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Gepubliceerd in: Cognitive Therapy and Research 2/2009

01-04-2009 | Original Article

Applying Lessons Learned from Obsessions: Metacognitive Processes in Smoking Cessation

Auteurs: Elizabeth Nosen, Sheila R. Woody

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 2/2009

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Abstract

Cognitive theories of obsessions propose that unwanted thoughts become frequent, intense and persistent when people interpret them in personally meaningful ways and attempt to control them through thought suppression. The present study examined the generalizability of this model to another form of unwanted, actively resisted intrusion––nicotine cravings. In this investigation, 180 individuals attempting to quit smoking completed several online questionnaires. In line with cognitive theories, individuals who appraised their cravings as more catastrophic and personally significant experienced more severe craving-related thoughts and were more likely to be smoking one month later; these effects remained after accounting for several established predictors of cessation difficulty. Contrary to expectation, tendency to suppress unwanted thoughts was not a significant factor. Overall, findings complement existing work on the role of anxiety sensitivity in smoking behaviour and implicate personally meaningful appraisals of smoking-related thoughts, images and impulses in cessation difficulty.
Voetnoten
1
Incentive was increased to speed data collection and ensure adequate survey completion rates.
 
2
Indicative of possible repeat participation.
 
3
Not including 20 individuals with completion times over two hours.
 
4
Piloting suggested that several III items were confusing and unclear when applied to typical nicotine craving related thoughts (e.g., “this thought could harm people”). These items were removed from the scale.
 
5
Interpretation of logistic regression results is problematic when individual predictors are strongly correlated and expected to be related to the criterion in similar ways (Tabachnick and Fidell 2001).
 
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Metagegevens
Titel
Applying Lessons Learned from Obsessions: Metacognitive Processes in Smoking Cessation
Auteurs
Elizabeth Nosen
Sheila R. Woody
Publicatiedatum
01-04-2009
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 2/2009
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-007-9180-8