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. 2012 Mar;27(2):200-8.
doi: 10.1002/hup.1269.

Effects of cumulative stress and impulsivity on smoking status

Emily B Ansell  1 , Peihua Gu, Keri Tuit, Rajita Sinha
Affiliations

Effects of cumulative stress and impulsivity on smoking status

Emily B Ansell et al. Hum Psychopharmacol. 2012 Mar.

Abstract

Objective: The stress-vulnerability model of addiction predicts that environmental factors, such as cumulative stress, will result in individual adaptations that decrease self-control, increase impulsivity, and increase risk for addiction. Impulsivity and cumulative stress are risk factors for tobacco smoking that are rarely examined simultaneously in research.

Methods: We examined the indirect and direct effects of cumulative adversity in a community sample consisting of 291 men and women who participated in an assessment of cumulative stress, self-reported impulsivity, and smoking history. Data were analyzed using bootstrapping techniques to estimate indirect effects of stress on smoking via impulsivity.

Results: Cumulative adversity is associated with smoking status via direct effects and indirect effects through impulsivity scores. Additional models examining specific types of stress indicate contributions of traumatic stress and recent life events as well as chronic relationship stressors.

Conclusions: Overall, cumulative stress is associated with increased risk of smoking via increased impulsivity and via pathways independent of impulsivity. These findings support the stress-vulnerability model and highlight the utility of mediation models in assessing how, and for whom, cumulative stress increases risk of current cigarette smoking. Increasing self-control is a target for interventions with individuals who have experienced cumulative adversity.

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Conflict of interest statement

CONFLICT OF INTEREST

No conflict of interest declared.

Figures

Figure 1
Figure 1
Theoretical mediation model of stress, impulsivity, and smoking status
See this image and copyright information in PMC

References

    1. Anestis MD, Selby EA, Joiner TE. The role of urgency in maladaptive behaviors. Behavior Research and Therapy. 2007;45:3018–3029. - PubMed
    1. Arnsten AFT, Goldman-Rakic PS. Noise stress impairs prefrontal cortical cognitive function in monkeys: Evidence for a hyperdopaminergic mechanism. Archives of General Psychiatry. 1998;55:362–369. - PubMed
    1. Braun K, Lange E, Metzger M, Poeggel G. Maternal separation followed by early social deprivation affects the development of monoaminergic fiber systems in the medial prefrontal cortex of Octodon degus. Neuroscience. 2000;95(1):309–318. - PubMed
    1. Colamussi L, Bovbjerg DH, Erblich J. Stress-and cue-induced cigarette craving: effects of a family history of smoking. Drug and Alcohol Dependence. 2007;88:251–258. - PMC - PubMed
    1. Danaei G, Rimm EB, Oza S, Kulkarni SC, Murray CJ, Ezzati M. The promise of prevention: the effects of four preventable risk factors on national life expectancy and life expectancy disparities by race and county in the United States. PLoS Med. 2010;7(3):e1000248. - PMC - PubMed

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