Evidence map›Paper›PMID 29708388›Full record

ArticleHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2018

Does exercise aid smoking cessation through reductions in anxiety sensitivity and dysphoria?

Michael J Zvolensky, David Rosenfield, Lorra Garey, Brooke Y Kauffman, Kirsten J Langdon, Mark B Powers, Michael W Otto, Michelle L Davis, Bess H Marcus, Timothy S Church and 5 more

Registry-linked trialAbstract read
In one paragraph

Article in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05045326 (Effectiveness of a Smoking Cessation Intervention in a Mental Health Day Hospital), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 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.

NCT05045326 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Effectiveness of a Smoking Cessation Intervention in a Mental Health Day Hospital

TypeinterventionalSponsorHospital Clinic of BarcelonaRan2021 to 2024Enrolled150ConditionsTobacco Use Disorder, Smoking Cessation, Mental DisorderArmsSmoking cessation program, Placebo Comparator: Brief Counselling
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Exercise interventions for smoking cessation.The Cochrane database of systematic reviews · 2019
    Pooled it
  2. Approach Bias and Tobacco Craving as Mechanisms of the Effect of Approach Bias Retraining on Smoking Cessation.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Trial
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Article
  9. Exercise and Smoking Cessation.Current topics in behavioral neurosciences · 2024
    Review
  10. Understanding and Managing Anxiety Sensitivity During Critical Illness and Long-Term Recovery.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2023
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Anxiety Sensitivity as a Malleable Mechanistic Target for Prevention Interventions: A Meta-Analysis of the Efficacy of Brief Treatment Interventions.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2021
    Article
  18. Article
  19. Article
  20. A randomized controlled trial protocol for engaging distress tolerance and working memory to aid smoking cessation in low socioeconomic status (SES) adults.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2020
    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

15 authors.

Michael J ZvolenskyDepartment of Psychology, University of Houston.
David RosenfieldDepartment of Psychology, Southern Methodist University.
Lorra GareyDepartment of Psychology, University of Houston.
Brooke Y KauffmanDepartment of Psychology, University of Houston.
Kirsten J LangdonDepartment of Psychiatry, Rhode Island Hospital.
Mark B PowersDepartment of Psychology, The University of Texas at Austin.
Michael W OttoDepartment of Psychology, Boston University.ORCID 0000-0002-8915-7578
Michelle L DavisDepartment of Psychology, The University of Texas at Austin.
Bess H MarcusDepartment of Family Medicine and Public Health, University of California at San Diego.
Timothy S ChurchPennington Biomedical Research Center, Louisiana State University.
Georita M FriersonDepartment of Psychology, Howard University.
Lindsey B HopkinsStress and Health Research Program, San Francisco VA Medical Center.ORCID 0000-0002-0577-2961
Daniel J PaulusDepartment of Psychology, University of Houston.ORCID 0000-0002-8799-4372
Scarlett O BairdDepartment of Psychology, The University of Texas at Austin.
Jasper A J SmitsDepartment of Psychology, The University of Texas at Austin.ORCID 0000-0003-1633-9693

Funding

Exercise Intervention for SmokingR01DA027533 · NIDA · SOUTHERN METHODIST UNIVERSITY · PI SMITS, JASPER, ZVOLENSKY, MICHAEL J. · 2009 to 2012
$2.3M
Integrated PTSD and Smoking TreatmentK01DA035930 · NIDA · UNIVERSITY OF TEXAS AT AUSTIN · PI POWERS, MARK B · 2013 to 2017
$857k
NIDA NIH HHS K01 DA035930NIDA NIH HHS R01 DA027533
6 · The paper itself

Abstract

objectiveResearch shows that high anxiety sensitivity (AS) and dysphoria are related to poor smoking cessation outcomes. Engaging in exercise may contribute to improvement in smoking cessation outcomes through reductions in AS and dysphoria. In the current study, we examined whether exercise can aid smoking cessation through reductions in AS and dysphoria.

methodParticipants were sedentary and low activity adult daily smokers (N = 136) with elevated AS who participated in a randomized controlled trial comparing smoking cessation treatment (ST) plus an exercise intervention (ST + EX) to ST plus wellness education (ST + CTRL). Self-reported smoking status was assessed in-person weekly from baseline through week 16 (end of-treatment; EOT), at week 22 (4 months postquit day), and at week 30 (6 months postquit day), and verified biochemically.

resultsResults indicated that both AS and dysphoria at 6-month follow-up were significantly lower in the ST + EX group compared to the ST + CTRL group (controlling for baseline levels). Moreover, reductions in AS and dysphoria emerged as independent mechanisms of action explaining success in quitting.

conclusionsThese novel findings offer clinically significant evidence suggesting that vigorous-intensity exercise can effectively engage affective constructs in the context of smoking cessation. (PsycINFO Database Record

Indexed as

AdultAnxietyExerciseFemaleHumansMaleSmoking Cessation

Identifiers

PMID29708388
PMCPMC6032989

What OpenQuestion holds

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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.