Annals of Behavioral Medicine

, Volume 43, Issue 2, pp 262–270 | Cite as

Smoking Cessation and Quality of Life: Changes in Life Satisfaction Over 3 Years Following a Quit Attempt

  • Megan E. Piper
  • Susan Kenford
  • Michael C. Fiore
  • Timothy B. Baker
Original Article

Abstract

Background

There has been limited research addressing changes in subjective well-being as a result of quitting smoking.

Purpose

The purpose of this study was to use longitudinal data to determine the relation between smoking cessation and subjective measures of well-being, including global quality of life (QOL), health-related QOL (HR-QOL), affect, relationship satisfaction, and stressor occurrence.

Methods

As part of a randomized, placebo-controlled smoking cessation trial, 1,504 participants (58.2% women, 83.9% white) completed assessments and had their smoking status biochemically confirmed at baseline and years 1 and 3 post-quit.

Results

Compared with continuing smokers, quitters showed improved global QOL, HR-QOL, and affect at years 1 and 3 and fewer stressors by year 3. Smoking status did not influence marital relationship satisfaction.

Conclusions

Successful quitters, in contrast to continuing smokers, reported improved subjective well-being, which could be used to motivate quit attempts by individuals with concerns about what life will be like without cigarettes.

Keywords

Smoking Smoking cessation Quality of life Health Marital satisfaction Affect 

Notes

Acknowledgments

This research was conducted at the University of Wisconsin, Madison, and was supported by grant no. P50 DA019706 from NIH/NIDA and by grant no. M01 RR03186 from the General Clinical Research Centers Program of the National Center for Research Resources, NIH. Dr. Piper was supported by grant 1UL1RR025011 from the Clinical and Translational Science Award (CTSA) program of the National Center for Research Resources (NCRR), National Institutes of Health (NIH). Dr. Baker was supported via NCI 1K05CA139871.

Conflict of interest statement

Drs. Piper, Kenford, and Baker have no potential conflicts of interest to disclose. Over the last 3 years, Michael C. Fiore served as an investigator on research studies at the University of Wisconsin that were funded in part by Nabi Biopharmaceuticals and GlaxoSmithKline. From 1997 to 2010, Dr. Fiore held a University of Wisconsin (UW) named Chair, made possible by a gift to UW from GlaxoWellcome.

References

  1. 1.
    U.S. Department of Health and Human Services. HHS announces National Smoking Cessation Quitline Network. 2004. www.dhhsgov/news/press/2004pres/20040203html.
  2. 2.
    Brandon TH, Baker TB. The Smoking Consequences Questionnaire: The subjective expected utility of smoking in college students. Psychol Assess. 1991, 3:484–491.CrossRefGoogle Scholar
  3. 3.
    Copeland AL, Martin PD, Geiselman PJ, Rash CJ, Kendzor DE. Smoking cessation for weight-concerned women: Group vs. individually tailored, dietary, and weight-control follow-up sessions. Addict Behav. 2006, 31:115–127.PubMedCrossRefGoogle Scholar
  4. 4.
    Sorensen G, Pechacek TF. Attitudes toward smoking cessation among men and women. J Behav Med. 1987, 10:129–37.PubMedCrossRefGoogle Scholar
  5. 5.
    McKee SA, O’Malley SS, Salovey P, Krishnan-Sarin S, Mazure CM. Perceived risks and benefits of smoking cessation: Gender-specific predictors of motivation and treatment outcome. Addict Behav. 2005, 30:423–435.PubMedCrossRefGoogle Scholar
  6. 6.
    Chapman S, Wong WL, Smith W. Self-exempting beliefs about smoking and health: Differences between smokers and ex-smokers. Am J Public Health. 1993, 83:215–219.PubMedCrossRefGoogle Scholar
  7. 7.
    Mody RR, Smith MJ. Smoking status and health-related quality of life: As findings from the 2001 Behavioral Risk Factor Surveillance System data. Am J Health Promot. 2006, 20:251–258.PubMedCrossRefGoogle Scholar
  8. 8.
    Strine TW, Okoro CA, Chapman DP, Balluz LS, Ford ES, Ajani UA, et al. Health-related quality of life and health risk behaviors among smokers. Am J Prev Med. 2005, 28:182- 187.PubMedCrossRefGoogle Scholar
  9. 9.
    Tillmann M, Silcock J. A comparison of smokers’ and ex-smokers’ health-related quality of life. J Public Health Med. 1997, 19:268–273.PubMedGoogle Scholar
  10. 10.
    Wilson D, Parsons J, Wakefield M. The health-related quality-of-life of never smokers, ex-smokers, and light, moderate, and heavy smokers. Prev Med. 1999, 29:139–144.PubMedCrossRefGoogle Scholar
  11. 11.
    Turner J, Page-Shafer K, Chin DP, Osmond D, Mossar M, Markstein L, et al. Adverse impact of cigarette smoking on dimensions of health-related quality of life in persons with HIV infection. Aids Patient Care STDS. 2001, 15:615–624.PubMedCrossRefGoogle Scholar
  12. 12.
    Mulder I, Tijhuis M, Smit HA, Kromhout D. Smoking cessation and quality of life: The effect of amount of smoking and time since quitting. Prev Med. 2001, 33:653–660.PubMedCrossRefGoogle Scholar
  13. 13.
    Mitra M, Chung MC, Wilber N, Klein Walker D. Smoking status and quality of life: A longitudinal study among adults with disabilities. Am J Prev Med. 2004, 27:258–260.PubMedGoogle Scholar
  14. 14.
    Sarna L, Bialous SA, Cooley ME, Jun HJ, Feskanich D. Impact of smoking and smoking cessation on health-related quality of life in women in the Nurses’ Health Study. Qual Life Res. 2008, 17:1217–1227.PubMedCrossRefGoogle Scholar
  15. 15.
    Colditz GA. The nurses’ health study: A cohort of US women followed since 1976. J Am Med Women’s Assoc. 1995, 50:40–44.Google Scholar
  16. 16.
    Diener E, Suh EM, Lucas RE, Smith HL. Subjective well-being: Three decades of progress. Psychol Bull. 1999, 125:276–302.CrossRefGoogle Scholar
  17. 17.
    Krause JS, Sternberg M. Aging and adjustment after spinal cord injury: The roles of chronologic age, time since injury, and environmental change. Rehab Psychol. 1997, 42:287–302.CrossRefGoogle Scholar
  18. 18.
    Shahab L, West R. Do ex-smokers report feeling happier following cessation? Evidence from a cross-sectional survey. Nicotine Tob Res. 2009 11:553–557.PubMedCrossRefGoogle Scholar
  19. 19.
    Frisch MB, Cornell J, Villanueva M, Retzlaff PJ. Clinical validation of the Quality of Life Inventory: A measure of life satisfaction for use in treatment planning and outcome assessments. Psychol Assess. 1992, 4:92–101.CrossRefGoogle Scholar
  20. 20.
    Piper ME, Smith SS, Schlam TR, Fiore MC, Jorenby DE, Fraser D, et al. A randomized placebo-controlled clinical trial of 5 smoking cessation pharmacotherapies. Arch Gen Psychiatry. 2009, 66:1253–1262.PubMedCrossRefGoogle Scholar
  21. 21.
    Fiore MC, Jaen CR, Baker TB, Bailey WC, Benowitz N, Curry SJ, et al. Treating tobacco use and dependence: 2008 update. Rockville, MD: U.S. Department of Health and Human Services, U.S. Public Health Service; 2008.Google Scholar
  22. 22.
    Heatherton TF, Kozlowski LT, Frecker RC, Fagerstrom KO. The Fagerstrom Test for Nicotine Dependence: A revision of the Fagerstrom Tolerance Questionnaire. Br J Addict. 1991, 86:1119–1127.PubMedCrossRefGoogle Scholar
  23. 23.
    Shiffman S, Waters A, Hickcox M. The Nicotine Dependence Syndrome scale: A multidimensional measure of nicotine dependence. Nicotine Tob Res. 2004, 6:327–348.PubMedCrossRefGoogle Scholar
  24. 24.
    Kawakami N, Takatsuka N, Inaba S, Shimizu H. Development of a screening questionnaire for tobacco/nicotine dependence according to ICD-10, DSM-III-R, and DSM-IV. Addict Behav. 1999, 24:155–166.PubMedCrossRefGoogle Scholar
  25. 25.
    Piper ME, Piasecki TM, Federman EB, Bolt DM, Smith SS, Fiore MC, et al. A multiple motives approach to tobacco dependence: The Wisconsin Inventory of Smoking Dependence Motives (WISDM-68). J Consult Clin Psychol. 2004, 72:139–154.PubMedCrossRefGoogle Scholar
  26. 26.
    Crits-Christoph P, Gibbons MBC, Ring-Kurtz S, Gallop R, Stirman S, Present J, et al. Changes in positive quality of life over the course of psychotherapy. Psychotherapy. 2008, 45:419–430.PubMedCrossRefGoogle Scholar
  27. 27.
    Frisch MB, Clark MP, Rouse SV, Rudd MD, Paweleck JK, Greenstone A, et al. Predictive and treatment validity of life satisfaction and the quality of life inventory. Assessment. 2005, 12:66–78.PubMedCrossRefGoogle Scholar
  28. 28.
    Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: The PANAS scales. J Pers Soc Psychol. 1988, 54:1063- 1070.PubMedCrossRefGoogle Scholar
  29. 29.
    Holmes TH, Rahe RH. The Social Readjustment Rating Scale. J Psychosom Res. 1967 11:213–218.PubMedCrossRefGoogle Scholar
  30. 30.
    Mitchell SE, Newell GK, Schumm WR. Test–retest reliability of the Kansas Marital Satisfaction Scale. Psychol Rep. 1983, 53:545–546.CrossRefGoogle Scholar
  31. 31.
    Schumm WR, Nichols CW, Schectman KL, Grigsby CC. Characteristics of responses to the Kansas Marital Satisfaction Scale by a sample of 84 married mothers. Psychol Rep. 1983, 53:567–572.CrossRefGoogle Scholar
  32. 32.
    Schumm WR, Paff-Bergen LA, Hatch RC, Obiorah FC. Concurrent and discriminant validity of the Kansas Marital Satisfaction Scale. J Marriage Fam. 1986, 48:381–387.CrossRefGoogle Scholar
  33. 33.
    Schumm WR, Anderson SA, Benigas JE, McCutchen MB, Griffin CL, Morris JE, et al. Criterion-related validity of the Kansas Marital Satisfaction Scale. Psychol Rep. 1985, 56:718.PubMedCrossRefGoogle Scholar
  34. 34.
    Ahrens D, Bandi P, Ullsvik J, Moberg DP. Who smokes? A demographic analysis of Wisconsin smokers. WMJ. 2005, 104:18–22.PubMedGoogle Scholar
  35. 35.
    Baker TB, Piper ME, McCarthy DE, Majeskie MR, Fiore MC. Addiction motivation reformulated: An affective processing model of negative reinforcement. Psychol Rev. 2004, 111:33–51.PubMedCrossRefGoogle Scholar
  36. 36.
    Kenford SL, Smith SS, Wetter DW, Jorenby DE, Fiore MC, Baker TB. Predicting relapse back to smoking: Contrasting affective and physical models of dependence. J Consult Clin Psychol. 2002, 70:216–227.PubMedCrossRefGoogle Scholar
  37. 37.
    Parrott AC. Acute pharmacodynamic tolerance to the subjective effects of cigarette smoking. Psychopharmacology (Berl). 1994, 116:93–97.CrossRefGoogle Scholar
  38. 38.
    Mino Y, Shigemi J, Otsu T, Tsuda T, Babazono A. Does smoking cessation improve mental health? Psychiatry Clin Neurosci. 2000, 54:169–172.PubMedCrossRefGoogle Scholar
  39. 39.
    Stewart AL, King AC, Killen JD, Ritter PL. Does smoking cessation improve health- related quality-of-life. Ann Behav Med. 1995, 17:331–338.CrossRefGoogle Scholar
  40. 40.
    Hendricks PS, Ditre JW, Drobes DJ, Brandon TH. The early time course of smoking withdrawal effects. Psychopharmacology (Berl). 2006, 187:385–396.CrossRefGoogle Scholar
  41. 41.
    Commons KG. Neuronal pathways linking substance P to drug addiction and stress. Brain Res. 2010, 1314:175–182.PubMedCrossRefGoogle Scholar
  42. 42.
    Parrott AC. Stress modulation over the day in cigarette smokers. Addiction. 1995, 90:233–244.PubMedCrossRefGoogle Scholar
  43. 43.
    Parrott AC. Smoking cessation leads to reduced stress, but why? Int J Addict. 1995, 30:1509–1516.PubMedGoogle Scholar
  44. 44.
    Parrott AC. Does cigarette smoking cause stress? Am Psychol. 1999, 54:817–820.PubMedCrossRefGoogle Scholar
  45. 45.
    Parrott AC. Cigarette-derived nicotine is not a medicine. World J Biol Psychiatry. 2003, 4:49–55.PubMedCrossRefGoogle Scholar
  46. 46.
    Parrott AC. Nicotine psychobiology: How chronic-dose prospective studies can illuminate some of the theoretical issues from acute-dose research. Psychopharmacol. 2006, 184:567–576.PubMedCrossRefGoogle Scholar
  47. 47.
    Gepner AD, Piper ME, Johnson HM, Fiore MC, Baker TB, Stein JH. Effects of smoking and smoking cessation on lipids and lipoproteins: Outcomes from a randomized clinical trial. Am Heart J. 2011, 161:145–151.PubMedCrossRefGoogle Scholar
  48. 48.
    Asthana A, Johnson HM, Piper ME, Fiore MC, Baker TB, Stein JH. Effects of smoking intensity and cessation on inflammatory markers in a large cohort of active smokers. Am Heart J. 2010, 160:458–463.PubMedCrossRefGoogle Scholar
  49. 49.
    Johnson HM, Gossett LK, Piper ME, Aeschlimann SE, Korcarz CE, Baker TB, et al. Effects of smoking and smoking cessation on endothelial function: 1-year outcomes from a randomized clinical trial. J Am Coll Cardiol. 2010, 55:1988–1995.PubMedCrossRefGoogle Scholar
  50. 50.
    U.S. Department of Health and Human Services. The health benefits of smoking cessation: A report of the Surgeon General. Publication No. (CDC) 90-8416. Rockville, MD: U.S Department of Health and Human Services; 1990.Google Scholar

Copyright information

© The Society of Behavioral Medicine 2011

Authors and Affiliations

  • Megan E. Piper
    • 1
    • 3
  • Susan Kenford
    • 2
  • Michael C. Fiore
    • 1
  • Timothy B. Baker
    • 1
  1. 1.Center for Tobacco Research and InterventionUniversity of Wisconsin School of Medicine and Public HealthMadisonUSA
  2. 2.Department of PsychologyXavier UniversityCincinnatiUSA
  3. 3.Center for Tobacco Research and InterventionMadisonUSA

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