Cigarette-by-Cigarette Satisfaction During Ad Libitum Smoking

Saul Shiffman, Thomas R. Kirchner

Research output: Contribution to journalArticle

Abstract

Smoking is thought to produce immediate reinforcement, and subjective satisfaction with smoking is thought to influence subsequent smoking. The authors used ecological momentary assessment (A. A. Stone & S. Shiffman, 1994) to assess cigarette-by-cigarette smoking satisfaction in 394 heavy smokers who subsequently attempted to quit. Across 14,882 cigarettes rated, satisfaction averaged 7.06 (0-10 scale), but with considerable variation across cigarettes and individuals. Women and African American smokers reported higher satisfaction. More satisfied smokers were more likely to lapse after quitting (HR = 1.1, p <.03), whereas less satisfied smokers derived greater benefit from patch treatment to help them achieve abstinence (HR = 1.23, p <.001). Cigarettes smoked in positive moods were more satisfying, correcting for mood at the time of rating. The best predictor of subsequent smoking satisfaction was the intensity of craving prior to smoking. Understanding subjective smoking satisfaction provides insight into sources of reinforcement for smoking.

Original languageEnglish (US)
Pages (from-to)348-359
Number of pages12
JournalJournal of Abnormal Psychology
Volume118
Issue number2
DOIs
StatePublished - May 2009

Fingerprint

Tobacco Products
Smoking
African Americans

Keywords

  • affect
  • craving
  • reinforcement
  • satisfaction
  • smoking

ASJC Scopus subject areas

  • Clinical Psychology

Cite this

Cigarette-by-Cigarette Satisfaction During Ad Libitum Smoking. / Shiffman, Saul; Kirchner, Thomas R.

In: Journal of Abnormal Psychology, Vol. 118, No. 2, 05.2009, p. 348-359.

Research output: Contribution to journalArticle

@article{99e53af99ebb4055b1b8d745532b5255,
title = "Cigarette-by-Cigarette Satisfaction During Ad Libitum Smoking",
abstract = "Smoking is thought to produce immediate reinforcement, and subjective satisfaction with smoking is thought to influence subsequent smoking. The authors used ecological momentary assessment (A. A. Stone & S. Shiffman, 1994) to assess cigarette-by-cigarette smoking satisfaction in 394 heavy smokers who subsequently attempted to quit. Across 14,882 cigarettes rated, satisfaction averaged 7.06 (0-10 scale), but with considerable variation across cigarettes and individuals. Women and African American smokers reported higher satisfaction. More satisfied smokers were more likely to lapse after quitting (HR = 1.1, p <.03), whereas less satisfied smokers derived greater benefit from patch treatment to help them achieve abstinence (HR = 1.23, p <.001). Cigarettes smoked in positive moods were more satisfying, correcting for mood at the time of rating. The best predictor of subsequent smoking satisfaction was the intensity of craving prior to smoking. Understanding subjective smoking satisfaction provides insight into sources of reinforcement for smoking.",
keywords = "affect, craving, reinforcement, satisfaction, smoking",
author = "Saul Shiffman and Kirchner, {Thomas R.}",
year = "2009",
month = "5",
doi = "10.1037/a0015620",
language = "English (US)",
volume = "118",
pages = "348--359",
journal = "Journal of Abnormal Psychology",
issn = "0021-843X",
publisher = "American Psychological Association Inc.",
number = "2",

}

TY - JOUR

T1 - Cigarette-by-Cigarette Satisfaction During Ad Libitum Smoking

AU - Shiffman, Saul

AU - Kirchner, Thomas R.

PY - 2009/5

Y1 - 2009/5

N2 - Smoking is thought to produce immediate reinforcement, and subjective satisfaction with smoking is thought to influence subsequent smoking. The authors used ecological momentary assessment (A. A. Stone & S. Shiffman, 1994) to assess cigarette-by-cigarette smoking satisfaction in 394 heavy smokers who subsequently attempted to quit. Across 14,882 cigarettes rated, satisfaction averaged 7.06 (0-10 scale), but with considerable variation across cigarettes and individuals. Women and African American smokers reported higher satisfaction. More satisfied smokers were more likely to lapse after quitting (HR = 1.1, p <.03), whereas less satisfied smokers derived greater benefit from patch treatment to help them achieve abstinence (HR = 1.23, p <.001). Cigarettes smoked in positive moods were more satisfying, correcting for mood at the time of rating. The best predictor of subsequent smoking satisfaction was the intensity of craving prior to smoking. Understanding subjective smoking satisfaction provides insight into sources of reinforcement for smoking.

AB - Smoking is thought to produce immediate reinforcement, and subjective satisfaction with smoking is thought to influence subsequent smoking. The authors used ecological momentary assessment (A. A. Stone & S. Shiffman, 1994) to assess cigarette-by-cigarette smoking satisfaction in 394 heavy smokers who subsequently attempted to quit. Across 14,882 cigarettes rated, satisfaction averaged 7.06 (0-10 scale), but with considerable variation across cigarettes and individuals. Women and African American smokers reported higher satisfaction. More satisfied smokers were more likely to lapse after quitting (HR = 1.1, p <.03), whereas less satisfied smokers derived greater benefit from patch treatment to help them achieve abstinence (HR = 1.23, p <.001). Cigarettes smoked in positive moods were more satisfying, correcting for mood at the time of rating. The best predictor of subsequent smoking satisfaction was the intensity of craving prior to smoking. Understanding subjective smoking satisfaction provides insight into sources of reinforcement for smoking.

KW - affect

KW - craving

KW - reinforcement

KW - satisfaction

KW - smoking

UR - http://www.scopus.com/inward/record.url?scp=65649131547&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=65649131547&partnerID=8YFLogxK

U2 - 10.1037/a0015620

DO - 10.1037/a0015620

M3 - Article

C2 - 19413409

AN - SCOPUS:65649131547

VL - 118

SP - 348

EP - 359

JO - Journal of Abnormal Psychology

JF - Journal of Abnormal Psychology

SN - 0021-843X

IS - 2

ER -