This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (4) Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Brown, R. A. Articles by Gifford, E. V. Search for Related Content PubMed PubMed Citation Articles by Brown, R. A. Articles by Gifford, E. V. Pubmed/NCBI databases Compound via MeSH Substance via MeSH Hazardous Substances DB NICOTINE NICOTINE TARTRATE Medline Plus Health Information Quitting Smoking Smoking Social Bookmarking                         What's this?

Distress Tolerance Treatment for Early-Lapse Smokers

Rationale, Program Description, and Preliminary Findings

Brown Medical School/Butler Hospital, Richard_Brown{at}brown.edu

Kathleen M. Palm

Brown Medical School/Butler Hospital

David R. Strong

Brown Medical School/Butler Hospital

Carl W. Lejuez

University of Maryland

Christopher W. Kahler

Brown University Center for Alcohol and Addiction Studies

Michael J. Zvolensky

University of Vermont

Steven C. Hayes

University of Nevada, Reno

Kelly G. Wilson

University of Mississippi

Elizabeth V. Gifford

Stanford University School of Medicine

A significant percentage of individuals attempting smoking cessation lapse within a matter of days, and very few are able to recover to achieve long-term abstinence. This observation suggests that many smokers may have quit-attempt histories characterized exclusively by early lapses to smoking following quit attempts. Recent negative-reinforcement conceptualizations of early lapse to smoking suggest that individuals' reactions to withdrawal and inability to tolerate the experience of these symptoms, rather than withdrawal severity itself, may represent an important treatment target in the development of new behavioral interventions for this subpopulation of smokers. This article presents the theoretical rationale and describes a novel, multicomponent distress-tolerance treatment for early-lapse smokers that incorporates behavioral and pharmacological elements of standard smoking-cessation treatment, whereas drawing distress-tolerance elements from exposure-based and Acceptance and Commitment Therapy—based treatment approaches. Preliminary data from a pilot study (N = 16) are presented, and clinical implications are discussed.

Key Words: smoking cessation • distress tolerance • acceptance

Behavior Modification, Vol. 32, No. 3, 302-332 (2008)
DOI: 10.1177/0145445507309024


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				R. A. Brown, C. W. Lejuez, D. R. Strong, C. W. Kahler, M. J. Zvolensky, L. L. Carpenter, R. Niaura, and L. H. Price A prospective examination of distress tolerance and early smoking lapse in adult self-quitters Nicotine Tob Res, May 1, 2009; 11(5): 493 - 502. [Abstract] [Full Text] [PDF]