Document Detail

Smoking is associated with worse mood on stressful days: results from a national diary study.
MedLine Citation:
PMID:  19067100     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Many smokers report smoking because it helps them modulate their negative affect (NA). The stress induction model of smoking suggests, however, that smoking causes stress and concomitant NA. Empirical support for the stress induction model has primarily derived from retrospective reports and experimental manipulations with non-representative samples of smokers. Moreover, prior studies have typically not considered contextual factors (e.g., daily stressors) that may impact the smoking-NA relationship.
PURPOSE: The aim of this study was to assess the stress induction model of smoking using a prospective design in a nationally representative sample of smokers while simultaneously examining the impact of daily stressors on the relationship between smoking and NA. We hypothesized that smoking and NA would be positively related, and this relationship would be intensified by exposure to daily stressors.
METHODS: A national sample of middle-aged smokers (N = 256) were called on eight consecutive evenings to assess stressor exposure and intensity. Participants also reported on their daily NA and indicated the number of cigarettes they smoked. Analyses were conducted using hierarchical linear modeling to determine the relationship between daily smoking, NA, and stress.
RESULTS: Smoking more than usual was associated with increased NA on days when respondents were exposed to any stressors. Smoking more than usual had no effect on NA on days when no stressors were encountered. Moreover, the moderating effect of stressor exposure remained significant even after controlling for the number and intensity of daily stressors reported.
CONCLUSIONS: While smokers report that smoking alleviates their NA, our study suggests that the exact opposite may occur, particularly on stressful days. When smokers smoke more than usual on days when the encounter stress, they are likely to feel emotionally worse off.
Keith R Aronson; David M Almeida; Robert S Stawski; Laura Cousino Klein; Lynn T Kozlowski
Publication Detail:
Type:  Journal Article     Date:  2008-12-06
Journal Detail:
Title:  Annals of behavioral medicine : a publication of the Society of Behavioral Medicine     Volume:  36     ISSN:  1532-4796     ISO Abbreviation:  Ann Behav Med     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-12-17     Completed Date:  2009-02-03     Revised Date:  2014-09-09    
Medline Journal Info:
Nlm Unique ID:  8510246     Medline TA:  Ann Behav Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  259-69     Citation Subset:  IM    
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MeSH Terms
Affective Symptoms* / chemically induced,  complications
Health Surveys
Medical Records
Middle Aged
Prospective Studies
Smoking / adverse effects,  psychology*
Stress, Psychological*
United States
Grant Support
R01 AG019239/AG/NIA NIH HHS; R01 AG019239-06/AG/NIA NIH HHS

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