Adolescent Personality Antecedents of Adult Cigarette Smoking: A Longitudinal Study

Comprehensive personality assessments, made independently for early and late adolescence, were employed to predict smoking onset and maximum number of cigarettes smoked per day as reported by adult smokers. Also, comparisons were made between adult smokers and nonsmokers. The results indicate that men who had been more sexually active as adolescents smoked more but that women who had been more emotionally constricted and under more conflict as adolescents were heavier smokers. Smoking started earlier for men who had showed little self-awareness and a rather macho orientation during their adolescence; early-smoking women tended to have been conventionally feminine. Personality differences between future smokers and nonsmokers were few but showed similar sex differences. The results suggest that manifesting once traditional sex-role characteristics for both adolescent boys and girls presages early onset and heavier adult cigarette smoking. Preventive antismoking educational campaigns aimed at youth might be guided by these findings because they suggest some motivational bases that may find later expression in smoking practices.     

Symptoms of Psychological Distress Among Mothers and their Adult Offspring: A Longitudinal Examination

We examined the association between maternal psychological distress during offspring’s early development and offspring’s later distress in adulthood, as well as the influence of maternal characteristics at offspring’s birth and offspring’s characteristics in adulthood on distress. Data were obtained from the British Cohort Study, a longitudinal study of children born in a one-week period in 1970. Children were followed up multiple times from birth through to age 30. Results indicate that greater symptoms of maternal psychological distress during offspring’s early childhood are associated with greater symptoms of distress in adult offspring. A large component of this association is indirect, occurring through mother’s distress in later childhood and offspring’s problem behavior during adolescence. Findings that the association between maternal and offspring’s distress is more indirect than direct support arguments that early maternal distress has long-term consequences for offspring.     

Cigarette Smoking in the Movies: The Influence of Product Placement on Attitudes Toward Smoking and Smokers1

Product placement in which actors use products on screen to promote those products, has received little research attention. The current research examines the effects of cigarette use in movies on various attitudes toward smoking and to ward the actor using the product. Participants (N= 120) viewed a 20‐min clip of Die Hard; half viewing a clip in which the lead character smoked, and half viewing a clip in which the lead character did not smoke. Nonsmokers who were low in need for cognition and who saw the lead character smoking reported more favorable attitudes about smoking. In addition smokers who saw the character smoking rated him as more appealing, while nonsmokers' ratings of the character were not affected by his smoking. Results are discussed in terms of the role of the placement of cigarettes in movies in the development of important smoking‐related attitudes.     

Situational Determinants of Coping in Smoking Relapse Crises1

Interviews with 264 callers to a relapse prevention hotline were used to explore situational determinants of coping among exsmokers facing temptations to smoke. As hypothesized, subjects were more likely to perform cognitive and behavioral coping early in abstinence. Coping was also more likely in situations where subjects had habitually smoked. Discriminant function analyses were used to predict the performance of coping from situational variables. Cognitive coping could not be predicted. Performance of behavioral coping was predictable from six situational variables which accounted for 28% of the variance in coping performance. These situational variables also accounted for the decay of behavioral coping over time. The findings imply that individual differences play a limited role in coping performance and have implications for clinical efforts to enhance smoking cessation through coping interventions.     

不同程度吸烟者内隐态度测量范式下的ERP研究

采用内隐联想测验的WIAT范式研究不同程度吸烟者的内隐态度,并用ERP技术探讨吸烟者相容与不相容任务的脑内时程变化。WIAT结果发现,只有程度深组对吸烟持明显消极态度。ERP结果表明,在不相容任务中程度深组诱发了比程度浅组更大的P2,说明程度深组对与积极相联的吸烟词早期注意增强。同时程度深组的不相容任务诱发了比相容任务更大的LPC,提示程度深组晚期对吸烟词有正性情绪加工。     

Effects of Smoking Social Cues on Inhibitory Control in Smokers: An Event-Related Potential Study

ObjectiveReduced inhibitory control is a general characteristic of smokers and becomes increasingly pronounced in smoking-related contexts. However, research has rarely considered differences in the effects of various smoking-related cues. To fill this research gap, this study compared the effects of smoking object-related and smoking social-related cues on inhibitory control in smokers.MethodsWe used a visual Go/NoGo paradigm with three types of long-lasting backgrounds (neutral, smoking object, and smoking social background) to record the error rates, reaction times, and amplitudes of the N2 and P3 event-related potentials (ERPs) by 25 smokers and 25 non-smokers.Results(1) Smokers displayed smaller NoGo-N2 amplitudes than controls under the neutral background; (2) smokers displayed smaller NoGo-N2 amplitudes under the smoking social background and smoking object background than they did under the neutral background; (3) relative to neutral and smoking object backgrounds, smokers displayed higher commission error rates, shorter reaction times, and larger NoGo-P3 amplitudes under smoking social background.ConclusionSmoking-related stimuli impair inhibitory control in smokers, especially when these stimuli are socially related.     

Smoking on School Property as a Risk Factor for Substance Use Among Adolescent Smokers

The purpose of the current study was to determine if smoking on high-school property was associated with increased risk for other substance use among U.S. adolescents. Secondary analyses were carried out with data from the 2011 Youth Risk Behavior Survey (YRBS, N = 15,503). Only adolescents who reported smoking at least one cigarette in the last 30 days were selected for analyses (n = 2531, 44% female). Alcohol, marijuana, and cocaine use was assessed among participants. Binary logistic regression analysis was carried out to examine the relationship between smoking on school property (yes versus no) with each of the substance use variables. Adolescent smokers who reported smoking on school property were significantly more likely to report substance use across all substances examined compared to smokers who did not smoke on campus. For example, campus smokers were 3.91 times more likely to use marijuana in their lifetime and 3.85 times more likely to have used crack or cocaine in their lifetime compared to smokers who did not smoke on campus. Health care providers who provide services to adolescents should screen for smoking on school property to help identify adolescents at increased risk for substance use.     

An Examination of Situational Constraints in Air Force Work Settings

Our investigation involved the measurement of constraints in a variety of Air Force work settings and the examination of hypothesized relationships between these constraints and performance, affective reactions, and reenlistment plans in seven Air Force occupational specialties. The severity of constraints was found to be mild across the specialties investigated. The presence of constraints tended to be associated with decreased satisfaction, increased frustration, and increased thoughts of leaving the Air Force. However, contrary to expectations, constraints were not related to either performance or intentions to leave.     

Abstract: Identifying Longitudinal Patterns of Adherence to Treatment for Obstructive Sleep Apnea

Increasing adherence to medical recommendations is crucial for improving health outcomes and reducing costs of health care. To improve adherence, we have to better understand behavior change over time. The focus of this study was adherence to treatment for obstructive sleep apnea (OSA). Adherence to positive airway pressure (PAP), the most common treatment for OSA, is poor. This study involved an international sample of 161 participants, each with approximately 180 nights of data, and had three phases. First, a separate time series analysis was performed for each individual. Time series parameters included the mean (average hours of use per night), level (the intercept), slope (the rate of change over time), variance (variability in use), and autocorrelation (a measure of dependency). Second, a dynamic cluster analysis was performed to find homogenous subgroups of individuals with similar adherence patterns. A four-cluster solution was found, and the subgroups were labeled (see Figure 1): Great Users (17.2%; high mean and level, no slope), Good Users (32.8%; moderate mean and level, no slope), Poor Users (22.7%; low mean and level, negative slope), and Slow Decliners (moderate mean and level, negative slope, high variance). Third, participants in the identified subgroups were compared on a number of variables that were not involved in the clustering to establish external validity. Some notable findings at later time points include the following: Great Users reported the most self-efficacy (confidence to use PAP), Poor Users reported the most sleepiness, and Great Users reported the highest quality of sleep. Combining time series analysis and dynamic cluster analysis is a useful way to evaluate adherence patterns at both the individual level and subgroup level. Psychological variables relevant to adherence patterns, such as self-efficacy, could be the focus of interventions to increase PAP usage.     

Career Preparation: A Longitudinal, Process-Oriented Examination

Preparing for an adult career through careful planning, choosing a career, and gaining confidence to achieve career goals is a primary task during adolescence and early adulthood. The current study bridged identity process literature and career construction theory (Savickas, 2005) by examining the commitment component of career adaptability, career preparation (i.e., career planning, career decision-making, and career confidence), from an identity process perspective (Luyckx, Goossens, & Soenens, 2006). Research has suggested that career preparation dimensions are interrelated during adolescence and early adulthood; however, what remains to be known is how each dimension changes over time and the interrelationships among the dimensions during the transition from high school. Drawing parallels between career preparation and identity development dimensions, the current study addressed these questions by examining the patterns of change in each career preparation dimension and parallel process models that tested associations among the slopes and intercepts of the career preparation dimensions. Results showed that the career preparation dimensions were not developing similarly over time, although each dimension was associated cross-sectionally and longitudinally with the other dimensions. Results also suggested that career planning and decision-making preceded career confidence. The results of the current study supported career construction theory and showed similarities between the processes of career preparation and identity development.     

Is Smoking Queer? Implications of California Tobacco Denormalization Strategies for Queer Current and Former Smokers

ABSTRACT

This article is concerned with normative conceptions of health structuring tobacco control strategies designed to “denormalize” tobacco use. Analysis of 201 interviews with non-heterosexual and/or non-cisgender adults in California revealed that participants implicated tobacco use in exacerbating health inequities and perpetuating harmful narratives of queer suffering, but also regarded smoking as a critical tool for self-care and symbol of resistance. Participant narratives suggest that using stigma in health promotion efforts which reinforce normative conceptions of health may be harmful to queer people whose social identities exist within ongoing legacies of pathology, health stigma, and deviance from hegemonic structural norms.     

Pilot Cases of Combined Cognitive Processing Therapy and Smoking Cessation for Smokers With Posttraumatic Stress Disorder

Posttraumatic stress disorder (PTSD) and smoking are often comorbid, and both problems are in need of improved access to evidence-based treatment. The combined approach could address two high-priority problems and increase patient access to both treatments, but research is needed to determine whether this is feasible and has promise for addressing both PTSD and smoking.We collected data from 15 test cases that received a treatment combining two evidence-based treatments: cognitive processing therapy–cognitive version (CPT-C) for PTSD and integrated care for smoking cessation (ICSC). We explored two combined treatment protocols including a brief (six-session) CPT-C with five follow-up in-person sessions focused on smoking cessation (n = 9) and a full 12-session CPT-C protocol with ICSC (n = 6). The combined interventions were feasible and acceptable to patients with PTSD making a quit attempt. Initial positive benefits of the combined treatments were observed. The six-session dose of CPT-C and smoking cessation resulted in 6-month bioverified smoking abstinence in two of nine participants, with clinically meaningful PTSD symptom reduction in three of nine participants. In the second cohort (full CPT-C and smoking treatment), both smoking and PTSD symptoms were improved, with three of six participants abstinent from smoking and four of six participants reporting clinically meaningful reduction in PTSD symptoms. Results suggested that individuals with PTSD who smoke are willing to engage in concurrent treatment of these problems and that combined treatment is feasible.     

戒烟社会支持与吸烟者戒烟意向的关系：亲友认同的调节作用和吸烟危害认识的中介作用

研究旨在考察吸烟者的亲友认同和吸烟危害认识在亲友戒烟社会支持与戒烟意向关系中的作用。对340名吸烟者被试进行问卷调查,结果表明：（1）戒烟社会支持显著正向预测戒烟意向;（2）吸烟危害认识对社会支持和戒烟意向的关系起完全中介作用;（3）亲友认同对戒烟社会支持和戒烟意向的关系起显著调节作用。研究拓展了压力缓冲模型,说明了戒烟社会支持的认知功能,且支持了社会认同在社会支持发挥作用过程中的重要性。     

Predicting the Onset of Cigarette Smoking in Adolescents: A Longitudinal Study1

In a longitudinal study, the second-year-smoking status of adolescents who were initially Nonsmokers or Triers was predicted from their Year 1 standing on three types of social psychological variables: Ajzen and Fishbein's factors (predicting smoking transitions from attitudes, normative beliefs and behavioral intentions about smoking); Jessor and Jessor's distal variables (predicting smoking transitions from more generalized personality and perceived environment factors), and smoking environment variables (predicting smoking transitions from the extent of smoking models in an adolescent's social milieu). The predictive power of these three categories of factors was compared. All three classes of social psychological variables were statistically significant predictors of smoking transition, although the Ajzen and Fishbein variables were more important for Triers while the Jessor and Jessor and smoking environment variables were more important for initial Never Smokers. Moreover, each category of variables made independent contributions to the prediction of smoking transition. Finally, there were several age and sex differences in the relative importance of predictor variables. Implications of these findings for the design of effective smoking prevention programs are discussed. Smoking prevention programs might be more effective if they were aimed at a specific high risk audience (as identified by the current study) rather than at a general adolescent population.     

Antecedents of Goal Commitment: An Empirical Examination of Personal and Situational Factors1

The purpose of this study was to provide a partial test of the Hollenbeck and Klein (1987) model of goal commitment. Four variables from that model (reward structure, social influence, type-A behavior, and self-esteem) were examined as to their relationships with the expectancy and attractiveness of goal attainment and goal commitment. The results, based on 88 college students performing an anagram task, were generally supportive. Significant person by situation interactions were also observed.