Postpartum Changes in Mood and Smoking-Related Symptomatology: An Ecological Momentary Assessment Investigation
AffiliationUniv Arizona, Dept Family & Community Med
MetadataShow full item record
PublisherOXFORD UNIV PRESS
CitationAlicia Allen, Nicole Tosun, Samantha Carlson, Sharon Allen; Postpartum Changes in Mood and Smoking-Related Symptomatology: An Ecological Momentary Assessment Investigation, Nicotine & Tobacco Research, Volume 20, Issue 6, 3 May 2018, Pages 681–689, https://doi.org/10.1093/ntr/ntx118
JournalNICOTINE & TOBACCO RESEARCH
RightsCopyright © 2017, Oxford University Press
Collection InformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at firstname.lastname@example.org.
AbstractIntroduction: Postpartum smoking relapse is a highly prevalent public health problem. Mood and breast feeding are significantly associated with smoking relapse, although less is known about the temporality of these relationships. Therefore, this study utilized ecological momentary assessments (EMA) to prospectively examine changes in mood and smoking-related symptomatology in relationship to three events-childbirth, termination of breast feeding, and smoking relapse. We expected all three events to significantly alter mood and smoking-related symptomatology. Methods: We enrolled a sample of pregnant women who had recently quit smoking and intended to remain quit during the postpartum. Participants were randomized to active/placebo progesterone to prevent postpartum relapse. Participants also completed daily EMA to collect data mood and smoking-related symptomatology as well as our three events of interest. Results: Participants (n = 46) were, on average, 26.5 +/- 0.8 years old and, prior to pregnancy, smoked 10.1 +/- 0.7 cigarettes/day. We noted a number of significant within-and between-subject relationships. For example, participants reported a 24% decline in negative affect after childbirth (p = .0016). Among those who relapsed to smoking (n = 23), participants randomized to placebo had a significant increase in cigarette craving after relapse (beta = 1.06, 95% confidence interval [CI] = 0.62 to 1.49, p value = .0003), whereas participants randomized to active progesterone did not (beta = 0.63, 95% CI = -0.35 to 1.62, p value = .1824). Conclusions: These observations suggest that mood and smoking-related symptomatology are influenced by childbirth, breast feeding, smoking relapse, and use of exogenous progesterone. Future research should explore how these observations may inform novel postpartum smoking relapse-prevention interventions.
Note12 month embargo; published online: 01 June 2017
VersionFinal accepted manuscript
SponsorsNational Institutes of Health [R21DA034840]; Building Interdisciplinary Research Careers in Women's Health Grant from the Eunice Kennedy Shriver National Institutes of Child Health and Human Development (NICHD) [K12HD055887]; Office of Research on Women's Health; National Institute on Aging, NIH; Research Services, Department of Family Medicine and Community Health, Medical School, University of Minnesota; National Center for Advancing Translational Sciences of the National Institutes of Health [UL1TR000114]
- Predictors of Postpartum Return to Smoking: A Systematic Review.
- Authors: Orton S, Coleman T, Coleman-Haynes T, Ussher M
- Issue date: 2018 May 3
- Do Psychiatric Disorders or Measures of Distress Moderate Response to Postpartum Relapse Prevention Interventions?
- Authors: Kolko RP, Emery RL, Cheng Y, Levine MD
- Issue date: 2017 May 1
- Preventing Postpartum Smoking Relapse: A Randomized Clinical Trial.
- Authors: Levine MD, Cheng Y, Marcus MD, Kalarchian MA, Emery RL
- Issue date: 2016 Apr
- Progesterone for smoking relapse prevention following delivery: A pilot, randomized, double-blind study.
- Authors: Forray A, Gilstad-Hayden K, Suppies C, Bogen D, Sofuoglu M, Yonkers KA
- Issue date: 2017 Dec
- Weight concerns, mood, and postpartum smoking relapse.
- Authors: Levine MD, Marcus MD, Kalarchian MA, Houck PR, Cheng Y
- Issue date: 2010 Oct