Self-Efficacy as a Potential Mechanism of Behavior Change in Mindfulness-Based Relapse Prevention

Moniz-Lewis, David I. K.; Stein, Elena R.; Bowen, Sarah; Witkiewitz, Katie

doi:10.1007/s12671-022-01946-z

Cited by 16 publications

(6 citation statements)

References 61 publications

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“…General self-efficacy predicted a significantly higher probability of no drug use and no heavy drinking after treatment. Moreover, self-efficacy was associated with fewer days of heavy drinking among people with SUD [ 60 ]. A lower level of self-efficacy belief in one’s ability to manage excessive drinking while experiencing unpleasant emotional states before treatment was associated with a greater level of alcohol dependence and an increase in the number of alcohol-related outcomes [ 61 ].…”

Section: Discussionmentioning

confidence: 99%

A Mediation Moderation Model between Self-Evaluative Emotions and Relapse Rate among Polysubstance Users: A Comparative Cross-Sectional Study

Iqbal

Yan

Zhao

et al. 2023

IJERPH

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A substantial portion of drug abuse research has concentrated on people with a single-substance-use disorder (SSUD), but many people abuse more than one drug. Studies have yet to examine how those with polysubstance-use disorder (PSUD) differ from those with an SSUD on the risk of relapse, self-evaluative emotions (e.g., shame and guilt), and personality factors (e.g., self-efficacy). Eleven rehab facilities in Lahore city, Pakistan were randomly chosen to provide a sample of 402 males with PSUD. For comparison, 410 age-matched males with SSUD were enlisted using a demographic form with eight questions, the State Shame and Guilt Scale, and the General Self-Efficacy Scale. Mediated moderation analysis was performed using Hayes’ process macro. The results demonstrate that shame-proneness is positively associated with relapse rate. Guilt-proneness mediates the relationship between shame-proneness and relapse rate. Self-efficacy buffers the influence of shame-proneness on relapse rate. Although the mediation and moderation effects were found in both study groups, these effects were significantly stronger among people with PSUD than those with SSUD. To be more specific, people with PSUD reported a higher overall score on shame, guilt, and relapse rate. Additionally, people with SSUD indicated a higher score on self-efficacy than those with PSUD. The findings of this study suggest that drug rehab facilities should implement a variety of strategies to raise drug users’ levels of self-efficacy, which will help to reduce their risk of relapse.

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Section: Discussionmentioning

confidence: 99%

A Mediation Moderation Model between Self-Evaluative Emotions and Relapse Rate among Polysubstance Users: A Comparative Cross-Sectional Study

Iqbal

Yan

Zhao

et al. 2023

IJERPH

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“…This would seem to suggest that a sequential therapy for PWH focused on anxiety reduction initially, followed by smoking cessation treatment, may improve smoking cessation outcomes. A study in polysubstance users in the general population demonstrated that mindfulness-based stress reduction was associated with increases in self-efficacy over time, which predicted a significantly higher probability of no drug use and no heavy drinking at the 12-month follow-up [ 47 , 48 ]. While we did not find a significant change in self-efficacy for smoking cessation, we did see significantly increased readiness to quit smoking.…”

Section: Discussionmentioning

confidence: 99%

App-Delivered Mindfulness Training to Reduce Anxiety in People with HIV Who Smoke: A One-Armed Feasibility Trial

Cioe

Sokolovsky

Brewer

et al. 2023

IJERPH

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Introduction: People with HIV (PWH) who smoke have reported that managing anxiety is a barrier to making a quit attempt and maintaining abstinence post-quit. This study examined the feasibility and acceptability of an app-based mindfulness intervention, Unwinding Anxiety, to reduce anxiety prior to a quit attempt in PWH who were not planning to quit in the next 30 days. Methods: Sixteen PWH (mean age 51.5 [SD = 13.2]; mean cigarettes per day 11.4 [SD = 5.4]) were enrolled and followed for eight weeks. A smartphone-based app with 30 modules designed to reduce anxiety was introduced at baseline; participants were encouraged to complete one module daily for four weeks. Symptoms of anxiety and readiness to quit smoking were measured at baseline and weeks 4 and 8. The mean number of modules completed, session attendance, and number of study completers were examined. Generalized estimating equations (GEE) were used to examine changes in self-reported anxiety and readiness to quit at baseline, week 4, and week 8. A brief qualitative interview was conducted at week 4 to explore the acceptability of the app. Results: Feasibility was high, with 93% of participants completing the study. The mean number of study sessions completed was 2.7 (SD = 0.59), and the mean number of modules completed was 16.0 (SD 16.8). Anxiety was high at baseline (M = 14.4, SD = 3.9), but lower at week 4 (b = −5.5; CI: [−9.4, −1.7]; p = 0.004) and week 8 (b = −5.1; CI: [−8.8, −1.3]; p = 0.008), and stable between weeks 4 and 8 (b = 0.48; CI: [−2.0, 3.0]; p = 0.706). Readiness to quit significantly increased from baseline M = 5.5 (SD = 1.6) to week 4 (b = 0.56; CI: [0.20, 0.91]; p = 0.002) but was not significantly different from baseline at week 8 (b = 0.34; CI: [−0.30, 1.0]; p = 0.30). Ad-hoc moderation analyses found that anxiety had a small significantly positive association with readiness to quit at baseline (main effect: b = 0.10; SE = 0.03; p < 0.001) and significantly attenuated the increase in readiness to quit observed at week 4 (anxiety by week 4 interaction: b = −0.08; SE = 0.03; p = 0.009). Conclusions: App-based mindfulness training appears to be feasible and acceptable for PWH who smoke and report baseline anxiety. At week 4, anxiety was reduced and readiness to quit was increased, perhaps a key time point for a smoking cessation attempt.

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“…In contrast, Batista et al [ 52 , 53 , 54 ] commented that these types of extracurricular activities favor student wellbeing. Thus, one key teaching role is to provide students with abundant opportunities to experience small victories and to celebrate small successes in academia and beyond the confines of the classroom [ 55 , 56 , 57 ], thereby fostering self-efficacy and the potential it has in the classroom.…”

Section: Discussionmentioning

confidence: 99%

Impact of Coaching on the Development of Personal and Social Competences among Secondary School Students

2023

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In this study, the impact of school coaching in Spain on the dimensions that comprise the effective personality construct and the development of those dimensions among secondary school students is analyzed. Differences relating to the variables of gender, course year/age, and the state/private sector of each educational center are specified. A longitudinal study employing a quasi-experimental methodology was conducted with a sample of 310 students in attendance at 6 educational centers within the Community of Madrid, Spain; the study cohort comprised 156 (50.3%) male students and 154 (49.7%) female students. The effective personality questionnaire in secondary education was used for the pre- and post-intervention evaluations, as well as to conduct an open survey once the program had ended. The students who attended the six-session intervention expressed high degrees of satisfaction. Despite the brevity of each session (45–60 min), a slight non-significant improvement was observed in the experimental group relative to the control group in the dimensions that were studied (p > 0.05). Regarding gender, the program worked better with male rather than with female students. It was also more effective within state-aided than in state schools.

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Self-Efficacy as a Potential Mechanism of Behavior Change in Mindfulness-Based Relapse Prevention

Cited by 16 publications

References 61 publications

A Mediation Moderation Model between Self-Evaluative Emotions and Relapse Rate among Polysubstance Users: A Comparative Cross-Sectional Study

A Mediation Moderation Model between Self-Evaluative Emotions and Relapse Rate among Polysubstance Users: A Comparative Cross-Sectional Study

App-Delivered Mindfulness Training to Reduce Anxiety in People with HIV Who Smoke: A One-Armed Feasibility Trial

Impact of Coaching on the Development of Personal and Social Competences among Secondary School Students

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