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Journal of Addiction
Volume 2018, Article ID 2438161, 7 pages
Research Article

Cancer Patients Enrolled in a Smoking Cessation Clinical Trial: Characteristics and Correlates of Smoking Rate and Nicotine Dependence

1Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA
2Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
3Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL, USA
4Department of Medicine, Northwestern University, Evanston, IL, USA
5Pulmonary, Allergy & Critical Care Division, University of Pennsylvania, Philadelphia, PA, USA
6School of Psychology, University of Exeter, Exeter, UK

Correspondence should be addressed to Robert Schnoll; ude.nnepu.enicidemnnep@llonhcs

Received 27 October 2017; Revised 28 December 2017; Accepted 23 January 2018; Published 26 February 2018

Academic Editor: Amy L. Copeland

Copyright © 2018 Andrew Miele et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. A substantial proportion of cancer patients continue to smoke after their diagnosis but few studies have evaluated correlates of nicotine dependence and smoking rate in this population, which could help guide smoking cessation interventions. Aim. This study evaluated correlates of smoking rate and nicotine dependence among 207 cancer patients. Methods. A cross-sectional analysis using multiple linear regression evaluated disease, demographic, affective, and tobacco-seeking correlates of smoking rate and nicotine dependence. Smoking rate was assessed using a timeline follow-back method. The Fagerström Test for Nicotine Dependence measured levels of nicotine dependence. Results. A multiple linear regression predicting nicotine dependence showed an association with smoking to alleviate a sense of addiction from the Reasons for Smoking scale and tobacco-seeking behavior from the concurrent choice task (), but not with affect measured by the HADS and PANAS (). Multiple linear regression predicting prequit showed an association with smoking to alleviate addiction (). ANOVA showed that Caucasian participants reported greater rates of smoking compared to other races. Conclusions. The results suggest that behavioral smoking cessation interventions that focus on helping patients to manage tobacco-seeking behavior, rather than mood management interventions, could help cancer patients quit smoking.