Relapse and maintenance issues for smoking cessation

Judith K. Ockene, Robin J. Mermelstein, Debra S. Bonollo, Karen M. Emmons, Kenneth A. Perkins, Carolyn C. Voorhees, Jack F. Hollis

Research output: Contribution to journalArticlepeer-review

263 Scopus citations


This article reviews short-term (6 months) and longer term (12-24 months) maintenance of cessation and relapse in adult smokers and the factors and treatments that affect these outcomes. MedLine and PsycLIT searches were done for research published in English between 1988 and 1998 meeting a defined set of criteria. Intensive intervention, telephone counseling, and use of pharmacotherapy were found to improve outcomes; however, compared with public health approaches, they reach relatively few smokers. Brief interventions during medical visits are cost-effective and could potentially reach most smokers but are not consistently delivered. Predictors of relapse include slips, younger age, nicotine dependence, low self-efficacy, weight concerns, and previous quit attempts. Potential areas for research, recommendations for longer follow-up assessments, and standard definitions for slip, relapse, and long-term maintenance are discussed.

Original languageEnglish (US)
Pages (from-to)17-31
Number of pages15
JournalHealth Psychology
Issue number1 SUPPL.
StatePublished - 2000
Externally publishedYes


  • Adherence
  • Smoking cessation
  • Smoking intervention
  • Smoking treatment

ASJC Scopus subject areas

  • Applied Psychology
  • Psychiatry and Mental health


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