goldstein, MG, Prochaska, JO, Velicer, W (1996) Integrating individual and public health perspectives for treatment of tobacco dependence under managed health care: a combined stepped-care and matching model. Ann Behav Med 18: pp. 290-304 CrossRef
- Benowitz, NL, Kuyt, F, Jacob, P (1982) Circadian blood nicotine concentrations during cigarette smoking. Clin Pharmacol Ther 32: pp. 758-764 CrossRef
- Benowitz, NL, Jacob, P, Herrera, B (2006) Nicotine intake and dose response when smoking reduced-nicotine content cigarettes. Clin Pharmacol Ther 80: pp. 703-714 CrossRef
- Benowitz, NL, Hall, SM, Stewart, S, Wilson, M, Dempsey, D, Jacob, P (2007) Nicotine and carcinogen exposure with smoking of progressively reduced nicotine content cigarette. Cancer Epidemiol Biomarkers 16: pp. 2479-2485 CrossRef
- Donny, EC, Houtsmuller, E, Stitzer, ML (2007) Smoking in the absence of nicotine: behavioral, subjective and physiological effects over 11 days. Addiction 102: pp. 324-334 CrossRef
- Fagerström, KO (1978) Measuring degree of physical dependence to tobacco smoking with reference to individualization of treatment. Addict Behav 3: pp. 235-241 CrossRef
- Friedman, LS, Lichtenstein, E, Biglan, A (1985) Smoking onset among teens: an empirical analysis of initial situations. Addict Behav 10: pp. 1-13 CrossRef
- Harris, AC, Pentel, PR, LeSage, MG (2009) Correlates of individual differences in compensatory nicotine self-administration in rats following a decrease in nicotine unit dose. Psychopharmacology 205: pp. 599-611 CrossRef
- Hatsukami, DK, Kotlyar, M, Hertsgaard, , Hecht, SS (2010) Reduced nicotine content cigarettes: effects on toxicant exposure, dependence and cessation. Addiction 105: pp. 343-355 CrossRef
- Ending the tobacco problem: a blueprint for the nation. National Academies Press, Washington, DC
- Kozlowski, LT, Herman, CP (1984) The interaction of psychosocial and biological determinants of tobacco use: more on the boundary model. J Appl Soc Psychol 14: pp. 244-256 CrossRef
- MacQueen, DA, Heckman, BW, Blank, MD, Janse Van Rensburg, K, Evans, DE, Drobes, DJ (2012) Transient compensatory smoking in response to placebo cigarettes. Psychopharmacology.
- Niaura, R, Shadel, WG, Abrams, DB, Goldstein, MG, Hutchison, K (2001) Individual differences in responses to the first cigarette following overnight abstinence in regular smokers. Nicotine Tob Res 3: pp. 37-44 CrossRef
- Patterson, F, Benowitz, N, Shields, P, Lerman, C (2003) Individual differences in nicotine intake per cigarette. Cancer Epidemiol Biomarkers 12: pp. 468-471
- Pomerleau, OF, Collins, AC, Shiffman, S, Pomerleau, CS (1993) Why some people smoke and others do not: new perspectives. J Consult Clin Psychol 61: pp. 723 CrossRef
- JMP, version 9 [Computer Software]. SAS Institute Inc., Cary
- Scherer, G (1999) Smoking behaviour and compensation: a review of the literature. Psychopharmacology 145: pp. 1-20 CrossRef
- Strasser, AA, Lerman, C, Sanborn, PM, Pickworth, WB, Feldman, EA (2007) New lower nicotine cigarettes can produce compensatory smoking and increased carbon monoxide exposure. Drug Alcohol Depend 86: pp. 294-300 CrossRef
- Sutton, SR, Feyerabend, C, Cole, PV, Russell, MA (1978) Adjustment of smokers to dilution of tobacco smoke by ventilated cigarette holders. Clin Pharmacol Ther 24: pp. 395-405
- Compensation predicts smoking cessation failure
Volume 230, Issue 2 , pp 261-266
- Cover Date
- Print ISSN
- Online ISSN
- Springer Berlin Heidelberg
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- Smoking cessation
- Industry Sectors
- Author Affiliations
- 1. The Schroeder Institute for Tobacco Research and Policy Studies at Legacy, 1724 Massachusetts Ave. NW, Washington, DC, 20036, USA
- 2. Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
- 3. Georgetown University Medical Center Lombardi Comprehensive Cancer Center, Washington, DC, USA