Relapse coping and problem solving training following treatment for smoking

Supnick, Jay A.; Colletti, Gep

doi:10.1016/0306-4603(84)90041-8

Cited by 40 publications

(24 citation statements)

References 6 publications

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“…S), items that represent the core factor of motivation. Both self-eficacy and motivation have been shown to be qualities associated with smoking cessation and abstinence among women in the general population (Abrams et al, 1987;Horwitz et al, 1985;Nicki et al, 1984;Supnick & Colletti, 1984). The recognition by smokers in this study that motivation and self-efficacy behaviors are important in stopping smoking is supported by a number of other studies.…”

supporting

confidence: 66%

“…Coping is defined by Lazarus and Folkman (1984) as "the constantly changing cognitive and behavioral efforts to manage specific external and/or internal demands that are appraised as taxing or exceeding the resources of the person" (p. 141). Use of cognitive coping and problemsolving methods has been shown to be a deterrent to initiating smoking among adolescents (Gilchrist, Schinke, Bobo, & Snow, 1986;Lotecka & MacWhinney, 1983;Wills, 1985) and to maintaining abstinence among adults (Supnick & Colletti, 1984;Wewers, 1988).…”

Section: Theoretical Modelliterature Reviewmentioning

confidence: 99%

“…Self efficacy is the expectation that one can successfully execute a behavior to produce the desired outcome (Bandura, 1977). Successful coping strategies that result in smoking cessation and continued abstinence have been shown to increase one's self-efficacy (Abrams et al, 1987;Nicki, Remington, & MacDonald, 1984;Supnick & Colletti, 1984).…”

Section: Theoretical Modelliterature Reviewmentioning

confidence: 99%

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Reliability and Validity of the Smoking and Women Questionnaire among Three Ethnic Groups

Gulick

Escobar‐Florez

1995

Public Health Nursing

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Cigarette smoking among women continues to be a major health risk to the smoker and to those around her. Programs aimed at stopping and maintaining smoking cessation have had very limited success due in part to the failure to individualize smoking cessation programs based on specific characteristics of the smoker. This study presents reliability and validity of a 14-item questionnaire developed to determine the readiness of women from three ethnic groups (non-Hispanic white, black American, and Hispanic American) to stop smoking. The Smoking and Women Questionnaire (SWQ) consists of items representative of core elements conceptualized in the Smoking/Ex-smoking Model for Women. The core factors are: beliefs/attitudes toward smoking, sociability, stress, coping, self-efficacy, motivation, nicotine dependence, and support. The SWQ was completed by both smoking and nonsmoking non-Hispanic white (N = 233), smoking and nonsmoking black American (N = 70), and smoking and nonsmoking Hispanic American (N = 73) women. The test-retest correlation coefficient over a one- to three-week period (N = 53) was .84. Cronbach alphas for whites, blacks, Hispanics, and combined groups were .81, .85, .84 and .83, respectively. Content validity was shown by experts who agreed that the core elements were represented in the SWQ. Construct validity was shown for ethnic groups separately and combined in that smokers had significantly lower SWQ scores than nonsmokers. Items representative of the core elements were rated by smokers in a similar manner irrespective of ethnicity, suggesting similar attitudes and behaviors toward smoking. Further research is needed to determine if the SWQ can predict readiness of women to stop smoking and serve as a basis for developing individualized smoking cessation programs. Implications for smoking cessation programs are reviewed.

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supporting

confidence: 66%

Section: Theoretical Modelliterature Reviewmentioning

confidence: 99%

Section: Theoretical Modelliterature Reviewmentioning

confidence: 99%

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Reliability and Validity of the Smoking and Women Questionnaire among Three Ethnic Groups

Gulick

Escobar‐Florez

1995

Public Health Nursing

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“…These strategies consisted of a set of organized interventions designed to increase the positive valance of the therapy and the therapist, as well as to reach out to and bring back “lost” patients. A dialectical stance on drug use was developed in recognition that, on the one hand, cognitive‐behavioral relapse prevention approaches 40–42 are effective in reducing the frequency and intensity of drug use following a period of abstinence from drug use, and, on the other, “absolute abstinence” approaches are effective in lengthening the interval between periods of use 43,44 . “Dialectical abstinence,” i.e., a synthesis of unrelenting insistence on total abstinence before any illicit drug abuse with an emphasis on radical acceptance, non‐judgmental problem‐solving, and effective relapse prevention after any drug use, followed by a quick return to the unrelenting insistence on abstinence, seeks to balance these two positions.…”

Section: Methodsmentioning

confidence: 99%

Dialectical Behavior Therapy for Patients with Borderline Personality Disorder and Drug‐Dependence

et al. 1999

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A randomized clinical trial was conducted to evaluate whether Dialectical Behavior Therapy (DBT), an effective cognitive-behavioral treatment for suicidal individuals with borderline personality disorder (BPD), would also be effective for drug-dependent women with BPD when compared with treatment-as-usual (TAU) in the community. Subjects were randomly assigned to either DBT or TAU for a year of treatment. Subjects were assessed at 4, 8, and 12 months, and at a 16-month follow-up. Subjects assigned to DBT had significantly greater reductions in drug abuse measured both by structured interviews and urinalyses throughout the treatment year and at follow-up than did subjects assigned to TAU. DBT also maintained subjects in treatment better than did TAU, and subjects assigned to DBT had significantly greater gains in global and social adjustment at follow-up than did those assigned to TAU. DBT has been shown to be more effective than treatment-as-usual in treating drug abuse in this study, providing more support for DBT as an effective treatment for severely dysfunctional BPD patients across a range of presenting problems.

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“…Marlatt offered a psychological theory as to why lapses lead to relapse, and suggested interventions that might derail this process [11]. While these interventions have not proved effective [26], the underlying premise-that interventions might target progression from lapse to relapse, rather than just trying to prevent lapses-is as plausible and compelling today as it was in the 1970s and 1980s. But it has not been carried through by relapse researchers or clinicians, perhaps because outcome criteria by which clinical trials are evaluated treat even a single lapse as a complete failure, thus obscuring the problem of progression towards relapse.…”

Section: Introductionmentioning

confidence: 99%

Reflections on smoking relapse research

Shiffman

2006

Drug and Alcohol Review

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This paper presents personal reflections on the history, current status and the future of research on smoking relapse. Relapse was traditionally viewed primarily as an outcome, to be reduced with increased treatment. In the 1980s, relapse research was invigorated by a focus on the process of relapse, focusing on the specific situations in which lapses to smoking occurred, and on the processes that mediated progression from a lapse to a relapse. This line of research had substantial influence on treatment, but has currently been displaced by a return to a pure outcomes-focus, driven in part by the practical need to find treatments that work and to package them for dissemination. At the same time, technological and methodological developments have enabled detailed monitoring of experience and behaviour throughout the relapse process, and progression of these developments will make monitoring of relapse process compelling in the future. The need to understand how interventions work will also drive a resurgence of research on the relapse process. Finally, the same technological and conceptual developments that enable detailed monitoring of behaviour will spawn the development of just-in-time interventions that are offered and implemented as needed, rather than being addressed in the abstract in advance of the need.

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Relapse coping and problem solving training following treatment for smoking

Cited by 40 publications

References 6 publications

Reliability and Validity of the Smoking and Women Questionnaire among Three Ethnic Groups

Reliability and Validity of the Smoking and Women Questionnaire among Three Ethnic Groups

Dialectical Behavior Therapy for Patients with Borderline Personality Disorder and Drug‐Dependence

Reflections on smoking relapse research

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