Adolescents in smoking cessation treatment: Relationship between externalizing symptoms, smoking history and outcome

Eric T. Moolchan; Matthew Frazier; Frederick H. Franken; Monique Ernst

doi:10.1016/j.psychres.2006.05.008

Adolescents in smoking cessation treatment: Relationship between externalizing symptoms, smoking history and outcome

Eric T. Moolchan, Matthew Frazier, Frederick H. Franken, Monique Ernst

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

Previous research has indicated a potential bi-directional link between youth substance use and externalizing psychiatric comorbidities. We hypothesized that the degree of externalizing symptoms predicts the likelihood of successful smoking cessation (prolonged abstinence) among adolescent smokers participating in a cessation trial. We also explored the association of externalizing symptoms with age at smoking initiation. Ninety one adolescents (mean ± S.D.; age 15.1 ± 1.4 years, cigarettes per day 18.4 ± 8.1, Fagerström Test for Nicotine Dependence 7.1 ± 1.3) were included. The Child Behavior Checklist/4-18 and Youth Self-Report assessed the degree of externalizing symptoms. Regression analysis indicated that lower CBCL externalizing scores significantly predicted the likelihood of prolonged abstinence. Pearson's correlation analysis indicated a significant association of lower externalizing scores with later onset of smoking initiation. Our findings highlight the importance of addressing externalizing behaviors in adolescent smoking cessation programs.

Original language	English (US)
Pages (from-to)	281-285
Number of pages	5
Journal	Psychiatry research
Volume	152
Issue number	2-3
DOIs	https://doi.org/10.1016/j.psychres.2006.05.008
State	Published - Aug 30 2007
Externally published	Yes

Keywords

Externalizing behaviors
Tobacco

ASJC Scopus subject areas

Psychiatry and Mental health
Biological Psychiatry

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10.1016/j.psychres.2006.05.008

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title = "Adolescents in smoking cessation treatment: Relationship between externalizing symptoms, smoking history and outcome",

abstract = "Previous research has indicated a potential bi-directional link between youth substance use and externalizing psychiatric comorbidities. We hypothesized that the degree of externalizing symptoms predicts the likelihood of successful smoking cessation (prolonged abstinence) among adolescent smokers participating in a cessation trial. We also explored the association of externalizing symptoms with age at smoking initiation. Ninety one adolescents (mean ± S.D.; age 15.1 ± 1.4 years, cigarettes per day 18.4 ± 8.1, Fagerstr{\"o}m Test for Nicotine Dependence 7.1 ± 1.3) were included. The Child Behavior Checklist/4-18 and Youth Self-Report assessed the degree of externalizing symptoms. Regression analysis indicated that lower CBCL externalizing scores significantly predicted the likelihood of prolonged abstinence. Pearson's correlation analysis indicated a significant association of lower externalizing scores with later onset of smoking initiation. Our findings highlight the importance of addressing externalizing behaviors in adolescent smoking cessation programs.",

keywords = "Externalizing behaviors, Tobacco",

author = "Moolchan, {Eric T.} and Matthew Frazier and Franken, {Frederick H.} and Monique Ernst",

note = "Funding Information: Financial support was provided by the Department of Health and Human Services, National Institutes of Health, National Institute on Drug Abuse, Intramural Research Program, Baltimore, MD, USA. We are grateful to A. Thiri Aung, MD, Miqun Robinson, MD, PhD, Susan Ruckel LCSW-C, Will M. Aklin, MA and Jennifer Berarducci, BA, for contributions to this study.",

year = "2007",

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doi = "10.1016/j.psychres.2006.05.008",

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AU - Moolchan, Eric T.

AU - Frazier, Matthew

AU - Franken, Frederick H.

AU - Ernst, Monique

N1 - Funding Information: Financial support was provided by the Department of Health and Human Services, National Institutes of Health, National Institute on Drug Abuse, Intramural Research Program, Baltimore, MD, USA. We are grateful to A. Thiri Aung, MD, Miqun Robinson, MD, PhD, Susan Ruckel LCSW-C, Will M. Aklin, MA and Jennifer Berarducci, BA, for contributions to this study.

PY - 2007/8/30

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N2 - Previous research has indicated a potential bi-directional link between youth substance use and externalizing psychiatric comorbidities. We hypothesized that the degree of externalizing symptoms predicts the likelihood of successful smoking cessation (prolonged abstinence) among adolescent smokers participating in a cessation trial. We also explored the association of externalizing symptoms with age at smoking initiation. Ninety one adolescents (mean ± S.D.; age 15.1 ± 1.4 years, cigarettes per day 18.4 ± 8.1, Fagerström Test for Nicotine Dependence 7.1 ± 1.3) were included. The Child Behavior Checklist/4-18 and Youth Self-Report assessed the degree of externalizing symptoms. Regression analysis indicated that lower CBCL externalizing scores significantly predicted the likelihood of prolonged abstinence. Pearson's correlation analysis indicated a significant association of lower externalizing scores with later onset of smoking initiation. Our findings highlight the importance of addressing externalizing behaviors in adolescent smoking cessation programs.

AB - Previous research has indicated a potential bi-directional link between youth substance use and externalizing psychiatric comorbidities. We hypothesized that the degree of externalizing symptoms predicts the likelihood of successful smoking cessation (prolonged abstinence) among adolescent smokers participating in a cessation trial. We also explored the association of externalizing symptoms with age at smoking initiation. Ninety one adolescents (mean ± S.D.; age 15.1 ± 1.4 years, cigarettes per day 18.4 ± 8.1, Fagerström Test for Nicotine Dependence 7.1 ± 1.3) were included. The Child Behavior Checklist/4-18 and Youth Self-Report assessed the degree of externalizing symptoms. Regression analysis indicated that lower CBCL externalizing scores significantly predicted the likelihood of prolonged abstinence. Pearson's correlation analysis indicated a significant association of lower externalizing scores with later onset of smoking initiation. Our findings highlight the importance of addressing externalizing behaviors in adolescent smoking cessation programs.

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Adolescents in smoking cessation treatment: Relationship between externalizing symptoms, smoking history and outcome

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Keywords

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