The effectiveness of smoking cessation programs: Determinants and outcomes

Abstract

In this review, smoking cessation is discussed from a stress and coping perspective. Nicotine has been found to produce potentially reinforcing effects. Smoking cessation is best characterized as a process with various stages, of which the stage of relapse remains a major area for intervention research. Mood and expectancies appear to be major determinants of behavior in this stage. Social support apparently still needs conceptual refinement before it may be applied effectively in interventions. Effects of multicomponent treatment has been found to be increased when combined with nicotine replacement therapy. Notwithstanding the sometimes modest quit rates, smoking cessation has been found to be cost-effective among high-risk groups, both from an economical and health perspective. New research should focus on emotional and cognitive processes involved in cessation, in particularly self-efficacy expectations. While public policies may be most efficient in reducing the number of smokers in our society, an increasing number of smokers will be confronted with the addictive character of their smoking.     

Mood as a resource in dealing with health recommendations: How mood affects information processing and acceptance of quit-smoking messages

Objective: An experimental study tested the effects of positive and negative mood on the processing and acceptance of health recommendations about smoking in an online experiment. It was hypothesised that positive mood would provide smokers with the resources to systematically process self-relevant health recommendations.

Design: One hundred and twenty-seven participants (smokers and non-smokers) read a message in which a quit smoking programme was recommended. Participants were randomly assigned to one of four conditions: positive versus negative mood, and strong versus weak arguments for the recommended action.

Main outcome measures: Systematic message processing was inferred when participants were able to distinguish between high- and low-quality arguments, and by congruence between attitudes and behavioural intentions. Persuasion was measured by participant's attitudes towards smoking and the recommended action, and by their intentions to follow the action recommendation.

Results: As predicted, smokers systematically processed the health message only under positive mood conditions; non-smokers systematically processed the health message only under negative mood conditions. Moreover, smokers’ attitudes towards the health message predicted intentions to quit smoking only under positive mood conditions.

Conclusion: Findings suggest that positive mood may decrease defensive processing of self-relevant health information.     

Mind-wandering and negative mood: Does one thing really lead to another?

Mind-wandering is closely connected with negative mood. Whether negative mood is a cause or consequence of mind-wandering remains an important, unresolved, issue. We sought to clarify the direction of this relationship by measuring mood before and after mind-wandering. We also measured the affective content, time-orientation and relevance of mind-wandering to current concerns to explore whether the link between mind-wandering and negative mood might be explained by these characteristics. A novel experience-sampling technique with smartphone application prompted participants to answer questions about mind-wandering and mood across 7 days. While sadness tended to precede mind-wandering, mind-wandering itself was not associated with later mood and only predicted feeling worse if its content was negative. We also found prior sadness predicted retrospective mind-wandering, and prior negative mood predicted mind-wandering to current concerns. Our findings provide new insight into how mood and mind-wandering relate but suggest mind-wandering is not inherently detrimental to well-being.     

A meta‐mood model of rumination and depression: Preliminary test in a non‐clinical population

Depressive rumination and trait meta‐mood (emotional attention, emotional clarity and emotional repair) have been suggested as vulnerability factors leading to depression, but less is known about the associations among them. In this study, we examined the relationships between trait meta‐mood, rumination and depressive symptomatology. Using structural equation analysis in a large sample of a non‐clinical population we found a preliminary test of the role of trait meta‐mood dimensions in rumination and depressive symptomatology. Results indicated that attention to feelings has two pathways in its relation with rumination and depressive mood. On the one hand, emotional attention was associated with emotional clarity, and emotional clarity with emotional repair, which was related to lower depressive symptomatology, in part, by reducing rumination. On the other hand, emotional attention was directly associated with ruminative thoughts which, in turn, were related to higher depressive mood. Findings are discussed in terms of the implications of beliefs about emotions in the treatment of depression.     

Impact of Experimentally Induced Positive and Anxious Mood on Alcohol Expectancy Strength in Internally Motivated Drinkers

The effects of musically‐induced positive and anxious mood on explicit alcohol‐related cognitions (alcohol expectancy strength) in 47 undergraduate students who consume alcohol either to enhance positive mood states (for enhancement motives) or to cope with anxiety (for anxiety‐related coping motives) were investigated. Pre‐ and post‐mood induction, participants completed the emotional reward and emotional relief subscales of the Alcohol Craving Questionnaire – Now. The hypothesis that anxiety‐related coping motivated drinkers in the anxious mood condition (but not those in the positive mood condition) would exhibit increases in strength of explicit emotional relief alcohol expectancies after the mood induction was supported. An additional, unanticipated finding was that enhancement‐motivated drinkers in the anxious condition also showed significant increases in strength of explicit emotional relief (but not emotional reward) alcohol expectancies. The hypothesis that enhancement‐motivated (but not anxiety‐related coping motivated) participants would exhibit increases in explicit emotional reward expectancies following exposure to the positive mood induction procedure was not supported. Taken together with past research findings, the current results highlight the importance of distinguishing between subtypes of negative affect (i.e., anxious and depressed affect) in exploring the affective antecedents of explicit alcohol outcome expectancies.     

Day-of-week mood patterns in the United States: On the existence of ‘Blue Monday’, ‘Thank God it's Friday’ and weekend effects

There are many beliefs about the patterning of positive and negative mood over the course of the week. Support has been found for ‘Blue Monday’, ‘Thank God it's Friday’ and Weekdays versus Weekend effects, although in relatively small studies and often with student samples. Using telephone questionnaire data from a large national survey (N?=?340,000), we examined day-of-week (DOW) effects on positive and negative moods. Unlike prior studies, we also tested the potential moderating effects of four demographic variables on DOW. Strong support was found for better mood on weekends and Fridays, but there was minimal support for a Blue Monday effect and no differences were observed between Saturdays and Sundays. Demographics moderated some DOW effects: DOW effects were diminished for older and retired respondents, but there was little DOW difference by gender or presence of a partner. DOW is associated with mood, but not always in ways we believe.     

中小学生生活满意度的调查与分析*

为了解中小学生的生活满意度状况,课题组用中小学生的愉快心境来定义生活满意度,对我国10249名中小学生进行了调查。结果表明:85%的中小学生生活得很愉快或比较愉快,72.3%的中小学生有烦恼,经检验存在明显的年级、性别及城乡差异;中小学生最烦恼问题排在前三位的分别是学习紧张、父母期望值高、同学中没友谊;中小学生最烦恼问题与愉快心境相关的排序依次是:父母期望值高、学习紧张、家庭气氛紧张和同学中没友谊。     

Psychological effects of deep-breathing: the impact of expectancy-priming

Outcome expectancy could mediate the psychological effects of exercise-related interventions, which implies that part of the psychological benefits of physical activity could be ascribed to placebo effects. In this framed field-experiment, 89 healthy participants were studied in three groups, (1) breathing-primed (deep-breathing with an exercise-related expectancy), (2) breathing-unprimed (deep-breathing with no exercise-related expectancy), and (3) control (no intervention). Deep-breathing lasted for three minutes. Before and after deep-breathing, or sitting quietly in the control group, participants completed two questionnaires assessing their positive- and negative affect (NA) and subjective well-being (WB). In contrast to the control group, both the breathing-primed and breathing-unprimed groups showed decreased NA and increased subjective WB. The breathing-primed group reported larger changes in WB than the breathing-unprimed group, in addition to also exhibiting significant increases in positive affect. These findings support the hypothesis of the work that expectations mediate the psychological effects of deep-breathing beyond the intervention’s specific effects. Therefore, future research should control for expectations related to an intervention when gauging psychological changes.     

不同情绪状态下自动表达抑制对情绪及表情知觉敏感性的影响

以103名大学生为对象,在正性、负性两种情绪状态下,用句子整理任务引发被试抑制情绪或表达情绪两种情绪调节方式,采用信号检测论测得正、负性表情的表情知觉敏感性。结果表明：（1）表情知觉敏感性存在情绪一致性效应,在负性情绪状态下,人们对负性表情更敏感,差异显著（p=0.002）;在正性情绪状态下,人们对正性表情更敏感,虽然只是边缘显著（p=0.700）。（2）自动抑制情绪会降低人们的情绪体验,并且会影响表情知觉敏感性的情绪一致性效应。在自动抑制启动的状态下,人们对正、负性表情都不太敏感。     

The Function of Moods and Emotions: Comment on “Can Sadness Be Good for You? On the Cognitive,Motivational and Interpersonal Benefits of Mild Negative Affect” (Forgas, 2017)

Evolutionary theories suggest that all affective states have a function. The fascinating review “Can Sadness Be Good for You? On the Cognitive, Motivational and Interpersonal Benefits of Mild Negative Affect” by Joseph Forgas is a welcome reminder that happiness is not the be all and end all—sadness can also be beneficial. In this commentary, I summarise the studies conducted by Forgas et al. that demonstrate the benefit of mild negative affect for memory, judgement, motivation, and interpersonal behaviour (and those that do not), link them to current theories and models, and discuss avenues for future research.