Evidence map›Paper›PMID 21787035›Full record

Trial reportJournal of abnormal psychology2012

Relapse dynamics during smoking cessation: recurrent abstinence violation effects and lapse-relapse progression.

Thomas R Kirchner, Saul Shiffman, E Paul Wileyto

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of abnormal psychology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 2 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

51 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trajectories of Return to Cigarette Smoking Up to 1 Year Postpartum Among People Who Quit Smoking During Pregnancy.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Trial
  4. Trial
  5. Impact of a Smoking Cessation Quitline in Vietnam: Evidence Base and Future Directions.International journal of environmental research and public health · 2019
    Trial
  6. Evaluating the temporal relationships between withdrawal symptoms and smoking relapse.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2019
    Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Early lapses in a cessation attempt: lapse contexts, cessation success, and predictors of early lapse.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2013
    Trial
  14. Trial
  15. Article
  16. Article
  17. Article
  18. Observational
  19. Examining Links Between Distinct Affective States and Tobacco Lapse During a Cessation Attempt Among African Americans: A Cohort Study.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2024
    Article
  20. A Qualitative Analysis of the Experiences of People Who Resumed Smoking Following Exclusive Electronic Nicotine Delivery Systems Use.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Thomas R KirchnerSchroeder Institute for Tobacco Research and Policy Studies, Washington, DC 20036, USA. tkirchner@americanlegacy.org
Saul Shiffman
E Paul Wileyto

Funding

RELAPSE PROCESS IN TRANSDERMAL NICOTINE REPLACEMENTR01DA006084 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SHIFFMAN, SAUL · 1990 to 2001
$45k
NIDA NIH HHS DA006084NIDA NIH HHS R01 DA006084
6 · The paper itself

Abstract

Smoking cessation is a process that unfolds over time and is characterized by intermittent lapses. We used parametric recurrent event survival analyses to better understand the dynamic relationship between a set of Abstinence Violation Effect (AVE, Marlatt & Gordon, 1985) responses to lapsing and subsequent lapse-relapse progression. Participants were 203 smokers who achieved abstinence and responded to items assessing three core components of the AVE (internal attribution, abstinence self-efficacy and guilt) following a total of 1,001 lapse episodes in near real time. Neither self-blame, self-efficacy, nor guilt following participants' first lapse predicted relapse. Controlling for responses to their first lapse, responses to each additional lapse did prospectively predict lapse progression, such that drops in self-efficacy were associated with accelerated progression to a subsequent lapse (HR = 1.09, CI = 1.02-1.15), while increases in internal attributions of blame actually protected against lapsing (HR = 0.98, CI = 0.97-0.99). Treatment with nicotine patches slowed recurrent lapse progression (HR = 0.58, CI = 0.48-0.70), but this effect dissipated over multiple lapses, and was moderated by elevated ratings of postlapse guilt (HR = 1.08, CI = 1.01-1.18), which predicted accelerated progression within the active patch group, while protecting against lapse in the placebo group. Results highlight the dynamic nature of lapse responses during smoking cessation, indicating that self-efficacy predicts progression from one lapse to the next, while attributions of self-blame and guilt influenced progression in unexpected ways.

Indexed as

Self EfficacyAdultAgedCognitive Behavioral TherapyDouble-Blind MethodFemaleGuiltHumansMaleMiddle AgedNicotineNicotinic AgonistsRecurrenceSmokingSmoking CessationSmoking PreventionNicotineNicotinic Agonists

Identifiers

PMID21787035
PMCPMC3296289

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.