Substance use disorders.

O’Connor, Roisin M.; Stewart, Sherry H.

doi:10.1037/12070-010

Cited by 7 publications

(3 citation statements)

References 37 publications

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“…This raises the question of whether there is only a brief window in the intervention-induced change process when stages of change are relevant (i.e., Action stage central to initiation of change), while other mechanisms lead to continued change. This fits with recent suggestions that brief preparatory interventions, such as a “prelude” of motivational interviewing (Miller & Rollnick, 1991), may increase response rates to traditional cognitive behavior therapy for alcohol misuse/abuse (see O'Connor & Stewart, 2010; Westra & Dozois, 2006).…”

Section: Temporal Ordering Of Mediatorssupporting

confidence: 86%

Brief motivational interventions for college drinkers: What we still need to know.

O’Connor¹,

Stewart²

2010

Clinical Psychology: Science and Practice

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Isolating the mechanisms of change that lead to reduced risk for heavy drinking by college students-a high-risk population-will permit development of succinct, targeted, and thereby more effective interventions. Examinations of currently used empirically supported brief interventions provide a starting point for identifying mediators (i.e., mechanisms) of change.Extrapolating from such work, it appears that there may be utility in using face-valid and possibly genderspecific interventions. In moving forward, it behooves clinical researchers to continue to draw on theory to identify potential proximal predictors of change. Continuing to think broadly will allow us to not only refine the current content of brief interventions but also open up the opportunity to introduce new components to treatment.

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Section: Temporal Ordering Of Mediatorssupporting

confidence: 86%

Brief motivational interventions for college drinkers: What we still need to know.

O’Connor¹,

Stewart²

2010

Clinical Psychology: Science and Practice

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“…In contrast, several other prominent SUD interventions have incorporated modules that aim to reduce emotional distress as a central targeted change mechanism (e.g., Stasiewicz et al, 2013; Witkiewitz & Bowen, 2010). For example, Cognitive-Behavioral Therapy (CBT) was among the first empirically supported SUD interventions to integrate elements intended to reduce negative emotion and/or increase positive emotion, including modules aimed at helping patients identify and evaluate maladaptive cognitions and their impact on emotional states (Herzog et al, 2002; Lovejoy et al, 1995; O’Connor & Stewart, 2010). In addition, the behavioral activation component of CBT is designed to encourage patients to engage in pleasurable activities across a variety of life areas, thus offering patients a means of reducing negative emotion and also enhancing positive emotion independent of substance use (Lejuez et al, 2001).…”

Section: Moderators Of the Effect Of Sud Intervention On Emotional Di...mentioning

confidence: 99%

A meta-analysis of the effect of substance use interventions on emotion outcomes.

Kang¹,

Fairbairn²,

Ariss³

2019

Journal of Consulting and Clinical Psychology

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Objective: Emotional distress has been posited as a key underlying mechanism in the development and maintenance of substance use disorder (SUD), and patients seeking SUD treatment are often experiencing high levels of negative emotion and/or low levels of positive emotion. But the extent to which SUD interventions impact emotional outcomes among general SUD populations is yet unquantified. The current meta-analysis aims to fill this gap. Method: A total of 11,754 records were screened for randomized, controlled trials examining the effect of behavioral SUD interventions on emotion outcomes. Our search yielded a total of 138 effect sizes calculated based on data from 5,146 individuals enrolled in 30 independent clinical trials. Random-effects meta-analysis was used to calculate pooled effect sizes, and metaregression analyses examined study-level moderators (e.g., intervention type). Results: Findings indicated a small but significant effect of SUD interventions on emotion outcomes, d = 0.157, 95% CI [0.052, 0.262] (k = 30). The effect size for negative emotion was nominally bigger, d = 0.162, 95% CI [0.056, 0.269] (k = 30), whereas the effect for positive emotion did not reach statistical significance, d = 0.062, 95% CI [−0.089, 0.213] (k = 7). Studies featuring SUD interventions designed to specifically target emotions (i.e., affect-regulation, mindfulness-based treatments) produced larger reductions in negative emotion compared with studies featuring interventions that did not contain specific emotion modules (e.g., contingency management). Conclusions: Findings suggest that SUD interventions—especially mindfulness-based and affect-regulation treatments—indeed significantly reduce negative emotion, although relatively small effect sizes indicate potential room for improvement. Conclusions regarding positive emotion should be considered preliminary because of the limited numbers of samples assessing these outcomes.

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“…23 Greater adaptive coping skills are also associated with positive smoking cessation treatment outcomes. 24,25 For example, the stress and coping model describes adaptive coping as a method to attenuate the impact of stress and decrease the potential for negative outcomes, such as a lapse or relapse. 26 Previous studies have examined the role of self-efficacy in smoking cessation, 21 but the current study adds to the literature by examining how smoking urges is related to smoking self-efficacy and adaptive coping to predict smoking cessation outcomes.…”

mentioning

confidence: 99%

The Role of Self-Efficacy, Adaptive Coping, and Smoking Urges in Long-term Cessation Outcomes

Blevins

Farris

Brown

et al. 2016

Addictive Disorders &Amp; Their Treatment

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Objective Smoking cessation self-efficacy and adaptive coping are posited as two important treatment targets in smoking cessation interventions, especially in the context of handling strong urges to smoke. Yet, less is known about whether intervention-related changes in these constructs predict long-term smoking outcomes. The current study aimed to examine changes in smoking urges, smoking cessation self-efficacy, and adaptive coping following a health-focused and cognitive-behavioral telephone-delivered smoking cessation treatment, and the association to smoking reduction during long-term, 12-month follow-up. Methods Participants (n = 61) were daily smokers enrolled in a 12-week pilot trial that tested the efficacy of two different health-focused interventions with an adjunct of traditional telephone-delivered cessation counseling. Smoking urges, smoking cessation self-efficacy, and adaptive coping were assessed as baseline and immediately post-treatment. Average of seven-day cigarettes use per day were assessed at post-treatment, and 6- and 12-months post-baseline follow-up timepoints. Results Smoking urges were significantly lower post-treatment, and smoking cessation self-efficacy and adaptive coping were significantly higher post-treatment, relative to baseline. After adjusting for baseline values, post-treatment smoking urges were significantly positively associated with cigarette use at post-treatment and 6-month follow-up. Post-treatment smoking cessation self-efficacy, but not adaptive coping, was significantly negatively predictive of cigarette use at post-treatment and 6- and 12-month follow-up timepoints. Post-treatment smoking cessation self-efficacy emerged as significant indirect predictor of the association between post-treatment smoking urges and post-treatment cigarette use. Conclusions Interventions that target smoking cessation self-efficacy may facilitate long-term reductions in smoking among daily smokers undergoing a quit attempt.

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Substance use disorders.

Cited by 7 publications

References 37 publications

Brief motivational interventions for college drinkers: What we still need to know.

Brief motivational interventions for college drinkers: What we still need to know.

A meta-analysis of the effect of substance use interventions on emotion outcomes.

The Role of Self-Efficacy, Adaptive Coping, and Smoking Urges in Long-term Cessation Outcomes

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