HEALTH PROMOTION
& RESEARCH LABORATORY
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Dennis McChargue Ph.D. |
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Research
Focus Mentorship Current Study Study Description: Recent studies have identified a disproportionate number of smokers who
have a history of major depressive disorder (Breslau, Kilbey &
Andreski, 1993; Glassman, et al., 1990). Despite treatments that target
this subgroup of smokers (Hall, Munoz & Reus, 1994; Hall et al.,
1996), depression-prone individuals continue to experience great
difficulty quitting smoking and remaining abstinent. The behavioral
mechanisms that maintain unusually recalcitrant smoking by
depression-prone smokers are poorly understood. The proposed research
tests two candidate mechanisms: a)selectively greater induction of
cigarette craving by negative affect cues, and b) relatively greater
alleviation of dysphoric mood by nicotine, in depression-prone smokers as
compared to non-comorbid controls who lack comorbid affective
vulnerability. Research shows that smoking paraphernalia and negative
affect can elicit cigarette craving in normal smokers. What has not been
examined, however, is whether depression-prone smokers experience stronger
cravings, especially in response to emotional triggers. The frequent
occurrence of negative affect in depression-prone smokers should provide
many opportunities to learn to pair negative affect with smoking.
Moreover, nicotine may be especially effective in dispelling
depression-prone smokers’ dysphoric moods, thereby serving as a
particularly powerful reinforcer. To the extent that nicotine
self-administration produces powerful negative reinforcement by dispelling
unpleasant moods, the conditioning history of depression-prone smokers
should strongly bond them to their cigarettes. The overall aim of this
proposed line of research is to study two behavioral mechanisms that might
explain recalcitrant smoking by depression-prone smokers. Two studies
are proposed. The specific aims to be accomplished by these studies
are as follows: Aim
1: In a cue exposure study to test the hypothesis that
depression-prone smokers have stronger cravings than non-prone smokers,
and that these are disproportionately triggered by negative affect cues,
as opposed to smoking paraphernalia. Links of Interest Peer-Reviewed Publications
19Cohen, L. M., & McChargue, D. E. (in press). Cognitive-behavioral treatment of nicotine dependence for a female with a history of alcohol and respiratory problems. Clinical Case Studies. 18Pagoto,
S. L., McChargue, D. E., Schnieder, K., Cook, J. W., & Fuqua,
R. W. (in press). Sun protection motivational stages and behavior: Skin
cancer risk profiles of Midwest beach-goers.
American Journal of Health Behavior. 17McChargue,
D. E., Cohen, L. M., & Cook, J. W. (2004). Attachment and depression differentially influence nicotine dependence
among male and female undergraduates: a preliminary study. Journal
of American College Health, 53(1), 5-10. 16McChargue,
D. E., Spring, B, Cook, J. W., & Neumann, C. (2004). Reinforcement
expectations explain the relationship between depressive history and
smoking status in college students. Addictive Behaviors, 29,
991-994. 15Hitsman,
B., Spring, B., Borrelli, B., McChargue,
D., & Niaura, R. (2004). Re: Dr. Lirio Covey’s letter to the
editor. Nicotine and Tobacco
Research, 6(4), 1-3 14Cook, J. W., Spring, B., McChargue, D., Borrelli, B., Hitsman, B., Niaura, R., Keuthen, N. & Kristeller, J. (2004). The influence of fluoxetine on positive and negative affect in a clinic based smoking cessation trial. Psychopharmacology, 173, 153-159. 13McChargue, D. E., Cohen, L. M., & Cook, J. W. (2004). The influence of personality and affect on nicotine dependence in male college students. Nicotine and Tobacco Research, 6, 287-294. 12Cook,
J. W., Spring, B., McChargue, D. E.,
& Hedeker, D. (2004). Hedonic capacity, cigarette craving and
diminished positive mood. Nicotine and Tobacco Research, 6(1),
37-45. 11Spring,
B., Pagoto, S. L., McChargue, D. E.,
Hedeker, D. & Cook, J. W. (2003). Altered
reward value of carbohydrate foods for female smokers withdrawn from
nicotine. Pharmacology,
Biochemistry, & Behavior. 762(2), 351-360. 10McChargue,
D. E., Gulliver, S. B., & Hitsman, B. (2003). Applying a
stepped-care reduction approach to smokers with schizophrenia.
Psychiatric Times, XX(9), 78. 9Pagoto,
S. L., McChargue, D. E., & Fuqua, R. W. (2003). The effects of
a multi-component intervention on motivation and sun protection behaviors
among midwestern beach-goers. Health Psychology, 22(4),
429-433. 8Hitsman,
B., Borrelli, B., McChargue, D. E.,
Spring, B., & Niaura,
R. (2003). Effect of history of depression on smoking cessation: A
meta-analysis. Journal of Consulting and Clinical Psychology. 71(4), 657-663. 7Spring, B., Pingitore, G., & McChargue, D. E. (2003). Reward value of cigarette smoking for comparably heavy smoking schizophrenic, depressed and nonpatient smokers. American Journal of Psychiatry, 160(2), 316-322. 6McChargue, D. E., Gulliver, S. B., & Hitsman, B. (2002b). A reply to the commentaries on schizophrenia and smoking treatment: more research is needed. Addiction, 97, 799-800. 5McChargue, D. E., Gulliver, S. B., & Hitsman, B. (2002a). Would smokers with schizophrenia benefit from a more flexible approach to smoking treatment? Addiction, 97, 785-793. 4McChargue, D. E., Collins, F. L., & Cohen, L. M. (2002). Effect of non-nicotinic moist snuff replacement and lobeline on withdrawal symptoms during 48-hour smokeless tobacco deprivation. Nicotine and Tobacco Research, 4, 195-200. 3Richmond,
M., Spring, B., Sommerfeld, B. K., & McChargue,
D. E. (2001). Rumination and cigarette smoking: A bad combination for
depressive outcomes? Journal of Consulting and Clinical Psychology, 69(5),
836-840. 2Cohen, L. M., Britt, D. M., Collins, F. L., al’Absi, M., & McChargue, D. E. (2001). Multimodal assessment of the effect of chewing gum on nicotine withdrawal. Addictive Behaviors, 26(2), 289-295. 1McChargue, D. E., & Collins, F. L. (1998). Differentiating withdrawal patterns between smokers and smokeless tobacco users. Experimental and Clinical Psychopharmacology, 6, 205-208. Peer-Reviewed Published Abstracts 5Smith, M., Pagoto, S., Kozak, A., Spring, B., & McChargue, D. (2004). Depression explains overweight female smokers increased cigarette craving but not their increased food craving. Annals of Behavioral Medicine, 27(Suppl), S075. 4Doran, N. McChargue, D.,
Spring, B., Cook, J. W. (2003). Impulsivity
predicts reactivity to smoking cues. Nicotine and
Tobacco Research, 5, 775. 3Pagoto,
S. L., McChargue, D., Fuqua, R. W.,
& Kendzor, D. (2002). A
multi-component intervention changes motivation and sun protection
behavior among midwestern beachgoers. Annals of
Behavioral Medicine, 24(Suppl), 114. 2Werth,
J., McChargue, D. E., Spring,
B., Marsh, E., Pingitore, R., Gunnarsdottir, E. D., & Hitsman, B.
(2001). Trait-anhedonia moderates
the association between history of depression and post-quit negative
moods. Nicotine and Tobacco Research, 3, 279. 1Hitsman, B., Borrelli, B., McChargue,
D. E., Spring, B., & Niaura, R. (2001). A
meta-analysis of depression’s influence on smoking cessation. Nicotine
and Tobacco Research, 3, 271. Chapters and Invited Papers
3Shiffman,
S., Kassel, J., Gwaltney, C., & McChargue, D. (in press).
Relapse prevention for smoking cessation. In G. A. Marlett & J. R.
Gordon (Eds.), Relapse Prevention
(pp. xxx-xxx). New York: The Guilford Press. 2Cohen,
L. M., McChargue, D. E., Cortez, M., Prensky, E., & Emery, S.
(2003). The etiology and treatment of nicotine dependence: A
biopsychosocial perspective. In L. M. Cohen, D.
E. McChargue, & F. L.
Collins (Eds.), The health psychology handbook: Practical issues for
the behavioral medicine specialist (pp. 101-124). New York: Sage
Publication. 1Collins, F. L., Britt, D. M., Cohen, L. M., McChargue, D. E., Larson, M. E. M., Leftwich, M. J. T., & Stott, H. D. (1999). Practitioner guidelines for the treatment of nicotine dependence. In L. VandeCreek & T. Jackson (Eds.) Innovations in clinical practice: A sourcebook (Vol. 17). Sarasota, FL: Professional Resource Press. Edited
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