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Antecedents and Consequences of Temptations During Smoking Cessation: An Ecological Momentary Assessment Study

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Uniformed Services University of the Health Sciences Bethesda United States

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Cigarette smoking is the leading cause of preventable death in the U.S. Most cigarette smokers want to quit but are unable to do so. Both theory and data suggest that stress and negative affect may elicit craving and temptations to smoke, and undermine cessation attempts. However, few studies have examined these relationships in the field and none have examined the time course of these relationships in the field. The current study used ecological momentary assessment to examine the relationship between stressnegative affect and temptations during the first week of a quit attempt. Participants n120 reported their level of stress and negative affect NA at random times up to four times per day random assessments RAs, and at temptation episodes TAs. Consistent with prior data, participants reported higher levels of stressnegative affect at TAs than RAs. In addition, stressNA were elevated in the two hours prior to a temptation episode. However, stressNA were not elevated following a temptation episode. Overall, the data suggest that stressNA may provoke temptations during a quit attempt.

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