Environmental reward and depressive symptoms in the relationship between avoidance and cigarette dependence in treatment-seeking smokers

  1. Carmela Martínez-Vispo 1
  2. Ana López-Durán 1
  3. Carmen Senra 1
  4. Rubén Rodríguez-Cano 1
  5. Elena Fernández del Río 2
  6. Elisardo Becoña 1
  1. 1 Universidade de Santiago de Compostela
    info

    Universidade de Santiago de Compostela

    Santiago de Compostela, España

    ROR https://ror.org/030eybx10

  2. 2 Universidad de Zaragoza
    info

    Universidad de Zaragoza

    Zaragoza, España

    ROR https://ror.org/012a91z28

Revista:
Psicothema

ISSN: 0214-9915,  1886-144X

Ano de publicación: 2020

Volume: 32

Número: 2

Páxinas: 176-181

Tipo: Artigo

DOI: 10.7334/PSICOTHEMA2019.292 DIALNET GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: Psicothema

Resumo

Antecedentes: el presente estudio tiene como objetivo examinar la relación entre la conducta de evitación, el reforzamiento ambiental percibido, la sintomatología depresiva y la dependencia del tabaco. Método: la muestra estaba formada por 275 fumadores que demandan tratamiento para dejar de fumar (Medad = 45,36, DT = 10,96; 61,5% mujeres). Para examinar la relación entre las variables de estudio se realizaron análisis de correlación y de mediación serial. Resultados: se encontró una correlación positiva significativa entre la dependencia del tabaco, la evitación y la sintomatología depresiva, y una correlación negativa significativa con el reforzamiento ambiental percibido. El análisis de mediación serial reveló una vía indirecta significativa entre la evitación y la dependencia del tabaco a través de la sintomatología depresiva; así como entre la evitación y la dependencia del tabaco a través del reforzamiento ambiental percibido y la sintomatología depresiva. Conclusiones: los resultados de este estudio contribuyen a la comprensión de factores conductuales y psicológicos implicados en la dependencia del tabaco, la cual es considerada una barrera para lograr la abstinencia. Por lo tanto, la evaluación y abordaje de estas variables podría considerarse un aspecto relevante en el contexto de las intervenciones para dejar de fumar.

Referencias bibliográficas

  • Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30, 217-237. doi: 10.1016/j. cpr.2009.11.004
  • Armento, M. E. A., & Hopko, D. R. (2007). The Environmental Reward Observation Scale (EROS): Development, validity, and reliability. Behavior Therapy, 38, 107-119. doi: 10.1016/j.beth.2006.05.003
  • Baker, T. B., Brandon, T. H., & Chassin, L. (2004). Motivational influences on cigarette smoking. Annual Review of Psychology, 55, 463-491. doi: 10.1146/annurev.psych.55.090902.142054
  • Baker, T. B., Piper, M. E., McCarthy, D. E., Majeskie, M. R., & Fiore, M. C. (2004). Addiction motivation reformulated: An affective processing model of negative reinforcement. Psychological Review, 111, 33-51. doi: 10.1037/0033-295X.111.1.33
  • Bakhshaie, J., Zvolensky, M. J., & Goodwin, R. D. (2015). Cigarette smoking and the onset and persistence of depression among adults in the United States: 1994-2005. Comprehensive Psychiatry, 60, 142-148. doi: 10.1016/j.comppsych.2014.10.012
  • Barraca, J., & Pérez-Álvarez, M. (2010). Adaptación española de la Environmental Reward Observation Scale (EROS) [Spanish adaptation of the Environmental Reward Observation Scale (EROS)]. Ansiedad y Estrés, 16, 95-107.
  • Barraca, J., Pérez-Álvarez, M., & Bleda, J. H. L. (2011). Avoidance and activation as keys to depression: Adaptation of the behavioral activation for depression scale in a Spanish sample. The Spanish Journal of Psychology, 14, 998-1009. doi: 10.5209/rev_SJOP.2011.v14.n2.45
  • Beck, A., Steer, R., & Brown, G. (1996). Beck Depression Inventory–second edition. Manual (Texas). San Antonio: The Psychological Corporation.
  • Becoña, E. (1994). Evaluación de la conducta de fumar [Assessment of smoking behavior]. In J. L. Graña (Ed.), Conductas adictivas: teoría, evaluación y tratamiento (pp. 403-454). Madrid: Debate.
  • Becoña, E., & Vázquez, F. L. (1998). The Fagerström Test for Nicotine Dependence in a Spanish sample. Psychological Reports, 83, 14551458. doi: 10.2466/pr0.1998.83.3f.1455
  • Becoña, E., Martínez-Vispo, C., Senra, C., López-Durán, A., Rodríguez-Cano, R., & Fernández del Río, E. (2017). Cognitive-behavioral treatment with behavioral activation for smokers with depressive symptomatology: Study protocol of a randomized controlled trial. BMC Psychiatry, 17. doi: 10.1186/s12888-017-1301-7
  • Bickel, W. K., Johnson, M. W., Koffarnus, M. N., MacKillop, J., & Murphy, J. G. (2014). The behavioral economics of substance use disorders: Reinforcement pathologies and their repair. Annual Review of Clinical Psychology, 10, 641-677. doi: 10.1146/annurev-clinpsy-032813-153724
  • Caponnetto, P., & Polosa, R. (2008). Common predictors of smoking cessation in clinical practice. Respiratory Medicine, 102, 1182-1192. doi: 10.1016/j.rmed.2008.02.017
  • Carvalho, J. P., & Hopko, D. R. (2011). Behavioral theory of depression: Reinforcement as a mediating variable between avoidance and depression. Journal of Behavior Therapy and Experimental Psychiatry, 42, 154-162. doi: 10.1016/j.jbtep.2010.10.001
  • Chawla, N., & Ostafi n, B. (2007). Experiential avoidance as a functional dimensional approach to psychopathology: An empirical review. Journal of Clinical Psychology, 63, 871-890. doi: 10.1002/jclp.20400
  • Cooper, J., Borland, R., McKee, S. A., Yong, H.-H., & Dugué, P.-A. (2016). Depression motivates quit attempts but predicts relapse: Differential findings for gender from the International Tobacco Control Study. Addiction, 111, 1438-1447. doi: 10.1111/add.13290
  • Dimidjian, S., Barrera, M., Martell, C., Muñoz, R. F., & Lewinsohn, P. M. (2011). The origins and current status of behavioral activation treatments for depression. Annual Review of Clinical Psychology, 7, 1-38. doi: 10.1146/annurev-clinpsy-032210-104535
  • Fagerstrom, K. (2012). Determinants of tobacco use and renaming the FTND to the Fagerstrom Test for Cigarette Dependence. Nicotine & Tobacco Research, 14, 75-78. doi: 10.1093/ntr/ntr137
  • Fergusson, D. M., Goodwin, R. D., & Horwood, L. J. (2003). Major depression and cigarette smoking: Results of a 21-year longitudinal study. Psychological Medicine, 33, 1357-1367. doi: 10.1017/ S0033291703008596
  • Fluharty, M., Taylor, A. E., Grabski, M., & Munafò, M. R. (2017). The Association of Cigarette Smoking With Depression and Anxiety: A systematic review. Nicotine & Tobacco Research, 19, 3-13. doi: 10.1093/ntr/ntw140
  • Garey, L., Farris, S. G., Schmidt, N. B., & Zvolensky, M. J. (2016). The role of smoking-specific experiential avoidance in the relation between perceived stress and tobacco dependence, perceived barriers to cessation, and problems during quit attempts among treatment-seeking smokers. Journal of Contextual Behavioral Science, 5, 58-63. doi: 10.1016/J.JCBS.2015.11.001
  • González-Roz, A., Secades-Villa, R., & Alonso-Pérez, F. (2019). Effects of combining contingency management with behavioral activation for smokers with depression. Addiction Research & Theory, 27, 114-121. doi: 10.1080/16066359.2018.1463371
  • Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York, NY: Guilford Press.
  • Hayes, S. C., Strosahl, K., Wilson, K. G., Bissen·, R. T., Pistorello, J., Toarmino, D., … Mccurry, S. M. (2004). Measuring experiential avoidance: A preliminary test of a working model. The Psychological Record, 54, 553-578. doi: 10.1007/BF03395492
  • Higgins, S. T., Heil, S. H., & Lussier, J. P. (2004). Clinical implications of reinforcement as a determinant of substance use disorders. Annual Review of Psychology, 55, 431-461. doi: 10.1146/annurev.psych.55.090902.142033
  • Hitsman, B., Papandonatos, G. D., McChargue, D. E., DeMott, A., Herrera, M. J., Spring, B., … Niaura, R. (2013). Past major depression and smoking cessation outcome: A systematic review and meta-analysis update. Addiction, 108, 294-306. doi: 10.1111/add.12009
  • Jacobson, N. S., Martell, C. R., & Dimidjian, S. (2001). Behavioral activation treatment for depression: Returning to contextual roots. Clinical Psychology: Science and Practice, 8, 255-270. doi: 10.1093/ clipsy.8.3.255
  • Jamal, A., Phillips, E., Gentzke, A. S., Homa, D. M., Babb, S. D., King, B. A., & Neff, L. J. (2018). Current Cigarette Smoking Among Adults United States, 2016. MMWR. Morbidity and Mortality Weekly Report, 67, 53-59. doi: 10.15585/mmwr.mm6702a1
  • Jamal, M., Willem Van der Does, A. J., Cuijpers, P., & Penninx, B. W. J. H. (2012). Association of smoking and nicotine dependence with severity and course of symptoms in patients with depressive or anxiety disorder. Drug and Alcohol Dependence, 126, 138-146. doi: 10.1016/j. drugalcdep.2012.05.001
  • Kanter, J. W., Mulick, P. S., Busch, A. M., Berlin, K. S., & Martell, C. R. (2007). The Behavioral Activation for Depression Scale (BADS): Psychometric properties and factor structure. Journal of Psychopathology and Behavioral Assessment, 29, 191-202. doi: 10.1007/s10862-006-9038-5
  • Leventhal, A. M., Ramsey, S. E., Brown, R. A., LaChance, H. R., & Kahler, C. W. (2008). Dimensions of depressive symptoms and smoking cessation. Nicotine & Tobacco Research, 10, 507-517. doi: 10.1080/14622200801901971
  • Leyro, T. M., Crew, E. E., Bryson, S. W., Lembke, A., Bailey, S. R., Prochaska, J. J., … David, S. P. (2016). Retrospective analysis of changing characteristics of treatment-seeking smokers: Implications for further reducing smoking prevalence. BMJ Open, 6, e010960. doi: 10.1136/bmjopen-2015-010960
  • Macpherson, L., Tull, M. T., Matusiewicz, A. K., Rodman, S., Strong, D. R., Kahler, C. W., … Lejuez, C. W. (2010). Randomized controlled trial of behavioral activation smoking cessation treatment for smokers with elevated depressive symptoms. Journal of Consulting and Clinical Psychology, 78, 55-61. doi: 10.1037/a0017939
  • Martell, C. R., Dimidjian, S., & Herman-Dunn, R. (2013). Behavioral activation for depression: A clinician’s guide. New York: Guilford Press.
  • Martínez-Vispo, C., Rodríguez-Cano, R., López-Durán, A., Senra, C., Fernández del Río, E., & Becoña, E. (2019). Cognitive-behavioral treatment with behavioral activation for smoking cessation: Randomized controlled trial. PloS One, 14, e0214252. doi: 10.1371/ journal.pone.0214252
  • Minami, H., Bloom, E. L., Reed, K. M. P., Hayes, S. C., & Brown, R. A. (2015). The moderating role of experiential avoidance in the relationships between internal distress and smoking behavior during a quit attempt. Psychology of Addictive Behaviors, 29, 400-407. doi: 10.1037/adb0000030
  • Niaura, R., Britt, D. M., Shadel,W. G., Goldstein, M., Abrams, D., & Brown, R. (2001). Symptoms of depression and survival experience among three samples of smokers trying to quit. Psychology of Addictive Behaviors, 15, 13-17.
  • Petry, N. M., Alessi, S. M., Olmstead, T. A., Rash, C. J., & Zajac, K. (2017). Contingency management treatment for substance use disorders: How far has it come, and where does it need to go? Psychology of Addictive Behaviors, 31, 897-906. doi: 10.1037/adb0000287
  • Perkins, K. A., Karelitz, J. L., & Boldry, M. C. (2017). Nicotine acutely enhances reinforcement from non-drug rewards in humans. Frontiers in Psychiatry, 8, 65. doi: 10.3389/fpsyt.2017.00065
  • Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879-891. doi: 10.3758/BRM.40.3.879
  • Sanz, J., & Vazquez, C. (2011). Adaptación española del Inventario para Depresión de Beck-II (BDI-II) [Spanish adaptation of the Beck Depression Inventory-II (BDI-II)]. Manual. Madrid: Pearson.
  • Schnoll, R. A., Hitsman, B., Blazekovic, S., Veluz-Wilkins, A., Wileyto, E. P., Leone, F. T., & Audrain-McGovern, J. E. (2016). Longitudinal changes in smoking abstinence symptoms and alternative reinforcers predict long-term smoking cessation outcomes. Drug and Alcohol Dependence, 165, 245-252. doi: 10.1016/J.DRUGALCDEP.2016.06.017
  • Wagener, A., Baeyens, C., & Blairy, S. (2016). Depressive symptomatology and the influence of the behavioral avoidance and activation: A genderspecific investigation. Journal of Affective Disorders, 193, 123-129. doi: 10.1016/j.jad.2015.12.040
  • World Health Organization (WHO) (2017). WHO report on the global tobacco epidemic. World Health Organization. Retrieved from: https:// apps.who.int/iris/bitstream/handle/10665/255874/9789241512824eng.pdf
  • Zvolensky, M. J., Farris, S. G., Schmidt, N. B., & Smits, J. A. J. (2014). The role of smoking infl exibility/avoidance in the relation between anxiety sensitivity and tobacco use and beliefs among treatment-seeking smokers. Experimental and Clinical Psychopharmacology, 22, 229237. doi: 10.1037/a0035306
Fonte de datos: Dialnet