Delay Discounting, Locus of Control, and Cognitive Impulsiveness Independently Predict Tobacco Dependence Treatment Outcomes in a Highly Dependent, Lower Socioeconomic Group of Smokers

American Journal on Addictions - Tập 21 Số 3 - Trang 221-232 - 2012
Christine E. Sheffer1, James MacKillop2, John E. McGeary3, Reid D. Landes4, Lawrence Carter5, Richard Yi6, Bryan A. Jones7, Darren R. Christensen8, Maxine Stitzer9, Lisa Jackson10, Warren K. Bickel11
1Department of Health Behavior and Health Education, College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
2Department of Psychology, University of Georgia, Athens, Georgia
3Center for Alcohol & Addiction Studies, Brown University Medical School, Providence VA Medical Center, Providence, Rhode Island
4Department of Biostatistics, University of Arkansas for Medical Sciences, Little Rock, Arkansas
5Department of Pharmacology and Toxicology, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas
6Center for Addictions, Personality & Emotion Research, Department of Psychology, University of Maryland College Park, College Park, Maryland
7Department of Psychology, Kent State University at Ashtabula, Ashtabula, Ohio
8Department of Psychiatry, Johns Hopkins School of Medicine, Baltimore, Maryland
9Department of Health Behavior and Health Education, College of Public Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas;
10Translational Research Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas
11Advanced Recovery Research Center, Virginia Tech Carilion Research Institute, Roanoke, Virginia

Tóm tắt

Tobacco use disproportionately affects lower socioeconomic status (SES) groups. Current explanations as to why lower SES groups respond less robustly to tobacco control efforts and tobacco dependence treatment do not fully account for this disparity. The identification of factors that predict relapse in this population might help to clarify these differences. Good candidates for novel prognostic factors include the constellation of behaviors associated with executive function including self‐control/impulsiveness, the propensity to delay reward, and consideration and planning of future events. This study examined the ability of several measures of executive function and other key clinical, psychological, and cognitive factors to predict abstinence for highly dependent lower SES participants enrolled in intensive cognitive‐behavioral treatment for tobacco dependence. Consistent with predictions, increased discounting and impulsiveness, an external locus of control as well as greater levels of nicotine dependence, stress, and smoking for negative affect reduction predicted relapse. These findings suggest that these novel factors are clinically relevant in predicting treatment outcomes and suggest new targets for therapeutic assessment and treatment approaches.(Am J Addict 2012;21:221–232)

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Thông tin xuất bản

American Journal on Addictions

Tập 21 Số 3

221-232

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