Reactivity to smoking cues and relapse: Two studies of discriminant validity

David B. Abrams, Peter M. Monti, Kate B. Carey, Rodger P. Pinto, Stephane I. Jacobus

Research output: Contribution to journalArticlepeer-review


Little is known about the role that smoking cues play in relapse after smoking cessation. Two studies examined the psychophysiologic, behavioral and cognitive reactions of Ss who participated in a smoking cue-exposure trial (CUET). Study 1 compared male relapsers, long-term quitters and nevers-mokers (controls). Relapsers had significantly higher anxiety and urges to smoke than either quitters or controls. Relapsers also had greater heart-rate (HR) reactivity and were rated by judges as having less effective coping skills than controls. In Study 2 the CUET was tested prospectively in a treatment outcome study for smoking cessation. Responses on the CUET at pre-treatment were related to smoking status at 6 months post-treatment. Prospective quitters had significantly less HR reactivity during the CUET and reported less anxiety than the smokers. There was some lack of consistency across response modes in the results of Studies 1 and 2. Taken together, the two studies suggest that reactivity to smoking cues may play a role in smoking relapse.

Original languageEnglish (US)
Pages (from-to)225-233
Number of pages9
JournalBehaviour Research and Therapy
Issue number3
StatePublished - 1988

ASJC Scopus subject areas

  • Experimental and Cognitive Psychology
  • Clinical Psychology
  • Psychiatry and Mental health


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