ArticleSubstance use & misuse2016
Relationships Between Stress, Negative Emotions, Resilience, and Smoking: Testing a Moderated Mediation Model.
Article in Substance use & misuse, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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.
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.
Who cites it
15 citing papers in PubMed, 58 citations in OpenAlex.
- The Cultural Face of Physical, Emotional, and Social Resilience: Turkish Validation of the Essential Resilience Scale (ERS).The Psychiatric quarterly · 2026Article
- Psychological Resilience in Individuals with Type 2 Diabetes Mellitus in Jordan Is Associated with Insomnia Severity: A Cross-Sectional Analysis.Journal of clinical medicine · 2026Article
- From traits to puffs: The interplay of personality, pandemic stress, and smoking behaviors.PloS one · 2025Article
- Exploring the association between melatonin and nicotine dependence (Review).International journal of molecular medicine · 2024Review
- Sociodemographic and work-related factors associated with psychological resilience in South African healthcare workers: a cross-sectional study.BMC health services research · 2024Article
- Exploring the connection between ego-resiliency and health behaviors: a cross-sectional study of Polish health sciences students.BMC psychiatry · 2024Article
- Translation and population-based validation of the Arabic version of the brief resilience scale.Annals of medicine · 2023Article
- University students' (binge) drinking during COVID-19 lockdowns: An investigation of depression, social context, resilience, and changes in alcohol use.Social science & medicine (1982) · 2023Article
- Efficacy of mindfulness and goal setting interventions for increasing resilience and reducing smoking in lower socio-economic groups: randomised controlled trial protocol.Addiction science & clinical practice · 2023Article
- Access to Epidemic Information and Life Satisfaction under the Period of COVID-19: the Mediating Role of Perceived Stress and the Moderating Role of Friendship Quality.Applied research in quality of life · 2022Article
- Perceptions, behaviours and attitudes towards smoking held by the male partners of Chinese pregnant women: a qualitative study.BMC public health · 2021Article
- Using a nominal group technique to approach consensus on a resilience intervention for smoking cessation in a lower socioeconomic population.BMC public health · 2019Article
- Psychological Determinants of Drug Abuse among Male Adolescents in Isfahan: A Structural Model.International journal of preventive medicine · 2019Article
- Work Stress and Depressive Symptoms in Fishermen With a Smoking Habit: A Mediator Role of Nicotine Dependence and Possible Moderator Role of Expressive Suppression and Cognitive Reappraisal.Frontiers in psychology · 2018Article
- Association of Perceived Stress with Atopic Dermatitis in Adults: A Population-Based Study in Korea.International journal of environmental research and public health · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
objectiveMore effective tobacco prevention and cessation programs require in-depth understanding of the mechanism by which multiple factors interact with each other to affect smoking behaviors. Stress has long been recognized as a risk factor for smoking. However, the underlying mediation and moderation mechanisms are far from clear. The purpose of this study was to examine the role of negative emotions in mediating the link between stress and smoking and whether this indirect link was modified by resilience.
methodsSurvey data were collected using audio computer-assisted self-interview (ACASI) from a large random sample of urban residents (n = 1249, mean age = 35.1, 45.3% male) in Wuhan, China. Perceived stress, negative emotions (anxiety, depression), resilience were measured with reliable instruments also validated in China. Self-reported smoking was validated with exhaled carbon monoxide.
resultsMediation analysis indicated that two negative emotions fully mediated the link between stress and intensity of smoking (assessed by number of cigarettes smoked per day, effect =.082 for anxiety and.083 for depression) and nicotine dependence (assessed by DSM-IV standard, effect =.134 for anxiety and.207 for depression). Moderated mediation analysis demonstrated that the mediation effects of negative emotions were negatively associated with resilience.
conclusionsResults suggest resilience interacts with stress and negative emotions to affect the risk of tobacco use and nicotine dependence among Chinese adults. Further research with longitudinal data is needed to verify the findings of this study and to estimate the effect size of resilience in tobacco intervention and cessation programs.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.