Testing Individual Differences in Negative Affect Related to Smoking: The Role of Emotional Clarity

Negative affect plays a critical role in nicotine dependence. Smokers report feeling that negative affect is a primary motivation to keep smoking. This study examined the relationship between individual differences in emotional experience, in particular emotional clarity and differentiation (individuals' ability to understand, describe, and differentiate between emotions), and smoking motivation. We hypothesized that emotional clarity would be related to affect, craving, and smoking satisfaction. A second goal was to test the ability of an emotional-labeling intervention to reduce negative affect and smoking motivation resulting from a negative emotion induction. We also tested whether emotional clarity moderated the effect of the negative affect manipulation upon smoking-related variables. We hypothesized that emotional clarity would moderate the effect of the emotional-labeling manipulation upon affect, craving, and smoking satisfaction. A correlational and two-group between-subjects design was used. Participants (170 participants; 86 males) first completed baseline measures, then received a mood induction (via video). They then were randomized to one of two conditions (emotion labeling and writing control). Results indicate that emotional clarity was related to affect, craving, and smoking satisfaction ratings, such as those higher on emotional clarity reported more positive affect, less cravings, and having experienced aversive effects after smoking. We found no effect of the emotional labeling task. Although we replicated findings from previous studies showing a relationship between emotional clarity and mood, this study is the first to establish such a relationship with craving for a cigarette and aspects of smoking satisfaction

Influence of Affective Manipulations on Cigarette Craving: a Meta-analysis

Background and aims: Retrospective self-report and observational studies have yielded inconsistent findings regarding the capacity of negative affect (NA) to increase smoking motivation among dependent samples. Controlled laboratory studies offer an alternative paradigm for testing the role of affective state upon smoking motivation. The aim of the current study was to quantify cue-provoked cravings produced by affective manipulations in the published literature, and to identify theoretical and methodological moderators. Methods: We conducted a systematic literature search to identify experimental studies that manipulated NA or positive affect (PA), and assessed post-manipulation craving. Separate random-effects meta-analyses examined NA and PA cues as predictors of self-reported craving. Self-reported affect (NA and PA), nicotine deprivation, gender, nicotine dependence, order of cue presentation, single versus multi-item craving assessment and affect induction method were tested as moderators of affective cue-induced craving. Results: NA manipulations produced a medium effect [g = 0.47; confidence interval (CI) = 0.31–0.63] on craving, but no main effects were found for PA manipulations (g = 0.05; CI = −0.09 to 0.20) on craving. Self-reported NA moderated the extent to which NA and PA manipulations elicited craving (P \u3c 0.02 for each). That is, more effective NA manipulations produced greater cravings, and PA manipulations reduced cravings when they reduced NA. Conclusions: Laboratory studies indicate that negative, but not positive, affect is a situational determinant of cravings to smoke among dependent smokers. Adverse emotional states increase craving to smoke among dependent smokers, but positive emotional states do not consistently reduce craving to smoke