Skip to main content
Journal cover image

Roles of inter-individual differences and intra-individual acute elevations in early smoking lapse in people with posttraumatic stress disorder.

Publication ,  Journal Article
Dedert, EA; Hicks, TA; Dennis, PA; Calhoun, PS; Beckham, JC
Published in: Addict Behav
September 2016

Existing models of the role of posttraumatic stress disorder (PTSD) symptoms and smoking have almost exclusively examined mean symptom levels, rather than the acute elevations that might trigger smoking lapse immediately or increase risk of a smoking lapse in the next few hours. We examined ecological momentary assessments (EMA) of PTSD symptom clusters and smoking in the first week of a quit attempt in 52 people with PTSD. In multilevel models including PTSD symptom means, acute elevations, and lagged acute elevations together as simultaneous predictors of odds of smoking in the same models, pre-quit smoking occasions were significantly related to acute elevations in symptoms, including PTSD totals (OR=1.20; 95% CI, 1.10 to 1.31), PTSD re-experiencing symptoms (OR=1.16; 95% CI, 1.06 to 1.27), PTSD avoidance symptoms (OR=1.20; 95% CI, 1.10 to 1.31), PTSD numbing symptoms (OR=1.14; 95% CI, 1.04 to 1.24), and PTSD hyperarousal symptoms (OR=1.20; 95% CI, 1.09 to 1.31). In contrast, post-quit smoking was related to lagged acute elevations in PTSD re-experiencing (OR=1.24, 95% CI, 1.03 to 1.50) avoidance (OR=1.27, 95% CI, 1.05 to 1.53), and numbing symptoms (OR=1.24, 95% CI, 1.02 to 1.51). During a quit attempt, individuals with PTSD delayed smoking in response to acute elevations in PTSD re-experiencing and Avoidance. This period presents an opportunity to use mobile health interventions to prevent smoking lapse and to use coping skills acquired in trauma-focused therapy to respond to acute PTSD symptom elevation.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Addict Behav

DOI

EISSN

1873-6327

Publication Date

September 2016

Volume

60

Start / End Page

171 / 176

Location

England

Related Subject Headings

  • Young Adult
  • Veterans
  • Substance Abuse
  • Stress Disorders, Post-Traumatic
  • Smoking Cessation
  • Smoking
  • Middle Aged
  • Male
  • Individuality
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Dedert, E. A., Hicks, T. A., Dennis, P. A., Calhoun, P. S., & Beckham, J. C. (2016). Roles of inter-individual differences and intra-individual acute elevations in early smoking lapse in people with posttraumatic stress disorder. Addict Behav, 60, 171–176. https://doi.org/10.1016/j.addbeh.2016.04.007
Dedert, Eric A., Terrell A. Hicks, Paul A. Dennis, Patrick S. Calhoun, and Jean C. Beckham. “Roles of inter-individual differences and intra-individual acute elevations in early smoking lapse in people with posttraumatic stress disorder.Addict Behav 60 (September 2016): 171–76. https://doi.org/10.1016/j.addbeh.2016.04.007.
Dedert, Eric A., et al. “Roles of inter-individual differences and intra-individual acute elevations in early smoking lapse in people with posttraumatic stress disorder.Addict Behav, vol. 60, Sept. 2016, pp. 171–76. Pubmed, doi:10.1016/j.addbeh.2016.04.007.
Journal cover image

Published In

Addict Behav

DOI

EISSN

1873-6327

Publication Date

September 2016

Volume

60

Start / End Page

171 / 176

Location

England

Related Subject Headings

  • Young Adult
  • Veterans
  • Substance Abuse
  • Stress Disorders, Post-Traumatic
  • Smoking Cessation
  • Smoking
  • Middle Aged
  • Male
  • Individuality
  • Humans