Expressive writing as a smoking cessation treatment adjunct for young adult smokers

Steven C. Ames, Christi Ann Patten, Chudley E. Werch, Darrell R. Schroeder, Susanna R. Stevens, Paul A. Fredrickson, J. Dan Echols, James W. Pennebaker, Richard D. Hurt

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

This investigation evaluated the efficacy of expressive writing as a treatment adjunct to a brief office smoking cessation intervention plus nicotine patch therapy in young adults. Participants aged 18-24 years were randomized to a brief office intervention (n=99) or to an expressive writing plus brief office intervention (n=97). Both conditions received four individual visits plus 6 weeks of nicotine patch therapy, which began on the quit date following the week 2 visit. Participants in the expressive writing plus brief intervention condition wrote for 2 consecutive days before and 3 consecutive days after the quit date. The brief office intervention group completed a control writing assignment. At end of treatment (week 8), biochemically confirmed 7-day point-prevalence abstinence for the expressive writing plus brief office intervention condition was significantly greater than for the brief office condition (33% vs. 20%, p=.043, OR=2.0, 95% CI=1.0-3.7, from a logistic regression adjusting for gender). At 24 and 52 weeks, abstinence rates were similar for the brief office intervention versus expressive writing plus brief office intervention (12% vs. 11% at 24 weeks; 11% vs. 11% at 52 weeks). The results suggest that expressive writing has promise as a smoking cessation treatment adjunct for young adults. Lengthier interventions or the use of boosters should be tested to extend treatment effects. However, participants reported a low level of enthusiasm for the expressive writing, which may be a barrier to implementing it over a longer time frame. Therefore, other modes of delivering expressive writing to young adult cigarette smokers should be explored.

Original languageEnglish (US)
Pages (from-to)185-194
Number of pages10
JournalNicotine and Tobacco Research
Volume9
Issue number2
DOIs
StatePublished - Feb 2007

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Withholding Treatment
Smoking Cessation
Young Adult
Tobacco Use Cessation Products
Therapeutics
Tobacco Products
Logistic Models

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Ames, S. C., Patten, C. A., Werch, C. E., Schroeder, D. R., Stevens, S. R., Fredrickson, P. A., ... Hurt, R. D. (2007). Expressive writing as a smoking cessation treatment adjunct for young adult smokers. Nicotine and Tobacco Research, 9(2), 185-194. https://doi.org/10.1080/14622200601078525

Expressive writing as a smoking cessation treatment adjunct for young adult smokers. / Ames, Steven C.; Patten, Christi Ann; Werch, Chudley E.; Schroeder, Darrell R.; Stevens, Susanna R.; Fredrickson, Paul A.; Echols, J. Dan; Pennebaker, James W.; Hurt, Richard D.

In: Nicotine and Tobacco Research, Vol. 9, No. 2, 02.2007, p. 185-194.

Research output: Contribution to journalArticle

Ames, SC, Patten, CA, Werch, CE, Schroeder, DR, Stevens, SR, Fredrickson, PA, Echols, JD, Pennebaker, JW & Hurt, RD 2007, 'Expressive writing as a smoking cessation treatment adjunct for young adult smokers', Nicotine and Tobacco Research, vol. 9, no. 2, pp. 185-194. https://doi.org/10.1080/14622200601078525
Ames, Steven C. ; Patten, Christi Ann ; Werch, Chudley E. ; Schroeder, Darrell R. ; Stevens, Susanna R. ; Fredrickson, Paul A. ; Echols, J. Dan ; Pennebaker, James W. ; Hurt, Richard D. / Expressive writing as a smoking cessation treatment adjunct for young adult smokers. In: Nicotine and Tobacco Research. 2007 ; Vol. 9, No. 2. pp. 185-194.
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