Departmental Papers (ASC)

Document Type

Journal Article

Date of this Version

3-2011

Publication Source

Health Psycology

Volume

30

Issue

2

Start Page

186

Last Page

194

DOI

10.1037/a0022201

Abstract

Objective: Understanding the psychological processes that contribute to smoking reduction will yield population health benefits. Negative mood may moderate smoking lapse during cessation, but this relationship has been difficult to measure in ongoing daily experience. We used a novel form of ecological momentary assessment to test a self-control model of negative mood and craving leading to smoking lapse.

Design: We validated short message service (SMS) text as a user-friendly and low-cost option for ecologically measuring real-time health behaviors. We sent text messages to cigarette smokers attempting to quit eight times daily for the first 21 days of cessation (N-obs = 3,811).

Main outcome measures: Approximately every two hours, we assessed cigarette count, mood, and cravings, and examined between- and within-day patterns and time-lagged relationships among these variables. Exhaled carbon monoxide was assessed pre- and posttreatment.

Results: Negative mood and craving predicted smoking two hours later, but craving mediated the mood–smoking relationship. Also, this mediation relationship predicted smoking over the next two, but not four, hours.

Conclusion: Results clarify conflicting previous findings on the relation between affect and smoking, validate a new low-cost and user-friendly method for collecting fine-grained health behavior assessments, and emphasize the importance of rapid, real-time measurement of smoking moderators.

Copyright/Permission Statement

Copyright © 2011 by the American Psychological Association. This article may not exactly replicate the final version published in the APA journal. It is not the copy of record.

Keywords

smoking cessation, self-control, ecological momentary assessment, text messaging, craving

 

Date Posted: 23 May 2016

This document has been peer reviewed.