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Journal of Pediatric Psychology Advance Access originally published online on February 19, 2008
Journal of Pediatric Psychology 2008 33(8):821-832; doi:10.1093/jpepsy/jsn010
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© The Author 2008. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

An Integration of Parents’ and Best Friends’ Smoking, Smoking-Specific Cognitions, and Nicotine Dependence in Relation to Readiness to Quit Smoking: A Comparison between Adolescents with and without Asthma

Rinka M. P. van Zundert, MSc1, Rutger C. M. E. Engels, PhD1, Marloes Kleinjan, MSc1,2 and Regina J. J. M. van den Eijnden, PhD2

1Behavioural Science Institute, Radboud University and 2IVO, Addiction Research Institute

All correspondence concerning this article should be addressed to Rinka van Zundert, Behavioural Science Institute, Radboud University, P.O. Box 9104, 6500 HE Nijmegen, the Netherlands. E-mail: r.vanzundert{at}pwo.ru.nl.


  Abstract

Objective To study the impact of parents’ and best friends’ smoking, nicotine dependence, and craving on smoking-specific cognitions, and readiness to quit in adolescents with and without asthma. Methods Structural equation analyses were applied to data from a sample of 1,120 daily smoking adolescents, 83 of whom had asthma. Results Adolescents with asthma felt more ready to quit, and cognitions were more strongly related to readiness to quit among adolescents with asthma than among adolescents without asthma. Moreover, best friends’ smoking seemed more relevant to the cognitions of adolescents with asthma. Nicotine dependence and craving were strongly related to cognitions, and to readiness to quit in both groups. The relation between craving and readiness to quit, however, was stronger among participants with asthma. Conclusions Reduction of nicotine dependence and craving is essential for both groups. Youth with asthma may benefit even more from cognitive-based cessation services than healthy youth. The finding that adolescents with asthma are relatively more ready to quit, and that their cognitions are more easily affected can be turned into advantages in asthma-specific cessation services.

Key words: adolescence; asthma; cognitions; nicotine dependence; readiness to quit smoking.

Received March 19, 2007; revision received January 30, 2008; accepted February 2, 2008


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