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. 2018 Sep 4;20(10):1215-1222.
doi: 10.1093/ntr/ntx216.

Happiness as a Buffer of the Association Between Dependence and Acute Tobacco Abstinence Effects in African American Smokers

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Happiness as a Buffer of the Association Between Dependence and Acute Tobacco Abstinence Effects in African American Smokers

Madalyn M Liautaud et al. Nicotine Tob Res. .

Abstract

Introduction: African American (AA) smokers are at disproportionate risk of tobacco dependence, utilizing smoking to regulate stress, and poor cessation outcomes. Positive emotional traits may function as coping factors that buffer the extent to which dependence increases vulnerability to adverse responses to acute tobacco abstinence (ie, tobacco withdrawal). This laboratory study examined subjective happiness (SH; dispositional orientation towards frequent and intense positive affect [PA] and life satisfaction) as a moderator of the relation between tobacco dependence and subjective and behavioral abstinence effects among AA smokers.

Methods: AA smokers (N = 420, 39.0% female) completed self-report measures of tobacco dependence and SH followed by two counterbalanced experimental sessions (nonabstinent vs. 16-hour abstinent) involving self-report measures of composite withdrawal, urge to smoke, and mood, and a behavioral smoking task in which participants could: (1) earn money to delay smoking reinstatement, and (2) subsequently purchase cigarettes to smoke.

Results: Tobacco dependence was positively associated with increased abstinence effects in composite withdrawal, urge to smoke, PA, and latency to smoking reinstatement (ps < .04). SH significantly moderated the relation between dependence and abstinence-induced increases in composite withdrawal (β = -.17, p < .001), such that the predictive power of dependence on withdrawal severity grew proportionately weaker as levels of SH increased.

Conclusions: SH may insulate against adverse effects of dependence on withdrawal during acute smoking abstinence, particularly withdrawal symptom clusters that are craving- and mood-based. Consideration of positive emotional traits as stress-coping factors in the dependence-withdrawal link may be warranted in research and practice with AA smokers.

Implications: The current study contributes to a growing body of literature examining the potentially advantageous role of positive emotional traits to smokers. We do so by identifying a relatively understudied psychological construct within tobacco research-subjective happiness-that may suppress the extent to which more severe tobacco dependence increases risk for subjective withdrawal-related distress during acute smoking abstinence in AA smokers. In doing so, the study provides a primer for future targeting of subjective happiness and other positive emotional traits as means to understand and treat acute tobacco abstinence effects among dependent AA smokers.

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Figures

Figure 1.
Figure 1.
Simple slopes of tobacco dependence (Fagerstrom Test of Nicotine Dependence; FTND) predicting abstinence-induced changes in composite withdrawal symptoms (Minnesota Nicotine Withdrawal Scale; MNWS) by subjective happiness level (Subjective Happiness Scale; SHS). Reported slopes from adjusted model, which included FTND as the independent variable, abstinence-induced changes in MNWS as the dependent variable, and age, sex, depression, sensation seeking, and respective non-abstinent outcome scores as covariates. Lines represent 1 SD below the mean, the mean, and 1 SD above the mean scores on the SHS. All measures were standardized (M = 0, SD = 1) to facilitate ease of interpretation. Abstinence-Induced Change Score = Score in Abstinent Condition—Score in Non-Abstinent Condition.

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