Evidence map›Paper›PMID 30335423›Full record

ArticleJournal of consulting and clinical psychology2018

Does cessation fatigue predict smoking-cessation milestones? A longitudinal study of current and former smokers.

Bryan W Heckman, Jennifer Dahne, Lisa J Germeroth, Amanda R Mathew, Elizabeth J Santa Ana, Michael E Saladin, Matthew J Carpenter

Abstract read
In one paragraph

Article in Journal of consulting and clinical psychology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

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  9. Trajectories of motivation and self-efficacy during a smoking quit attempt: An ecological momentary assessment study.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2022
    Article
  10. Article
  11. Pain Status as a Predictor of Smoking Cessation Initiation, Lapse, and Relapse.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2021
    Article
  12. Article
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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

7 authors.

Bryan W HeckmanDepartment of Psychiatry and Behavioral Sciences.ORCID 0000-0003-4148-2467
Jennifer DahneDepartment of Psychiatry and Behavioral Sciences.ORCID 0000-0001-7297-9420
Lisa J GermerothDepartment of Psychiatry, University of Pittsburgh.
Amanda R MathewDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine.ORCID 0000-0003-3240-5697
Elizabeth J Santa AnaDepartment of Psychiatry and Behavioral Sciences.
Michael E SaladinDepartment of Psychiatry and Behavioral Sciences.
Matthew J CarpenterDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina.

Funding

South Carolina Clinical & Translational Research Institute (SCTR)UL1TR001450 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T., FLUME, PATRICK A · 2015 to 2024
$41.1M
DRUG ABUSE TRAINING PROGRAMT32DA007288 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI Christopher W Cowan, Rachel Penrod-Martin · 1991 to 2026
$11.8M
CARDIOVASCULAR BEHAVIORAL MEDICINE RESEARCH TRAININGT32HL007560 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Peter J Gianaros, REBECCA C THURSTON · 1985 to 2026
$11.3M
Clinical Scientists Training Program in Addictions at MUSCK12DA031794 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI Kevin M. Gray, AIMEE L MCRAE-CLARK · 2013 to 2026
$7.2M
Personalized Smoking Relapse Prevention Delivered in Real-Time via Just-in-time Adaptive InterventionsK23DA041616 · NIDA · MEHARRY MEDICAL COLLEGE · PI HECKMAN, BRYAN WAYNE · 2017 to 2021
$929k
NCATS NIH HHS UL1 TR001450NHLBI NIH HHS T32 HL007560NIDA NIH HHS K12 DA031794NIDA NIH HHS K23 DA041616NIDA NIH HHS T32 DA007288
6 · The paper itself

Abstract

objectiveLong-term abstinence can be undermined by cessation fatigue-an exhaustion of coping resources attributable to quitting smoking/staying quit. The current study examines the predictive validity of a Cessation Fatigue Scale (CFS; three subscales). Among current smokers, we hypothesized higher fatigue would predict longer latency to both quit initiation and achieving 7-day point prevalence abstinence (7-day PPA). Among recent quitters, we expected higher cessation fatigue would confer greater lapse/relapse risk. Lower rates of abstinence at 2-month follow-up were expected for those with higher fatigue.

methodCurrent smokers motivated to quit in the next month (n = 301) and recent quitters (n = 242) were assessed biweekly over the course of 2 months. Retention rates were high (>85%). Cox and logistic regression analyses tested hypotheses.

resultsAmong smokers, greater emotional exhaustion predicted longer delay to achieving 7-day PPA (HR = .53, 95% CI [.40, -.68], p < .001) and lower likelihood of 7-day PPA at 2-month follow-up (OR = .27, 95% CI [.16, -.46], p < .001), even after controlling for nicotine dependence and motivation to quit. Among recent quitters, emotional exhaustion progressively increased over the first 6 weeks since quit initiation. Elevated exhaustion was associated with greater lapse (HR = 1.65, 95% CI [1.06, 2.56], p < .05) and relapse (HR = 2.33, 95% CI [1.37, 3.97], p < .01) risk, and lower likelihood of 7-day PPA at 2-month follow-up (OR = .39, 95% CI [.16, .94], p < .05), even after controlling for nicotine withdrawal and motivation to quit.

conclusionsCessation fatigue, as measured by the CFS's emotional exhaustion subscale, prospectively predicted important cessation milestones. Findings suggest that cessation fatigue is a novel process that undermines smoking cessation and a viable target for intervention. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Indexed as

MotivationAdaptation, PsychologicalAdolescentAdultAgedFemaleHealth BehaviorHumansLongitudinal StudiesMaleMiddle AgedNicotineRecurrenceSmokingSmoking CessationSubstance Withdrawal SyndromeNicotine

Identifiers

PMID30335423
PMCPMC6196734

What OpenQuestion holds

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Registered trials

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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.