Environmental reward and depressive symptoms in the relationship between avoidance and cigarette dependence in treatment-seeking smokers.

Background: The current study sought to further examine the relation between avoidance, environmental reward, depressive symptoms and cigarette dependence. Method: The sample included 275 adult treatmentseeking daily smokers (Mage = 45.36, SD = 10.96; 61.5% female). To examine the relationships between the study variables, correlation and serial mediation analyses were conducted. Results: A significant positive relationship between cigarette dependence, avoidance, and depressive symptoms, and a negative relationship with environmental reward was found. Mediation analysis revealed a significant indirect pathway from avoidance to cigarette dependence through depressive symptoms; and also a significant indirect serial pathway from avoidance to cigarette dependence through environmental reward and depressive symptoms. Conclusions: Our findings suggest the importance of avoidance, environmental reward and depressive symptoms in cigarette dependence. Our findings contribute to the understanding of behavioral and psychological factors related to cigarette dependence, which is a well-known barrier to abstinence. Thus, it could be useful to assess and address such variables in the context of smoking-cessation interventions. [ABSTRACT FROM AUTHOR]