Trauma exposure and cigarette smoking: the impact of negative affect and affect-regulatory smoking motives

Samantha G Farris, Michael J Zvolensky, Jean C Beckham, Anka A Vujanovic, Norman B Schmidt
Journal of Addictive Diseases 2014, 33 (4): 354-65
Cognitive-affective mechanisms related to the maintenance of smoking among trauma-exposed individuals are largely unknown. Cross-sectional data from trauma-exposed treatment-seeking smokers (n = 283) were utilized to test a series of multiple mediator models of trauma exposure and smoking, as mediated by the sequential effects of negative affect and affect-modulation smoking motives. The sequential effects of both mediators indirectly predicted the effect of greater trauma exposure types on nicotine dependence, a biochemical index of smoking, perceived barriers to smoking cessation, and greater withdrawal-related problems during past quit attempts. Negative affect and affect-modulation motives for smoking may contribute to the trauma-smoking association.

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