Jaye L. Derrick

Pain severity as a predictor of negative affect following a self-guided quit attempt: An ecological momentary assessment study

ABSTRACT Background: Past work has documented bidirectional associations between pain and cigarette smoking behaviors such that those who smoke evidence greater pain, and those in pain tend to smoke more. However, such work has not focused on the role of pain in relation to negative affect, which plays an important role during cessation attempts. Objective: The current study evaluated pain as a predictor of negative affect as well as level of interference associated with negative affect among individuals undergoing a self-guided quit attempt. Methods: Study variables were assessed via ecological momentary assessment (EMA) during the 2 weeks following a self-guided quit attempt. Participants included 54 daily smokers (33.3% female; Mage = 34.7, SD = 13.9). Results: There were statistically significant within-person associations of pain ratings with negative affect and interference due to negative affect, such that greater pain was associated with higher levels of each dependent variable. Additionally, there was a within-person effect of smoking status (i.e., smoking vs. abstinence, measured via EMA) on negative affect, but not ratings of interference; smoking was associated with greater negative affect. Conclusion: These findings highlight the importance of bodily pain in relation to negative mood following a quit attempt. Clinically, the results suggest a greater focus on the experience of pain during quit attempts may be warranted.

A response surface analysis of expected and received support for smoking cessation: Expectancy violations predict greater relapse

People attempting to stop smoking cigarettes (quitters) hold expectations about the extent to which their partner will provide helpful support during a quit attempt. However, these expectations may not align with their perceptions of the helpfulness of the support they receive. We examine expected and received helpful support during a quit attempt. We hypothesized that receiving less helpful support than expected (i.e., creating an expectancy violation) would be associated with the greatest return to smoking. Sixty-two quitters completed a 21-day ecological momentary assessment (EMA) study. They reported expected support at baseline and support receipt and smoking during the EMA phase. At follow-up, they completed an expelled breath carbon monoxide test. Analyses using polynomial generalized linear models with response surface analysis indicated that smoking outcomes depended on the joint influence of expected and received helpful support. As hypothesized, when quitters expected more helpful support than they received, they were more likely to smoke in the first 24h and the last seven days of the EMA, and they provided higher carbon monoxide readings at follow-up. These results are consistent with an expectancy violation explanation: quitters are more likely to smoke when they perceive their partner has failed to provide support that is as helpful as expected. Given the importance of support for smoking cessation, many researchers have attempted to experimentally increase provision of support. The current findings suggest that partner support interventions might backfire if the quitter is led to expect more helpful support than the partner is able to provide.

Breakthroughs in understanding addiction and close relationships

Substance use is one aspect of life that can serve to bring couples together or tear them apart. Evidence has accumulated for both substance use affecting relationship distress (e.g., partners of substance users report poorer individual and relational outcomes) as well as relationship conflict affecting subsequent substance use (e.g., individuals use substances as a way to cope with interpersonal conflict and distress). We discuss several determinants of each association, including individual difference and relationship-specific constructs. We conclude by considering how conceptualizing addiction as an interdependent-rather than independent-process is critical for future theory refinement and intervention development.

Perceived partner responsiveness predicts smoking cessation in single-smoker couples

INTRODUCTION Romantic partners are crucial to successful smoking cessation, but the mechanisms by which partners influence cessation is unclear. Research in this area has focused heavily on partner smoking status and support for quitting, but partner influence may not be limited to these two constructs. The current study examines the perceived responsiveness of the partner (i.e., the perception that the partner understands, approves of, and supports the self) as a predictor of smoking cessation in unassisted quitters, independent of smoking-specific support for quitting and more general relationship satisfaction. METHODS Data were taken from a sample of smokers (N = 62) in relationships with never/former smokers (i.e., members of single-smoker couples) who completed a 21-day ecological momentary assessment study during an unassisted quit attempt. Measures of perceived responsiveness, support for quitting, and relationship satisfaction obtained at baseline were used to predict smoking outcomes over the course of the study. RESULTS Consistent with our predictions, perceived responsiveness emerged as a significant predictor of smoking cessation over and above the effects of support for quitting and relationship satisfaction. Support for quitting only predicted self-reported relapse. Unexpectedly, once perceived responsiveness was considered, greater relationship satisfaction was associated with poorer smoking outcomes. CONCLUSIONS The current research suggests that perceived responsiveness is a more effective resource for smoking cessation than support specifically for quitting. These findings extend previous research by demonstrating that perceived responsiveness represents a distinct construct from smoking-specific support or relationship satisfaction, and that it is important for smokers during a quit attempt.

Marijuana use by intimate partners: Does discrepant use impair relationship functioning?

Intimate couples with discrepant use of alcohol and other drugs experience poorer relationship functioning relative to couples with concordant use or nonuse. Within a sample of marijuana-using couples, we hypothesized that greater discrepancy in marijuana use frequency between partners would be associated with lower relationship satisfaction and perceived partner responsiveness and with greater conflict, negative interpersonal exchange, and psychological and physical aggression. The Actor Partner Interdependence Model (APIM) allowed us to account for the effects of each partner’s marijuana use, as well as the discrepancy between partners’ use, on his or her own perceptions of relationship functioning. Using multivariate, two-level models, we considered both between-couple and within-couple effects of partner marijuana discrepancy using 4 waves of data collected over 10 months. The sample consisted of heterosexual community couples (ages 18–30) in which at least one partner reported using marijuana two or more times per week. For several outcome measures, we observed negative within-couple discrepancy effects on reports of relationship functioning: at time points when absolute discrepancy in marijuana use was greater than typical for the couple, relationship functioning was poorer. The pattern was the same regardless of whether it was the male or female partner who used more frequently. There were also some negative between-couple effects associated with more frequent female use. Findings replicate and extend prior research on partner discrepancy by demonstrating the dynamic nature of these effects over time.

Alcohol, Self-Regulation and Partner Physical Aggression: Actor-Partner Effects Over a Three-Year Time Frame

The question of how individual differences related to self-regulation interact with alcohol use patterns to predict intimate partner aggression (IPA) is examined. We hypothesized that excessive drinking will be related to partner aggression among those who have low self-regulation. In addition, we explored the extent to which differences in self-regulation in one partner may moderate the relationship between alcohol use and partner aggression. A sample of married or cohabitating community couples (N = 280) ages 18–45 was recruited according to their classification into four drinking groups: heavy drinking in both partners (n = 79), husband only (n = 80), wife only (n = 41), by neither (n = 80), and interviewed annually for 3 years. IPA, drinking, and scores on measures of negative affect, self-control, and Executive Cognitive Functioning (ECF) were assessed for both members of the couple. The Actor Partner Interdependence Model (APIM) was used to analyze longitudinal models predicting the occurrence of IPA from baseline alcohol use, negative affect, self-control and ECF. Actor self-control interacted with partner self-control such that IPA was most probable when both were low in self-control. Contrary to prediction, actors high in alcohol use and also high on self-control were more likely to engage in IPA. Partner alcohol use was predictive of actor IPA when the partner was also high in negative affect. Low partner ECF was associated with more actor IPA. These findings suggest that self-regulatory factors within both members of a couple can interact with alcohol use patterns to increase the risk for relationship aggression.