Alcohol and tobacco cessation in alcohol-dependent smokers: analysis of real-time reports

Alcohol-tobacco interactions and relapse precipitants were examined among alcohol-dependent smokers in a trial of concurrent alcohol and tobacco treatment. After discharge from treatment, participants completed 14 days of electronic diary (ED) assessments of mood, self-efficacy, urges to drink or sm...

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Bibliographic Details
Published inPsychology of addictive behaviors Vol. 21; no. 3; p. 277
Main Authors Cooney, Ned L, Litt, Mark D, Cooney, Judith L, Pilkey, David T, Steinberg, Howard R, Oncken, Cheryl A
Format Journal Article
LanguageEnglish
Published United States 01.09.2007
Subjects
Adult
Affect
Alcohol Drinking - psychology
Alcoholism - psychology
Alcoholism - rehabilitation
Ambulatory Care
Combined Modality Therapy
Computers, Handheld
Cues
Female
Follow-Up Studies
Humans
Male
Medical Records
Middle Aged
Motivation
Self Efficacy
Smoking - psychology
Smoking Cessation - psychology
Temperance - psychology
Veterans - psychology
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Summary:Alcohol-tobacco interactions and relapse precipitants were examined among alcohol-dependent smokers in a trial of concurrent alcohol and tobacco treatment. After discharge from treatment, participants completed 14 days of electronic diary (ED) assessments of mood, self-efficacy, urges to drink or smoke, and drinking and smoking behavior. ED data revealed an increase in frequency of alcohol urges after smoking episodes. Drinking relapse episodes were predicted by prior ED ratings of low self-efficacy to resist drinking and high urge to smoke. Smoking relapse episodes were predicted by high urge to smoke and high negative, high arousal mood. Results support a cross-substance cue reactivity model of multiple substance use and a limited-strength model, but not a cross-substance coping model.
ISSN:0893-164X
1939-1501
DOI:10.1037/0893-164X.21.3.277