Incorporating Biomarkers of Exposure and Genetic Susceptibility Into Smoking Cessation Treatment: Effects on Smoking-Related Cognitions, Emotions, and Behavior Change

Incorporating Biomarkers of Exposure and Genetic Susceptibility Into Smoking Cessation Treatment Effects on Smoking-Related Cognitions, Emotions, and Behavior Change

In this article the authors report on the short-term impact of incorporating biomarker feedback about exposure and genetic susceptibility into minimal-contact quit-smoking counseling (QSC). Four hundred and twenty-seven smokers were randomized to 1 of 3 treatments: (a) QSC, (b) QSC + exposure biomar...

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Bibliographic Details
Published in:Health psychology Vol. 16; no. 1; pp. 87 - 99
Main Authors: Lerman, Caryn, Gold, Karen, Audrain, Janet, Lin, Ting Hsiang, Boyd, Neal R, Orleans, C. Tracy, Wilfond, Ben, Louben, Greg, Caporaso, Neil
Format: Journal Article
Language:English
Published: United States American Psychological Association 01-01-1997
Subjects:
Adolescent
Adult
Aged
Analysis of Variance
Attitude to Health
Biological Markers
Biomarkers - analysis
Breath Tests
Carbon Monoxide - analysis
Cessation
Chi-Square Distribution
Cognitions
Confidence Intervals
Depression - etiology
Emotions
Female
Follow-Up Studies
Genetic Linkage
Genetic susceptibility
Genetic Testing - psychology
Human
Humans
Incorporation
Linear Models
Logistic Models
Lung Neoplasms - etiology
Lung Neoplasms - psychology
Male
Middle Aged
Odds Ratio
Program Evaluation
Smoking
Smoking Cessation
Smoking Cessation - psychology
Treatment
Treatment Compliance
Treatment Outcome
Truth Disclosure
genetics
risk notification
counseling
smoking
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Summary:In this article the authors report on the short-term impact of incorporating biomarker feedback about exposure and genetic susceptibility into minimal-contact quit-smoking counseling (QSC). Four hundred and twenty-seven smokers were randomized to 1 of 3 treatments: (a) QSC, (b) QSC + exposure biomarker feedback (EBF) about carbon monoxide in exhaled breath, or (b) QSC + EBF + biomarker feedback about genetic susceptibility to lung cancer (SBF). We observed significant immediate positive effects of SBF, compared with EBF and QSC, on perceived risk, perceived quitting benefits, and fear arousal. However, at the 2-month follow-up, there were no group differences in quit rates. SBF did lead to significant reductions in the number of cigarettes smoked for smokers who were in the preparation stage. Smokers in the EBF and QSC conditions showed reductions in depressive symptoms by 2 months, but smokers in the SBF condition did not. In the context of QSC, genetic feedback may heighten vulnerability and possibly promote distress, but may not immediately enhance quitting in most smokers.
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ISBN:1557984182
9781557984180
ISSN:0278-6133
1930-7810
DOI:10.1037/0278-6133.16.1.87