Environmental reward and depressive symptoms in the relationship between avoidance and cigarette dependence in treatment-seeking smokers
- Carmela Martínez-Vispo 1
- Ana López-Durán 1
- Carmen Senra 1
- Rubén Rodríguez-Cano 1
- Elena Fernández del Río 2
- Elisardo Becoña 1
-
1
Universidade de Santiago de Compostela
info
-
2
Universidad de Zaragoza
info
ISSN: 0214-9915, 1886-144X
Year of publication: 2020
Volume: 32
Issue: 2
Pages: 176-181
Type: Article
More publications in: Psicothema
Abstract
Background: The current study sought to further examine the relation between avoidance, environmental reward, depressive symptoms and cigarette dependence. Method: The sample included 275 adult treatment-seeking daily smokers (Mage = 45.36, SD = 10.96; 61.5% female). To examine the relationships between the study variables, correlation and serial mediation analyses were conducted. Results: A significant positive relationship between cigarette dependence, avoidance, and depressive symptoms, and a negative relationship with environmental reward was found. Mediation analysis revealed a significant indirect pathway from avoidance to cigarette dependence through depressive symptoms; and also a significant indirect serial pathway from avoidance to cigarette dependence through environmental reward and depressive symptoms. Conclusions: Our findings suggest the importance of avoidance, environmental reward and depressive symptoms in cigarette dependence. Our findings contribute to the understanding of behavioral and psychological factors related to cigarette dependence, which is a well-known barrier to abstinence. Thus, it could be useful to assess and address such variables in the context of smoking-cessation interventions.
Bibliographic References
- Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30, 217-237. doi: 10.1016/j. cpr.2009.11.004
- Armento, M. E. A., & Hopko, D. R. (2007). The Environmental Reward Observation Scale (EROS): Development, validity, and reliability. Behavior Therapy, 38, 107-119. doi: 10.1016/j.beth.2006.05.003
- Baker, T. B., Brandon, T. H., & Chassin, L. (2004). Motivational influences on cigarette smoking. Annual Review of Psychology, 55, 463-491. doi: 10.1146/annurev.psych.55.090902.142054
- Baker, T. B., Piper, M. E., McCarthy, D. E., Majeskie, M. R., & Fiore, M. C. (2004). Addiction motivation reformulated: An affective processing model of negative reinforcement. Psychological Review, 111, 33-51. doi: 10.1037/0033-295X.111.1.33
- Bakhshaie, J., Zvolensky, M. J., & Goodwin, R. D. (2015). Cigarette smoking and the onset and persistence of depression among adults in the United States: 1994-2005. Comprehensive Psychiatry, 60, 142-148. doi: 10.1016/j.comppsych.2014.10.012
- Barraca, J., & Pérez-Álvarez, M. (2010). Adaptación española de la Environmental Reward Observation Scale (EROS) [Spanish adaptation of the Environmental Reward Observation Scale (EROS)]. Ansiedad y Estrés, 16, 95-107.
- Barraca, J., Pérez-Álvarez, M., & Bleda, J. H. L. (2011). Avoidance and activation as keys to depression: Adaptation of the behavioral activation for depression scale in a Spanish sample. The Spanish Journal of Psychology, 14, 998-1009. doi: 10.5209/rev_SJOP.2011.v14.n2.45
- Beck, A., Steer, R., & Brown, G. (1996). Beck Depression Inventory–second edition. Manual (Texas). San Antonio: The Psychological Corporation.
- Becoña, E. (1994). Evaluación de la conducta de fumar [Assessment of smoking behavior]. In J. L. Graña (Ed.), Conductas adictivas: teoría, evaluación y tratamiento (pp. 403-454). Madrid: Debate.
- Becoña, E., & Vázquez, F. L. (1998). The Fagerström Test for Nicotine Dependence in a Spanish sample. Psychological Reports, 83, 14551458. doi: 10.2466/pr0.1998.83.3f.1455
- Becoña, E., Martínez-Vispo, C., Senra, C., López-Durán, A., Rodríguez-Cano, R., & Fernández del Río, E. (2017). Cognitive-behavioral treatment with behavioral activation for smokers with depressive symptomatology: Study protocol of a randomized controlled trial. BMC Psychiatry, 17. doi: 10.1186/s12888-017-1301-7
- Bickel, W. K., Johnson, M. W., Koffarnus, M. N., MacKillop, J., & Murphy, J. G. (2014). The behavioral economics of substance use disorders: Reinforcement pathologies and their repair. Annual Review of Clinical Psychology, 10, 641-677. doi: 10.1146/annurev-clinpsy-032813-153724
- Caponnetto, P., & Polosa, R. (2008). Common predictors of smoking cessation in clinical practice. Respiratory Medicine, 102, 1182-1192. doi: 10.1016/j.rmed.2008.02.017
- Carvalho, J. P., & Hopko, D. R. (2011). Behavioral theory of depression: Reinforcement as a mediating variable between avoidance and depression. Journal of Behavior Therapy and Experimental Psychiatry, 42, 154-162. doi: 10.1016/j.jbtep.2010.10.001
- Chawla, N., & Ostafi n, B. (2007). Experiential avoidance as a functional dimensional approach to psychopathology: An empirical review. Journal of Clinical Psychology, 63, 871-890. doi: 10.1002/jclp.20400
- Cooper, J., Borland, R., McKee, S. A., Yong, H.-H., & Dugué, P.-A. (2016). Depression motivates quit attempts but predicts relapse: Differential findings for gender from the International Tobacco Control Study. Addiction, 111, 1438-1447. doi: 10.1111/add.13290
- Dimidjian, S., Barrera, M., Martell, C., Muñoz, R. F., & Lewinsohn, P. M. (2011). The origins and current status of behavioral activation treatments for depression. Annual Review of Clinical Psychology, 7, 1-38. doi: 10.1146/annurev-clinpsy-032210-104535
- Fagerstrom, K. (2012). Determinants of tobacco use and renaming the FTND to the Fagerstrom Test for Cigarette Dependence. Nicotine & Tobacco Research, 14, 75-78. doi: 10.1093/ntr/ntr137
- Fergusson, D. M., Goodwin, R. D., & Horwood, L. J. (2003). Major depression and cigarette smoking: Results of a 21-year longitudinal study. Psychological Medicine, 33, 1357-1367. doi: 10.1017/ S0033291703008596
- Fluharty, M., Taylor, A. E., Grabski, M., & Munafò, M. R. (2017). The Association of Cigarette Smoking With Depression and Anxiety: A systematic review. Nicotine & Tobacco Research, 19, 3-13. doi: 10.1093/ntr/ntw140
- Garey, L., Farris, S. G., Schmidt, N. B., & Zvolensky, M. J. (2016). The role of smoking-specific experiential avoidance in the relation between perceived stress and tobacco dependence, perceived barriers to cessation, and problems during quit attempts among treatment-seeking smokers. Journal of Contextual Behavioral Science, 5, 58-63. doi: 10.1016/J.JCBS.2015.11.001
- González-Roz, A., Secades-Villa, R., & Alonso-Pérez, F. (2019). Effects of combining contingency management with behavioral activation for smokers with depression. Addiction Research & Theory, 27, 114-121. doi: 10.1080/16066359.2018.1463371
- Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York, NY: Guilford Press.
- Hayes, S. C., Strosahl, K., Wilson, K. G., Bissen·, R. T., Pistorello, J., Toarmino, D., … Mccurry, S. M. (2004). Measuring experiential avoidance: A preliminary test of a working model. The Psychological Record, 54, 553-578. doi: 10.1007/BF03395492
- Higgins, S. T., Heil, S. H., & Lussier, J. P. (2004). Clinical implications of reinforcement as a determinant of substance use disorders. Annual Review of Psychology, 55, 431-461. doi: 10.1146/annurev.psych.55.090902.142033
- Hitsman, B., Papandonatos, G. D., McChargue, D. E., DeMott, A., Herrera, M. J., Spring, B., … Niaura, R. (2013). Past major depression and smoking cessation outcome: A systematic review and meta-analysis update. Addiction, 108, 294-306. doi: 10.1111/add.12009
- Jacobson, N. S., Martell, C. R., & Dimidjian, S. (2001). Behavioral activation treatment for depression: Returning to contextual roots. Clinical Psychology: Science and Practice, 8, 255-270. doi: 10.1093/ clipsy.8.3.255
- Jamal, A., Phillips, E., Gentzke, A. S., Homa, D. M., Babb, S. D., King, B. A., & Neff, L. J. (2018). Current Cigarette Smoking Among Adults United States, 2016. MMWR. Morbidity and Mortality Weekly Report, 67, 53-59. doi: 10.15585/mmwr.mm6702a1
- Jamal, M., Willem Van der Does, A. J., Cuijpers, P., & Penninx, B. W. J. H. (2012). Association of smoking and nicotine dependence with severity and course of symptoms in patients with depressive or anxiety disorder. Drug and Alcohol Dependence, 126, 138-146. doi: 10.1016/j. drugalcdep.2012.05.001
- Kanter, J. W., Mulick, P. S., Busch, A. M., Berlin, K. S., & Martell, C. R. (2007). The Behavioral Activation for Depression Scale (BADS): Psychometric properties and factor structure. Journal of Psychopathology and Behavioral Assessment, 29, 191-202. doi: 10.1007/s10862-006-9038-5
- Leventhal, A. M., Ramsey, S. E., Brown, R. A., LaChance, H. R., & Kahler, C. W. (2008). Dimensions of depressive symptoms and smoking cessation. Nicotine & Tobacco Research, 10, 507-517. doi: 10.1080/14622200801901971
- Leyro, T. M., Crew, E. E., Bryson, S. W., Lembke, A., Bailey, S. R., Prochaska, J. J., … David, S. P. (2016). Retrospective analysis of changing characteristics of treatment-seeking smokers: Implications for further reducing smoking prevalence. BMJ Open, 6, e010960. doi: 10.1136/bmjopen-2015-010960
- Macpherson, L., Tull, M. T., Matusiewicz, A. K., Rodman, S., Strong, D. R., Kahler, C. W., … Lejuez, C. W. (2010). Randomized controlled trial of behavioral activation smoking cessation treatment for smokers with elevated depressive symptoms. Journal of Consulting and Clinical Psychology, 78, 55-61. doi: 10.1037/a0017939
- Martell, C. R., Dimidjian, S., & Herman-Dunn, R. (2013). Behavioral activation for depression: A clinician’s guide. New York: Guilford Press.
- Martínez-Vispo, C., Rodríguez-Cano, R., López-Durán, A., Senra, C., Fernández del Río, E., & Becoña, E. (2019). Cognitive-behavioral treatment with behavioral activation for smoking cessation: Randomized controlled trial. PloS One, 14, e0214252. doi: 10.1371/ journal.pone.0214252
- Minami, H., Bloom, E. L., Reed, K. M. P., Hayes, S. C., & Brown, R. A. (2015). The moderating role of experiential avoidance in the relationships between internal distress and smoking behavior during a quit attempt. Psychology of Addictive Behaviors, 29, 400-407. doi: 10.1037/adb0000030
- Niaura, R., Britt, D. M., Shadel,W. G., Goldstein, M., Abrams, D., & Brown, R. (2001). Symptoms of depression and survival experience among three samples of smokers trying to quit. Psychology of Addictive Behaviors, 15, 13-17.
- Petry, N. M., Alessi, S. M., Olmstead, T. A., Rash, C. J., & Zajac, K. (2017). Contingency management treatment for substance use disorders: How far has it come, and where does it need to go? Psychology of Addictive Behaviors, 31, 897-906. doi: 10.1037/adb0000287
- Perkins, K. A., Karelitz, J. L., & Boldry, M. C. (2017). Nicotine acutely enhances reinforcement from non-drug rewards in humans. Frontiers in Psychiatry, 8, 65. doi: 10.3389/fpsyt.2017.00065
- Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879-891. doi: 10.3758/BRM.40.3.879
- Sanz, J., & Vazquez, C. (2011). Adaptación española del Inventario para Depresión de Beck-II (BDI-II) [Spanish adaptation of the Beck Depression Inventory-II (BDI-II)]. Manual. Madrid: Pearson.
- Schnoll, R. A., Hitsman, B., Blazekovic, S., Veluz-Wilkins, A., Wileyto, E. P., Leone, F. T., & Audrain-McGovern, J. E. (2016). Longitudinal changes in smoking abstinence symptoms and alternative reinforcers predict long-term smoking cessation outcomes. Drug and Alcohol Dependence, 165, 245-252. doi: 10.1016/J.DRUGALCDEP.2016.06.017
- Wagener, A., Baeyens, C., & Blairy, S. (2016). Depressive symptomatology and the influence of the behavioral avoidance and activation: A genderspecific investigation. Journal of Affective Disorders, 193, 123-129. doi: 10.1016/j.jad.2015.12.040
- World Health Organization (WHO) (2017). WHO report on the global tobacco epidemic. World Health Organization. Retrieved from: https:// apps.who.int/iris/bitstream/handle/10665/255874/9789241512824eng.pdf
- Zvolensky, M. J., Farris, S. G., Schmidt, N. B., & Smits, J. A. J. (2014). The role of smoking infl exibility/avoidance in the relation between anxiety sensitivity and tobacco use and beliefs among treatment-seeking smokers. Experimental and Clinical Psychopharmacology, 22, 229237. doi: 10.1037/a0035306