Correlates of smoking cessation self-efficacy in a community sample of smokers

Abstract

While numerous studies show that higher levels of smoking cessation self-efficacy predicts motivation to quit smoking and successful smoking cessation, few studies have evaluated factors related to smoking cessation self-efficacy that could be targets of behavioral interventions to promote greater confidence to quit smoking. This study, using a large community sample of smokers enrolled in a smoking cessation treatment program, evaluated potential associations between self-efficacy to quit smoking and demographic (e.g., age, race), smoking-related (e.g., rate, cessation history, past use of treatments), and psychosocial (e.g., stress, cue reactivity, self-medication smoking) variables. The results indicated that Hispanic-American smokers, relative to smokers of other racial/ethnic groups, report significantly lower self-efficacy to quit smoking when facing internal stimuli (e.g., feeling depressed), as do smokers who report that they have little confidence to control abstinence-induced symptoms (F(9,576) = 6.9, p < .001). The results also indicated that smokers who reported that they have little confidence to control abstinence-induced symptoms and report high smoking urge reactivity to situations that illicit positive affect (e.g., at a bar, with coffee, at a party) report lower self-efficacy to quit smoking when facing external stimuli (e.g., during a celebration; F[7,600] = 9.05, p < .05). These findings can be used to refine behavioral smoking cessation interventions to increase self-efficacy to quit smoking.

If at first you don't succeed: Characterization of smokers with late smoking abstinence onset

“…However, existing research suggests that Hispanic smokers may be more resilient to the negative effects of low socioeconomic status on smoking outcomes than their non-Hispanic counterparts (Margerison-Zilko & Cubbin, 2013) and better able to maintain abstinence self-efficacy in the presence of negative emotional states as compared to non-Hispanic Whites (Martinez et al, 2010). This may be particularly relevant in response to negative affect stemming from a failed quit attempt (e.g., Kirchner, Shiffman, & Wileyto, 2012).…”

A cross-lagged path analysis of five intrapersonal determinants of smoking cessation

“…Extant research demonstrates negative associations of self-efficacy with negative affect (Berg et al, 2008; Businelle et al, 2011; Gwaltney et al, 2005; Haukkala et al, 2000; John et al, 2004), and craving/urge (Businelle et al, 2011, 2013; Gwaltney et al, 2005). Limited research suggests a positive association of self-efficacy with positive affect (Martinez et al, 2010). …”

Brain Nicotinic Acetylcholine Receptor Availability and Response to Smoking Cessation Treatment

“…24–28 Greater severity of nicotine dependence has been associated with poorer treatment outcome for nicotine patch, 16,21 bupropion hydrochloride, 18,19 and group psychotherapy 20 as well as in naturalistic settings with no specific treatment. 17 Similarly, low craving 22,23 and high self-efficacy 24–28 (self-confidence) have been repeatedly demonstrated to be predictors of successful treatment outcome, 27,29,30 especially in situations where smokers are at risk for relapse. Other factors, such as desire to quit, 31 low negative affect, 32 no history of depression, 33 low anger, 34 slow nicotine metabolism, 35 absence of lapses during early treatment, 36 and reduction in smoking over time, 37 have also been found to predict a positive response to treatment.…”