New research shows reasons for smoking vary

May 20, 2004

MADISON-An article proposing a new method for measuring tobacco addiction, published in the latest edition of The Journal of Clinical and Consulting Psychology, suggests that one size does not fit all when it comes to motivations for smoking.

A new questionnaire designed to measure tobacco dependence, the Wisconsin Inventory of Smoking Dependence Motives (WISDM-68), has uncovered surprising variability in the reasons people smoke.

"There is a great deal we don't know about tobacco dependence," says Megan Piper, a University of Wisconsin-Madison researcher and lead author of the article. "This measure helps us understand why people smoke and points us toward more individualized treatment for tobacco users."

Previous measures concentrated primarily on physical dependence, including questions about number of cigarettes smoked, smoking upon waking and smoking when ill. The WISDM-68 provides a more complete picture of smokers by rating responses to questions in 13 areas, including emotional attachment to smoking (cigarettes are my best friends), response to other smokers (most of the people I spend time with are smokers), smoking to relieve stress, smoking for mental stimulation (I smoke to keep my mind focused), and smoking automatically (I smoke without thinking about it). The 68-question measure was developed by the University of Wisconsin Transdisciplinary Tobacco Use Research Center.

Of special interest in this study were two groups of smokers-novice and experienced. Novice smokers (those who smoked fewer cigarettes over their lifetime) seemed to be more influenced by environment and sensation. Their motivations to smoke included: being in a smoking environment, cues (sights or smells) that encourage someone to smoke, and the taste and sensation of smoking. The experienced smokers were more influenced by cravings, automatic smoking, the need to smoke even when knowing the negative health effects, the use of smoking to enhance mental activity, and emotional attachment to smoking.

Components of the WISDM-68 also predicted relapse to smoking during a quit attempt. The motives most connected to smoking relapse were automatic smoking, smoking to enhance mental activity, smoking to alleviate distress, and being in a smoking environment.

"Using heaviness of smoking as our main criteria for determining tobacco dependence has limited our treatment options," Piper says. "Ultimately, being able to link certain motives with potential smoking relapse could help us prevent relapse during a quit attempt by better targeting and timing treatments." Currently, a "cold turkey" attempt has a 5 percent or less chance of success. With medication and counseling, the success rate jumps to 20-30 percent. The ultimate goal is a significantly higher success rate.

The WISDM-68 was developed using multiple dependence theories and tested using 775 participants in Madison and Milwaukee, Wis. Participants were at least 18 years old and had to have smoked at least one cigarette in the past 14 days. They were: 82 percent white, 11 percent African American, 1 percent American Indian and 2 percent Asian/Pacific Islander. Three percent were Hispanic.

Participants completed a longer form of the WISDM-68, two other dependence questionnaires, a smoking history questionnaire and a carbon monoxide analysis. The longer form was designed to ensure an adequate sampling of the entire motive. It was then statistically analyzed and reduced to 68 questions in 13 topic areas.

At this point, the WISDM-68 was used with two other dependence surveys as part of a smoking cessation study conducted in Madison and Milwaukee to determine its consistency with other current measures and its ability to predict important outcomes of tobacco dependence, such as relapse to smoking.
-end-
The University of Wisconsin Transdisciplinary Tobacco Use Research Center (TTURC) is one of seven centers funded by the National Cancer Institute and the National Institute on Drug Abuse to investigate new ways of combating tobacco use and nicotine addiction, using an innovative, integrated approach. The Robert Wood Johnson Foundation also funds the TTURCs at these institutions through the Partners with Tobacco Use Research Centers program. The Partners program supplements the TTURC research by supporting tobacco-related policy research and communications activities.

University of Wisconsin-Madison

Related Smoking Articles from Brightsurf:

Smoking rates falling in adults, but stroke survivors' smoking rates remain steady
While the rate of Americans who smoke tobacco has fallen steadily over the last two decades, the rate of stroke survivors who smoke has not changed significantly.

What is your risk from smoking? Your network knows!
A new study from researchers at Penn's Annenberg School for Communication found that most people, smokers and non-smokers alike, were nowhere near accurate in their answers to questions about smoking's health effects.

Want to quit smoking? Partner up
Kicking the habit works best in pairs. That's the main message of a study presented today at EuroPrevent 2019, a scientific congress of the European Society of Cardiology (ESC).

Smoking and mortality in Asia
In this analysis of data from 20 studies conducted in China, Japan, South Korea, Singapore, Taiwan and India with more than 1 million participants, deaths associated with smoking continued to increase among men in Asia grouped by the years in which they were born.

Predictors of successfully quitting smoking among smokers registered at the quit smoking clinic at a public hospital in northeastern Malaysia
In the current issue of Family Medicine and Community Health, Nur Izzati Mohammad et al. consider how cigarette smoking is one of the risk factors leading to noncommunicable diseases such as cardiovascular and respiratory system diseases and cancer.

Restaurant and bar smoking bans do reduce smoking, especially among the highly educated
Smoking risk drops significantly in college graduates when they live near areas that have completely banned smoking in bars and restaurants, according to a new study in the American Journal of Epidemiology.

How the UK smoking ban increased wellbeing
Married women with children reported the largest increase in well-being following the smoking bans in the UK in 2006 and 2007 but there was no comparable increase for married men with children.

Smoking study personalizes treatment
A simple blood test is allowing Vanderbilt University Medical Center (VUMC) researchers to determine which patients should be prescribed varenicline (Chantix) to stop smoking and which patients could do just as well, and avoid side effects, by using a nicotine patch.

A biophysical smoking gun
While much about Alzheimer's disease remains a mystery, scientists do know that part of the disease's progression involves a normal protein called tau, aggregating to form ropelike inclusions within brain cells that eventually strangle the neurons.

A case where smoking helped
A mutation in the hemoglobin of a young woman in Germany was found to cause her mild anemia.

Read More: Smoking News and Smoking Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.