Dr. Adams is now with the Department of Health Disparities Research at The University of Texas MD Anderson Cancer Center in Houston, Texas. Address correspondence to Dr. Adams, Department of Health Disparities Research–Unit 1440, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, TX 77230-1402. E-mail: email@example.com.
The Role of Emotional Nonacceptance in the Relation between Depression and Recent Cigarette Smoking
Article first published online: 12 APR 2012
Copyright © American Academy of Addiction Psychiatry
The American Journal on Addictions
Volume 21, Issue 4, pages 293–301, July/August 2012
How to Cite
Adams, C. E., Tull, M. T. and Gratz, K. L. (2012), The Role of Emotional Nonacceptance in the Relation between Depression and Recent Cigarette Smoking. The American Journal on Addictions, 21: 293–301. doi: 10.1111/j.1521-0391.2012.00238.x
- Issue published online: 12 JUN 2012
- Article first published online: 12 APR 2012
- Received March 13, 2011; revised April 12, 2011; accepted April 29, 2011.
Evidence that smokers have heightened depressive symptoms and report smoking in response to negative affect has led to an interest in mindfulness- and acceptance-based strategies to help smokers respond more adaptively to depressive symptoms. More research is needed to examine the role of emotional nonacceptance (ie, the tendency to judge or negatively evaluate one's emotions) in the relation between depression and smoking, particularly among populations with elevated smoking rates (eg, individuals with substance use disorders). This study examined the mediating role of emotional nonacceptance in the relation between depression and smoking among 125 smokers in residential substance abuse treatment. Participants (mean age = 35 ± 10; 60% male; 63% White) reported how many cigarettes they smoked in the past hour and completed self-report measures of emotion dysregulation (including nonacceptance) and depression. Major depressive disorder was assessed through clinical interview. Results supported the hypothesized relevance of emotional nonacceptance to recent smoking. Specifically, emotional nonacceptance was the only dimension of emotion dysregulation uniquely associated with recent smoking and mediated the relationship between depression and recent smoking. Results suggest that depression may interfere with emotional acceptance, increasing urges to smoke to escape negative affect. Targeting emotional nonacceptance may improve smoking cessation treatments for depressed individuals. (Am J Addict 2012;00:1–9)