Abstract
This study used a short-term laboratory model of smoking cessation and relapse to prospectively examine the effects of programmed self-administered smoking re-exposure during early abstinence. Sixty-seven subjects who had quit smoking for 3 days were randomly assigned either to smoke five cigarettes in their natural environment or to remain abstinent during the exposure period. The main hypothesis, that relapse to regular smoking would be quicker and more prevalent in exposed subjects, was supported. All exposed subjects had relapsed by 2 days post-exposure while 16% of unexposed subjects remained continuously abstinent throughout the 8 day study. This behavioral effect was seen in spite of acute decreases in reported desire to smoke and increases in guilt measured just after exposure. The study supports a role for stimulus re-exposure effects in the relapse process and suggests that additional research on experimental re-exposure is warranted.
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References
American Psychiatric Association (1987) The diagnostic and statistical manual-III, revised. American Psychiatric Association, Washington, DC
Baer JS, Lichtenstein E (1988) Classification and prediction of smoking relapse episodes: an exploration of individual differences. J Consult Clin Psychol 56:104–110
Bigelow GE, Griffiths RR, Liebson IA (1977) Pharmacological influences upon human ethanol self-administration. In: Gross MM (ed) Alcohol intoxication and withdrawal, vol 3. Plenum Press, New York, pp 523–538
Bickel WK, Kelly TH (1988) The relationship of stimulus control to the treatment of substance abuse. In: Ray B (ed) Learning factors in substance abuse. NIDA Research Monograph, 84. US Department of Health and Human Services, Public Health Service. US Govt Printing Office, Washington DC
Brandon TH, Zelman DC, Baker TB (1987) Effects of maintenance sessions on smoking relapse: delaying the inevitable? J Consult Clin Psychol 55:780–782
Brandon TH, Tiffany ST, Obremski KM, Baker TB (1990) Post-cessation cigarette use: The process of smoking relapse. Addict Behav 15:105–114
Bruning JL, Knitz BL (1977) Computational handbook of statistics, second edition. Scott, Foresman and Company, Glenview, IL
Davis WM, Smith SG (1976) Role of conditioned reinforcer in the initiation, maintenance and extinction of drug seeking behavior. Pavlov J Biol Sci 11:222–236
de Wit H, Stewart J (1981) Reinstatement of cocaine-reinforced responding in the rat. Psychopharmacology 75:134–143
de Wit H, Stewart J (1983) Drug reinstatement of heroin-reinforced responding in the rat. Psychopharmacology 79:29–31
Fagerstrom KO (1978) Measuring degree of physical dependence to tobacco smoking with reference to individualization of treatment. Addict Behav 3:235–241
Gerber GJ, Stretch R (1975) Drug-induced reinstatement of extinguished self-administration behavior in monkeys. Pharmacol Biochem Behav 3:1055–1061
Hill RD (1988) Prescribing aversive relapse to enhance nonsmoking treatment gains: a pilot study. Behav Ther 19:35–43
Hughes JR, Hatsukami D (1986) Signs and symptoms of tobacco withdrawal. Arch Gen Psychiatry 43:289–294
Marlatt GA, Gordon JR (1985) Relapse prevention. Guilford, New York
Marlatt GA, Curry S, Gordon JR (1988) A longitudinal analysis of unaided smoking cessation. J Consult Clin Psychol 56:715–720
O'Connell KA, Martin EJ (1987) Highly tempting situations associated with abstinence, temporary lapse, and relapse among participants in smoking cessation programs. J Consult Clin Psychol 55:367–371
Shiffman S (1986) A cluster-analytic classification of smoking relapse episodes. Addict Behav 11:295–307
Shiffman SM, Jarvik ME (1976) Smoking withdrawal symptoms in two weeks of abstinence. Psychopharmacology 50:35–39
Shiffman S, Read L, Jarvik, ME (1985) Smoking relapse situations: a preliminary typology. Int J Addict 20:311–318
West R, Schneider N (1988) Drop in heart rate following smoking cessation may be permanent. Psychopharmacology 94:566–568
West RT, Hajek P, Belcher M (1989) Severity of withdrawal symptoms as a predictor of outcome of an attempt to quit smoking. Psychol Med 19:981–985
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Chornock, W.M., Stitzer, M.L., Gross, J. et al. Experimental model of smoking re-exposure: effects on relapse. Psychopharmacology 108, 495–500 (1992). https://doi.org/10.1007/BF02247427
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DOI: https://doi.org/10.1007/BF02247427