When the death makes you smoke: A terror management perspective on the effectiveness of cigarette on-pack warnings

One of the principal vehicles for informing tobacco consumers about the risks of smoking is the warning message on each cigarette package. Based on terror management theory, the present study investigates the impact of mortality-salient warnings on cigarette packages compared to warnings with no mortality threat. Results suggest that to the degree that smoking is a source of self-esteem, later attitudes towards smoking become more positive if the warning message is mortality-salient. On the contrary, if the warning is terrifying but not mortality-salient and relates to the source of self-esteem, smoking attitudes become more negative with higher smoking-based self-esteem. Thus, mortality-salient warnings may increase the tendency to favor smoking under certain circumstances. This fatal ironic effect highlights the importance of a risk communication that matches the self-esteem contingencies of the recipients, and it has urgent implications for health care policy.     

Thinking about smoking: A novel approach to describing cognitive style profiles

Cognitive-Experiential Self-Theory (CEST) emphasizes the dual roles of rational and experiential thinking, with individuals having varying preferences for each style. This study explored the relationship between these constructs, illustrating the value of the derived model in addictive behavior, as illustrated by smoking. Data were extracted from a study of the predictors of men’s health behavior. Participants comprised 212 Australian men (aged 25–65 years) who completed a self-report questionnaire which assessed thinking styles and recorded smoking status. Rational and experiential data were subjected to cluster analysis and median splits to identify logical subgroups based on participants’ dual responses. The four derived clusters were more representative of smoking status than groups defined by median splits. In general, both smokers and ex-smokers preferred experiential thinking and non-smokers preferred rational thinking. There was a strong tendency for smokers to report both low rational and high experiential thinking. The use of cluster analysis advanced the evaluation of the interactive nature of rational and experiential thinking by allowing an empirical test of their potential relationship. The thinking profiles reported represent an advance in the assessment of CEST which may provide a useful model for applications in fields both related to, and beyond, addiction.     

Obsessive-compulsive symptoms and cigarette smoking: an initial cross-sectional test of mechanisms of co-occurrence

ABSTRACT

Tobacco addiction and obsessive-compulsive symptoms (OCS; intrusive thoughts or impulses that cause distress and rituals) are both mediated by compulsivity and negative reinforcement. Little evidence exists to guide theory, research, treatment, and population-based prevention of this co-occurrence. We propose a conceptual model of OCS-smoking co-occurrence in which smokers with elevated OCS capitalize on smoking to assuage OCS. This secondary analysis examined associations between OCS levels and self-reported smoking motives that are model-concordant: i) negative reinforcement—smoking for relief; ii) sensorimotor—benefits of behaviors and sensations of the tobacco self-administration ritual; and iii) habitual—smoking without conscious control. A community sample of cigarette smokers enrolled in a cessation trial (N = 458; 47.2% female; M _age = 36.9; SD = 13.6) completed pre-quit self-report measures of OCS levels and smoking motives. Regression models adjusted for sociodemographic covariates and non-OCS psychopathologies indicated that OCS level was positively associated with each model-concordant motive. OCS level was also correlated with tobacco dependence severity and greater withdrawal symptom severity experienced during previous quit attempts. Those with higher OCS report greater motivation to smoke for negative reinforcement, sensorimotor behavioral-ritualistic, habit/automaticity, and stimulation reasons. Further examination of the proposed model of OCS-smoking co-occurrence is warranted to guide theory and intervention for this population.     

Age and pre quit-day attrition during smoking cessation treatment

ABSTRACT

The present study aimed to replicate the finding that younger age predicts higher pre quit-day attrition. Our second aim was to explain this relation by examining empirically and theoretically informed age-related risk factors for low smoking cessation treatment engagement. 136 participants (M _age = 44.2 years, SD = 11.3 years; age = 22–64 years) were randomized to 15-weeks of either 1) an exercise intervention (n = 72) or 2) a wellness education control condition (n = 64). First, a logistic regression analysis was employed to test whether younger adults were more likely than older adults to drop prior to quit date. Next, we assessed whether smoking related health concerns, social expectancies, and/or perceived severity of craving affected the strength of the relation between age and attrition, by adding these three variables to the logistic regression along with age. The logistic regression model indicated that younger age and treatment condition were significantly related to the odds of dropping from treatment prior to the scheduled quit date. Further, health concerns, social expectancies, and/or perceived severity of cravings did not account for the effect of age on pre quit-day attrition. These findings highlight the importance of identifying empirically and theoretically informed variables associated with the pre quit-day attrition problem of young smokers.     

Health-related behaviour and personality trait development in adulthood

This investigation explored the contribution of a healthy lifestyle to personality trait stability and change during adulthood. A nationally representative sample of 11,133 Australian adults completed self-report measures of health-related behaviour and personality traits at baseline (2010) and again four years later (2014). Results showed that physical activity and alcohol intake, and to a lesser extent diet and cigarette smoking, were important for mean-level change and intra-individual stability of personality for all trait dimensions. Moreover, positive health behaviours were associated with less of a decrease in extraversion and more of an increase in openness, agreeableness and conscientiousness over four years.These findings suggest that healthy living might help to facilitate desirable personality trait stability and change during adulthood.     

Facets of the NEO-PI-R and smoking cessation

Knowing more about the personality of smokers may help to increase the effectiveness of smoking cessation treatments and can contribute to relapse prevention. The aim of the present study was to analyze the influence of 30 specific facets of the Five-Factor Model of personality on the outcomes at the end of treatment and at 12-month follow-up, in a sample of 281 smokers seeking psychological treatment to stop smoking. Personality facets were assessed with the Revised NEO Personality Inventory (NEO-PI-R). Results showed that nicotine dependence and several facets of personality (Self-discipline, Depression, Aesthetics, Trust, and Modesty) contribute to explain short- and long-term outcomes after smoking cessation. These findings support the need of integrate information about individual smoker’s personality facets into smoking cessation programs.