Depression vulnerable and nonvulnerable smokers after a failure experience: examining cognitive self-regulation and motivation.
After a slip, smokers with past depression feel worse and want to quit less even if they smoke the same amount as others.
01Research in Context
What this study did
The team brought smokers into a clinic and asked them to quit for a day. After the day ended, they told every smoker the same thing: "You failed."
Some smokers had a history of depression. Others did not. The researchers then asked everyone how motivated they felt to keep trying and how bad they felt.
What they found
Smokers with depression history said they felt worse and wanted to quit less. Yet when the team looked at how much each person actually smoked next, both groups lit up the same number of cigarettes.
In other words, the bad feelings did not match real behavior. The depression-vulnerable group only looked more defeated inside their heads.
How this fits with other research
Spriggs et al. (2016) saw a similar split in college students caught with cannabis. Students who could not handle distress used more and cared less about changing, just like the smokers here.
Garey et al. (2016) found that homeless smokers who felt high stress also reported poorer health. Together these studies show that feeling bad—whether from depression, distress, or stress—can drain motivation across different drugs and settings.
Kraijer (2000) warns us not to trust self-efficacy alone. Mood can widen the gap between what clients think they can do and what they expect to achieve. The 2008 data prove this point: mood dropped even when real smoking skill stayed flat.
Why it matters
When a client lapses, ask how they feel before you accept their "I can’t do this" story. A depression screen or quick mood check can show you who needs extra emotional repair, not more lectures about quitting. Target the feeling first, then rebuild the plan.
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02At a glance
03Original abstract
The present study extended previous tests of cognitive priming theories of depression by examining cognitive self-regulatory, motivational, and affective functioning of depression-vulnerable and nonvulnerable individuals after a failure experience. Participants were enrolled in a clinic-based smoking cessation program that consisted of seven group meetings. Major findings show that compared to the nonvulnerable group, depression-vulnerable individuals were less motivated to quit and experienced more negative affect, but only after a failure to quit smoking. However, after controlling for actual smoking rate, depression-vulnerable individuals did not evaluate their success any more negatively, nor did they indicate lower self-efficacy for quitting. Results are discussed in terms of cognitive self-regulatory and affect temperament models of motivation and depression.
Behavior modification, 2008 · doi:10.1177/0145445507310484