Behavior Modification

 

Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Free Access - Register Here

Sign In to gain access to subscriptions and/or personal tools.
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Google Scholar
Right arrow Articles by Brown, R. A.
Right arrow Articles by Gifford, E. V.
PubMed
Right arrow PubMed Citation
Right arrow Articles by Brown, R. A.
Right arrow Articles by Gifford, E. V.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
Behavior Modification, Vol. 32, No. 3, 302-332 (2008)
DOI: 10.1177/0145445507309024

Distress Tolerance Treatment for Early-Lapse Smokers

Rationale, Program Description, and Preliminary Findings

Richard A. Brown

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


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?