Evidence map›Paper›PMID 20132927›Full record

Trial reportBiological psychiatry2010

Acute negative affect relief from smoking depends on the affect situation and measure but not on nicotine.

Kenneth A Perkins, Joshua L Karelitz, Cynthia A Conklin, Michael A Sayette, Grace E Giedgowd

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Biological psychiatry, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 12 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 12 syntheses or guidelines pooled it.

  1. Electronic cigarettes for smoking cessation.The Cochrane database of systematic reviews · 2026
    Pooled it
  2. Electronic cigarettes for smoking cessation.The Cochrane database of systematic reviews · 2025
    Pooled it
  3. Electronic cigarettes for smoking cessation.The Cochrane database of systematic reviews · 2025
    Pooled it
  4. Electronic cigarettes for smoking cessation.The Cochrane database of systematic reviews · 2024
    Pooled it
  5. Pooled it
  6. Electronic cigarettes for smoking cessation.The Cochrane database of systematic reviews · 2022
    Pooled it
  7. Electronic cigarettes for smoking cessation.The Cochrane database of systematic reviews · 2021
    Pooled it
  8. Electronic cigarettes for smoking cessation.The Cochrane database of systematic reviews · 2021
    Pooled it
  9. Electronic cigarettes for smoking cessation.The Cochrane database of systematic reviews · 2020
    Pooled it
  10. Pooled it
  11. Pooled it
  12. Pooled it
  13. Very Low Nicotine Content Cigarettes Disrupt the Feedback Loop of Affective States and Smoking Behavior.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
    Trial
  14. Trial
  15. Trial
  16. Cigarette Nicotine Content as a Moderator of the Relationship Between Negative Affect and Smoking.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2017
    Trial
  17. Trial
  18. Trial
  19. Trial
  20. Trial

8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Kenneth A PerkinsDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA. perkinska@upmc.edu
Joshua L Karelitz
Cynthia A Conklin
Michael A Sayette
Grace E Giedgowd

Funding

Affect, Context, and Placebo Responses to NicotineR01DA016483 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI PERKINS, KENNETH ALAN · 2002 to 2005
$1.0M
Tobacco Smoking, Nicotine and Negative Affect ReliefR01DA019478 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI PERKINS, KENNETH ALAN · 2006 to 2009
$863k
Behavioral Genetics of Mood-Induced SmokingR03DA027449 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI PERKINS, KENNETH ALAN · 2009 to 2010
$469k
NIDA NIH HHS DA027449NIDA NIH HHS DA16483NIDA NIH HHS DA19478NIDA NIH HHS R01 DA016483NIDA NIH HHS R01 DA019478NIDA NIH HHS R03 DA027449
6 · The paper itself

Abstract

backgroundSmoking acutely relieves negative affect (NA) due to smoking abstinence but may not relieve NA from other sources, such as stressors.

methodsDependent smokers (n = 104) randomly assigned to one of three smoking conditions (nicotine or denicotinized cigarettes, or no smoking) completed four negative mood induction procedures (one per session): 1) overnight smoking abstinence, 2) challenging computer task, 3) public speech preparation, and 4) watching negative mood slides. A fifth session involved a neutral mood control. The two smoking groups took four puffs on their assigned cigarette and then smoked those same cigarettes ad libitum during continued mood induction. All subjects rated their level of NA and positive affect on several measures (Mood Form, Positive and Negative Affect Scale, Stress-Arousal Checklist, and State-Trait Anxiety Inventory-state). They also rated craving and withdrawal.

resultsNegative affect relief from smoking depended on the NA source (i.e., mood induction procedure) and the affect measure. Smoking robustly relieved NA due to abstinence on all four measures but only modestly relieved NA due to the other sources and typically on only some measures. Smoking's effects on positive affect and withdrawal were similar to effects on NA, but relief of craving depended less on NA source. Smoking reinforcement only partly matched the pattern of NA relief. Few responses differed between the nicotine and denicotinized smoking groups.

conclusionsAcute NA relief from smoking depends on the situation and the affect measure used but may not depend on nicotine intake. These results challenge the common assumption that smoking, and nicotine in particular, broadly alleviates NA.

Indexed as

AdultAffectAnxietyExecutive FunctionFemaleHumansMaleNicotineNicotinic AgonistsReinforcement, PsychologyRewardSmokingSmoking CessationSocial EnvironmentStress, PsychologicalSubstance Withdrawal SyndromeNicotineNicotinic Agonists

Identifiers

PMID20132927
PMCPMC5367382

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.