An evaluation of the role of smoking context on a biobehavioral index of distress tolerance
Section snippets
Participants
A total of 43 smokers (11 women; Mage = 45.3 years, SD = 12.2) were recruited through the general community in Menlo Park, CA via publicly-posted fliers in various local community settings. Fliers advertised a study related to smoking and invited smokers to contact the research team by phone. Exclusion criteria included: current suicidal ideation or plan, inability to speak or read English, or inability to provide informed consent (e.g. acutely psychotic, dementia). These exclusion criteria were
Data analytic approach
We conducted two manipulation check analyses. First, we tested the effectiveness of the experimental smoking deprivation to elicit the subjective experience of smoking deprivation as indexed by increased smoking craving. Specifically, we conducted a paired-sample t-test contrasting participants' mean levels of smoking craving in session 1 (smoking-as-usual) and session 2 (smoking deprivation). Second, we evaluated the stability of breath-holding duration between two separate breath-holding
Discussion
We observed that participants' breath-holding duration, a biobehavioral index of distress tolerance, was significantly shorter during an experimental session that immediately followed a 12-h smoking deprivation period (Day 2 session) than during a smoking-as-usual experimental session (Day 1 session). This effect was statistically significant after accounting for variance in breath-holding duration explained by changes in level of self-reported stress between sessions 1 and 2. These data help
Acknowledgement
Dr. Bernstein acknowledges that this work was supported in part by the VA Office of Academic Affairs and Health Services Research and Development Service Research funds. Drs. Trafton and Ilgen acknowledge that this project was supported by the VA Program Evaluation and Resource Center. Dr. Zvolensky acknowledges grants from the National Institutes of Health (1 R01 MH076629-01, 1 R01 DA018734-01A1, and R03 DA16307-01).
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When is your distress harder to tolerate? A qualitative analysis of situations in which distress tolerance is impaired and strengthened
2022, Journal of Contextual Behavioral ScienceDistress tolerance in relation to cessation history and smoking characteristics among adult daily smokers
2020, Addictive BehaviorsCitation Excerpt :Although DT was assessed in the context of acute abstinence (i.e., while ≥6 h deprived), we did not examine differences in DT across contexts. Prior findings have shown that behavioral DT is lower during smoking abstinence versus satiation (Bernstein, Trafton, Ilgen, & Zvolensky, 2008; Cosci, Anna Aldi, & Nardi, 2015), supporting the idea of context-dependent expression of DT. Newly developed tasks that model differences in contextual factors such as task difficulty (i.e., the Contextual-Frustration Intolerance Typing Task [C-FiTT] (Farris, DiBello, & Zvolensky, 2018), may help to incorporate situational context in the literature on DT and smoking characteristics.
Distress intolerance and withdrawal severity among daily smokers: The role of smoking abstinence expectancies
2019, Addictive BehaviorsCitation Excerpt :Smokers with elevated DI have greater difficulties quitting smoking, which has been documented retrospectively (Brown, Lejuez, Kahler, & Strong, 2002) and prospectively in terms of risk for smoking lapse (Abrantes et al., 2008; Brown et al., 2009) and relapse (Kahler, McHugh, Metrik, Spillane, & Rohsenow, 2013; Rohsenow et al., 2015). DI also appears to increase during periods of acute smoking deprivation compared to usual smoking (Bernstein, Trafton, Ilgen, & Zvolensky, 2008), which may in part be due to aversive abstinence-induced withdrawal states. Indeed, laboratory data indicate that DI can amplify the experience of and reaction to aversive internal sensations in the context of acute abstinence-induced distress (Abrams et al., 2011; Marshall et al., 2008; Zvolensky et al., 2005), which in turn can enhance the subjective experience of nicotine withdrawal and craving (Farris, Zvolensky, Otto, & Leyro, 2015; Mathew et al., 2018; Volz et al., 2014).
The relationship between distress tolerance and cigarette smoking: A systematic review and synthesis
2019, Clinical Psychology ReviewCitation Excerpt :One important context for smokers is deprivation, and it appears that deprivation can impair distress tolerance. For example, a few studies found lower breath holding during deprivation compared to when smokers were not deprived (Bernstein, Trafton, Ilgen, & Zvolensky, 2008; Cosci, Aldi, & Nardi, 2015). In addition, one novel study examined the interaction between smoking restriction and self-control depletion on task persistence (Heckman, Ditre, & Brandon, 2012).
Development and validation of a contextual behavioral distress intolerance task in cigarette smokers
2018, Addictive Behaviors