Evidence map›Paper›PMID 29018894›Full record

ArticlePsychopharmacology2018

Abstinence-induced withdrawal severity among adolescent smokers with and without ADHD: disentangling effects of nicotine and smoking reinstatement.

L Cinnamon Bidwell, Sara G Balestrieri, Suzanne M Colby, Valerie S Knopik, Jennifer W Tidey

Abstract read
In one paragraph

Article in Psychopharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Trial
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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

5 authors.

L Cinnamon BidwellInstitute of Cognitive Science, University of Colorado, UCB 344, Boulder, CO, 80309-0345, USA. lcb@colorado.edu.
Sara G BalestrieriCenter for Alcohol and Addiction Studies, Brown University, Providence, RI, USA.
Suzanne M ColbyCenter for Alcohol and Addiction Studies, Brown University, Providence, RI, USA.
Valerie S KnopikDepartment of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA.
Jennifer W TideyDepartment of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA.

Funding

Deconstructing the Smoking and ADHD Comorbidity: A Multilevel Genetic ApproachK23DA033302 · NIDA · UNIVERSITY OF COLORADO · PI BIDWELL, L. CINNAMON · 2012 to 2016
$871k
NIDA NIH HHS K23 DA033302NIDA NIH HHS K23DA033302
6 · The paper itself

Abstract

rationaleIndividuals with attention deficit hyperactivity disorder (ADHD) start smoking earlier, are more likely to progress to nicotine dependence, and have a more difficult time quitting smoking compared to their non-ADHD peers. Little is known about the underlying behavioral mechanisms associated with this increased risk, particularly at the adolescent stage.

objectiveThis study aimed to assess the effects of overnight nicotine abstinence and smoking reinstatement on subjective withdrawal states in adolescent smokers with and without ADHD.

methodsAdolescent daily smokers (27 with ADHD and 17 without ADHD) completed three experimental sessions: (1) a placebo patch followed by smoking a nicotine cigarette, (2) placebo patch followed by smoking a nicotine-free cigarette, and (3) nicotine patch followed by smoking a nicotine-free cigarette. Subjects abstained overnight before each session, and patches were administered 45 min before smoking. The primary outcome measure was a smoking withdrawal symptom questionnaire.

resultsADHD smokers experienced greater difficulty concentrating and impatience/restlessness during abstinence than non-ADHD smokers. Smoking a cigarette improved abstinence-induced difficulty concentrating and restlessness, regardless of its nicotine content, and regardless of whether transdermal nicotine was received or not.

conclusionsThus, sensorimotor aspects of smoking, rather than nicotine itself, appeared to relieve withdrawal. Although ADHD smokers report greater withdrawal symptoms than non-ADHD smokers, they responded strongly to the sensorimotor aspects of smoking during withdrawal. These findings suggest that even lighter, adolescent smokers with ADHD are vulnerable to smoking progression through altered smoking abstinence and withdrawal relief processes.

Indexed as

Tobacco Use Cessation DevicesAdolescentAttention Deficit Disorder with HyperactivityFemaleHumansMaleNicotineSmokersSmokingSmoking CessationSubstance Withdrawal SyndromeSurveys and QuestionnairesTobacco SmokingTobacco Use DisorderYoung AdultNicotineADHDAdolescentsAttentionDenicotinized cigaretteNRTSensorimotor replacement

Identifiers

PMID29018894
PMCPMC6133294

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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.