Abstract
Negative affect (NA) is associated with increased urge to smoke cigarettes and smoking relapse. Mindfulness meditation is a practice shown to help individuals manage difficult emotions and is an effective method for helping to reduce/quit smoking. The present study was a laboratory experiment with college student smokers (N = 50) who self-reported motivation to smoke for NA reduction. Participants were randomized to a brief mindfulness intervention (n = 24) or control condition (n = 26) followed by a NA induction. Comparisons of NA and urge to smoke cigarettes between groups was examined at baseline, post-intervention, and post-NA manipulation. We predicted that the mindfulness group would better manage experimentally induced NA and report lower urge to smoke following a NA manipulation compared to the control group. Urge to smoke was not lower post-intervention or post-NA induction among participants in the mindfulness group compared to the control group. The mindfulness group no longer had relationships between NA and urge measures post-intervention, while the control group had positive relationships between NA both QSU-Brief Factors. However, post-NA induction the mindfulness group demonstrated a correlation between NA and all smoking urge measures, while the control group demonstrated no correlations between NA and any of the smoking urge measures. These unexpected findings may be accounted for by the theory that mindfulness involves “decoupling” from NA and urges, promoting increased emotional flexibility rather than direct changes to these internal states. Future studies should determine the necessary dose of mindfulness to produce changes in NA and smoking urges.
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References
Adams, C. E., Benitez, L., Kinsaul, J., McVay, M. A., Barbry, A., Thibodeaux, A., & Copeland, A. L. (2013). Effects of brief mindfulness instructions on reactions to body image stimuli among female smokers: An experimental study. Nicotine & Tobacco Research, 15(2), 376–384. https://doi.org/10.1093/ntr/nts133
Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 27–45. https://doi.org/10.1177/1073191105283504
Baker, T. B., Piper, M. E., McCarthy, D. E., Majeskie, M. R., & Fiore, M. C. (2004). Addiction motivation reformulated: An affective processing model of negative reinforcement. Psychological Review, 111(1), 33–51. https://doi.org/10.1037/0033-295X.111.1.33
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory-II. Psychological Corporation. https://doi.org/10.1007/978-1-4419-1005-9_441
Beshai, S., Prentice, J. L., & Huang, V. (2018). Building blocks of emotional flexibility: Trait mindfulness and self-compassion are associated with positive and negative mood shifts. Mindfulness, 9, 939–948. https://doi.org/10.1007/s12671-017-0833-8
Blanck, P., Perleth, S., Heidenreich, T., Kroger, P., Ditzen, B., Bents, H., & Mander, J. (2018). Effects of mindfulness exercises as stand-alone intervention on symptoms of anxiety and depression: Systematic review and meta-analysis. Behavior Research & Therapy, 102, 25–35. https://doi.org/10.1016/j.brat.2017.12.002
Bowen, S., & Marlatt, A. (2009). Surfing the urge: Brief mindfulness-based intervention for college student smokers. Psychology of Addictive Behaviors, 23(4), 666–671. https://doi.org/10.1037/a0017127
Brandon, T. H. (1994). Negative affect as motivation to smoke. Current Directions in Psychological Science, 3(2), 33–37. https://doi.org/10.1111/1467-8721.ep10769919
Brandon, T. H., & Baker, T. B. (1991). The smoking consequences questionnaire: The subjective expected utility of smoking in college students. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 3(3), 484–491. https://doi.org/10.1037/1040-3590.3.3.484
Brewer, J. A., Mallik, S., Babuscio, T. A., Nich, C., Johnson, H., Deloeone, C., Minnix-Cotton, C. A., Byrne, S. A., Kober, H., Weinstein, A., Carroll, J., & Rounsaville, B. J. (2011). Mindfulness training for smoking cessation: Results from a randomized controlled trial. Drug and Alcohol Dependence, 119, 72–80. https://doi.org/10.1016/j.drugalcdep.2011.05.027
Chassin, L., Presson, C. C., Pitts, S. C., & Sherman, S. J. (2000). The natural history of cigarette smoking from adolescence to adulthood in a Midwest community sample: Multiple trajectories and their psychosocial correlates. Health Psychology, 19, 223–231. https://doi.org/10.1037/0278-6133.19.3.223
Cole, P. M., Martin, S. E., & Dennis, T. A. (2004). Emotion regulation as a scientific construct: Methodological challenges and directions for child development research. Child Development, 75, 317–333. https://doi.org/10.1111/j.1467-8624.2004.00673.x
Conklin, C. A., & Perkins, K. A. (2005). Subjective and reinforcing effects of smoking during negative mood induction. Journal of Abnormal Psychology, 114, 153–164. https://doi.org/10.1037/0021-843X.114.1.153
Copeland, A. L., Brandon, T. H., & Quinn, E. P. (1995). The smoking consequences questionnaire-adult: Measurement of smoking outcome expectancies of experienced smokers. Psychological Assessment, 7, 484–494. https://doi.org/10.1037/1040-3590.7.4.484
Cox, L. S., Tiffany, S. T., & Christen, A. G. (2001). Evaluation of the brief questionnaire of smoking urges (QSU-brief) in laboratory and clinical settings. Nicotine & Tobacco Research, 3(1), 7–16. https://doi.org/10.1080/14622200020032051
Dermody, S. S., Cheong, J., & Manuck, S. (2013). An evaluation of the stress-negative affect model in explaining alcohol use: The role of components of negative affect and coping style. Substance Use & Misuse, 48, 297–308. https://doi.org/10.3109/10826084.2012.761713
de Souza, I. C., de Barros, V. V., Gomide, H. P., Miranda, T. C., Menezes, V. P., Kozasa, E. H., & Noto, A. R. (2015). Mindfulness-based interventions for the treatment of smoking: A systematic literature review. Journal of Alternative Complement Medicine, 21(3), 129–140. https://doi.org/10.1089/acm.2013.0471
DiClemente, C. C., Prochaska, J. O., Fairhurst, S., Velicer, W. F., Velasquez, M. M., & Rossi, J. S. (1991). The process of smoking cessation: An analysis of precontempation, contemplation, and preparation stages of change. Journal of Counsulting and Clinic Psychology, 59, 295–304. https://doi.org/10.1037/0022-006X.59.2.295
Elwafi, H. M., Witkiewitz, K., Mallik, S., Thornhill, T. A., & Brewer, J. A. (2012). Mindfulness training for smoking cessation: Moderation of the relationship between craving and cigarette use. Drug and Alcohol Dependence, 130, 222–229. https://doi.org/10.1016/j.drugalcdep.2012.11.015
Glassman, A. H., Jackson, W. K., Walsch, B. T., & Roose, S. P. (1984). Cigarette craving, smoking withdrawal, and clonidine. Science, 226, 864–865. https://doi.org/10.1126/science.6387913
Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits. A meta-analysis. Journal of Psychosomatic Research, 57, 35–43. https://doi.org/10.1016/S0022-3999(03)00573-7
Heatherton, T. F., Kozlowski, L. T., Frecker, R. C., & Fagerström, K. O. (1991). The Fagerström test for nicotine dependence: A revision of the Fagerström tolerance questionnaire. British Journal of Addiction, 86, 1119–1127. https://doi.org/10.1111/j.1360-0443.1991.tb01879.x
Ireland, M. J., Day, J. J., & Clough, B. A. (2019). Exploring scale validity and measurement invariance of the Toronto Mindfulness Scale across levels of meditation experience and proficiency. Journal of Clinical Psychology, 75, 445–461. https://doi.org/10.1002/jclp.22709
Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10, 144–156. https://doi.org/10.1093/clipsy.bpg016
Kabat-Zinn, J. (2009). Wherever you go, there you are: Mindfulness meditation in everyday life. Hachette Books.
Kahan, B. C., Rehal, S., & Cro, S. (2015). Risk of selection bias in randomised trials. Trials, 16, 405. https://doi.org/10.1186/s13063-015-0920-x
Kovacs, M., Sherrill, J., George, C. J., Pollock, M., Tumuluru, R. V., & Ho, V. (2006). Contextual emotion-regulation therapy for childhood depression. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 892–903. https://doi.org/10.1097/01.chi.0000222878.74162.5a
Lang, P. J., Bradley, M. M., & Cuthbert, B. N. (2005). International affective picture system (IAPS): Affective ratings of pictures and instruction manual. Technical Report A-6. University of Florida. https://cir.nii.ac.jp/crid/1573950399053852928.pdf
Lau, M. A., Bishop, S. R., Segal, Z. V., Buis, T., Anderson, N. D., Carlson, L., Shapiro, S., Carmody, J., Abbey, S., & Devins, G. (2006). The Toronto Mindfulness Scale: Development and validation. Journal of Clinical Psychology, 62(12), 1445–1467. https://doi.org/10.1002/jclp.20326
Levin, M. E., Luoma, J. B., & Haegar, J. A. (2015). Decoupling as a mechanism of change in mindfulness and acceptance: A literature review. Behavior Modification, 39(6), 870–911. https://doi.org/10.1177/0145445515603707
Marlatt, G. A., & Kristeller, J. L. (1999). Mindfulness and meditation. In W. R. Miller (Ed.), Integrating spirituality into treatment: Resources for practitioners (pp. 67–84). American Psychological Association. https://doi.org/10.1037/10327-004
Martel, M. O., Dolman, A. J., Edwards, R. R., Jamison, R. N., & Wasan, A. D. (2014). The association between negative affect and prescription opioid misuse in patients with chronic pain: The mediating role of opioid craving. Journal of Pain, 15(1), 90–100. https://doi.org/10.1016/j.jpain.2013.09.014
Martens, M. P., Neighbors, C., Lewis, M. A., Lee, C. M., Oster-Aaland, L., & Larimer, M. (2008). The roles of negative affect and coping motives in the relationship between alcohol use and alcohol-related problems among college students. Journal of Studies on Alcohol and Drugs, 69(3), 412–419. https://doi.org/10.15288/jsad.2008.69.412
Mayhew, K. P., Flay, B. R., & Mott, J. A. (2000). Stages in the development of adolescent smoking. Drug and Alcohol Dependence, 59(1), 61–81. https://doi.org/10.1016/S0376-8716(99)00165-9
Monti, P. M., Rohsenow, D. J., & Hutchison, K. E. (2000). Toward bridging the gap between biological, psychobiological, and psychosocial models of alcohol craving. Addiction, 95, 229–236. https://doi.org/10.1080/09652140050111799
Norris, C. J., Creem, D., Hendler, R., & Kober, H. (2018). Brief mindfulness meditation improves attention in novices: Evidence from ERPs and moderation by Neuroticism. Frontiers in Human Neuroscience, 12, 315. https://doi.org/10.3389/fnhum.2018.00315
Oikonomou, M. T., Arvanitis, M., & Sokolove, R. L. (2017). Mindfulness training for smoking cessation: A meta-analysis of randomized-controlled trials. Journal of Health Psychology, 22(14), 1841–1850. https://doi.org/10.1177/1359105316637667
Paz, R., Zvielli, A., Goldstein, P., & Bernstein, A. (2017). Brief mindfulness training de-couples the anxiogenic effects of distress intolerance on reactivity to and recovery from stress among deprived smokers. Behaviour Research and Therapy, 95, 117–127. https://doi.org/10.1016/j.brat.2017.05.017
Piasecki, T. M., Richardson, A. E., & Smith, S. M. (2007). Self-monitored motives for smoking among college students. Psychology of Addictive Behaviors, 21(3), 328–337. https://doi.org/10.1037/0893-164X.21.3.328
Rash, C. J., & Copeland, A. L. (2008). The Brief Smoking Consequences Questionnaire—Adult (BSCQ-A): Development of a short form of the SCQ-A. Nicotine and Tobacco Research, 10, 1633–1643. https://doi.org/10.1080/14622200802409990
Roemer, L., & Orsillo, S. M. (2003). Mindfulness: A promising intervention strategy in need of further study. Clinical Psychology: Science and Practice, 10(2), 172–178. https://doi.org/10.1093/clipsy.bpg020
Schleicher, H. E., Harris, K. J., Catley, D., & Nazir, N. (2009). The role of depression and negative affect regulation expectancies in tobacco smoking among college students. Journal of American College Health, 57(5), 507–512. https://doi.org/10.3200/JACH.57.5.507-512
Schumer, M. C., Lindsay, E. K., & Creswell, J. D. (2018). Brief mindfulness training for negative affectivity: A systematic review and meta-analysis. Journal of Consulting and Clinical Psychology, 86(7), 569. https://doi.org/10.1037/ccp0000324
Sinha, R. (2001). How does stress increase risk of drug abuse and relapse? Psychopharmacology (Berl), 158(4), 343–359. https://doi.org/10.1007/s002130100917
Sinha, R. (2008). Chronic stress, drug use, and vulnerability to addiction. Annals of the New York Academy of Sciences, 1141, 105–130. https://doi.org/10.1196/annals.1441.030
SRNT Subcommittee on Biochemical Verification. (2002). Biochemical verification of tobacco use and cessation. Nicotine and Tobacco Research, 4, 149–159. https://doi.org/10.1080/14622200210123581
Storch, E. A., Roberti, J. W., & Roth, D. A. (2004). Factor structure, concurrent validity, and internal consistency of the Beck Depression Inventory-Second Edition in a sample of college students. Depression and Anxiety, 19(3), 187–189. https://doi.org/10.1002/da.20002
Sutfin, E. L., Reboussin, B. A., McCoy, T. P., & Wolfson, M. (2009). Are college student smokers really a homogenous group? A latent class analysis of college student smokers. Nicotine and Tobacco Research, 1, 444–454. https://doi.org/10.1093/ntr/ntp006
Thompson, B. L., & Waltz, J. (2007). Everyday mindfulness and mindfulness meditation: Overlapping constructs or not? Personality and Individual Differences, 43(7), 1875–1885. https://doi.org/10.1016/j.paid.2007.06.017
Tiffany, S. T., & Drobes, D. J. (1991). The development and initial validation of a questionnaire on smoking urges. British Journal of Addictions, 86(11), 1467-76. https://doi.org/10.1111/j.1360-0443.1991.tb01732.x
Vinci, C. (2013). Effects of a brief mindfulness intervention on negative affect and urge to drink among college student drinkers. LSU Doctoral Dissertations. 956. https://digitalcommons.lsu.edu/gradschool_dissertations/956
Vinci, C., Copeland, A. L., & Carrigan, M. H. (2011). Exposure to negative affect cues and urge to smoke. Experimental and Clinical Psychopharmacology. https://doi.org/10.1037/a0025267
Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070. https://doi.org/10.1037/0022-3514.54.6.1063
Waugh, C. E., Thompson, R. J., & Gotlib, I. H. (2011). Flexible emotional responsiveness in trait resilience. Emotion, 11(5), 1059. https://doi.org/10.1037/a0021786
Weinstein, S. M., & Mermelstein, R. J. (2013). Influences of mood variability, negative moods, and depression on adolescent cigarette smoking. Psychology of Addictive Behaviors, 27(4), 1068–1078. https://doi.org/10.1037/a0031488
Wetter, D. W., Kenford, S. L., Welsch, S. K., Smith, S. S., Fouladi, R. T., Fiore, M. C., & Baker, T. B. (2004). Prevalence and predictors of transitions in smoking behavior among college students. Health Psychology, 23, 168–177. https://doi.org/10.1037/0278-6133.23.2.168
Wewers, M. E., Rachfal, C., & Ahijevych, K. (1990). A psychometric evaluation of a visual analogue scale for craving for cigarettes. Western Journal of Nursing Research, 12(5), 672–681. https://doi.org/10.1177/019394599001200508
Whitley, B. E., Kite, M. E., Adams, H. L., & Collaborator (2013). Principles of research in behavioral science (3rd ed). Routledge/Taylor & Francis Group. https://doi.org/10.1037/a0015647
Witkiewitz, K., & Villarroel, N. A. (2009). Dynamic association between negative affect and alcohol lapses following alcohol treatment. Journal of Consulting & Clinical Psychology, 77(4), 633–644. https://doi.org/10.1037/a0015647
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Roys, M.R., Stewart, S.A. & Copeland, A.L. Effects of a brief mindfulness intervention on smoking urges and negative affect following a negative affect induction. Curr Psychol 43, 2144–2157 (2024). https://doi.org/10.1007/s12144-023-04467-7
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DOI: https://doi.org/10.1007/s12144-023-04467-7