Cited by 263Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesBehavioral Health and Interventions

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

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Sheffer, Christine, MacKillop, James, McGeary, John, Landes, Reid, Carter, Lawrence, Yi, Richard, Jones, Bryan, Christensen, Darren, Stitzer, Maxine, Jackson, Lisa, Bickel, Warren·2012·The American Journal on Addictions

DOI 10.1111/j.1521-0391.2012.00224.xPMC PMC3567840

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Abstract

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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Authors: Sheffer, C., MacKillop, J., McGeary, J., Landes, R., Carter, L., Yi, R., Jones, B., Christensen, D., Stitzer, M., Jackson, L., & Bickel, W.
Affiliations: University of Arkansas for Medical Sciences (US)
University of Georgia (US)
Brown University (US)
University of Maryland, College Park (US)
Kent State University (US)
Johns Hopkins University (US)
Carilion Clinic (US)
ORCID: Sheffer, Christine
MacKillop, James
McGeary, John
Landes, Reid
Carter, Lawrence
Yi, Richard
Christensen, Darren
Stitzer, Maxine
Bickel, Warren
Venue: The American Journal on Addictions
Publisher: Wiley
Published: 2012-04-06
Volume: 21
Issue: 3
Pages: 221-232
ISSN: 1055-0496 (ISSN-L)
1521-0391
DOI: 10.1111/j.1521-0391.2012.00224.x
PMC: PMC3567840
OpenAlex: W2123851557
Cited by: 263
References: 113
Citations by year: 2026: 7 · 2025: 9 · 2024: 7 · 2023: 11 · 2022: 10 · 2021: 11 · 2020: 59 · 2019: 29 · 2018: 10 · 2017: 16 · 2016: 21 · 2015: 25 · 2014: 28 · 2013: 12 · 2012: 7
FWCI: 15.43
Type: journal article
Language: en
Open access: green
europepmc.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: American Journal on Addictions (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: U.S. Public Health Service (NCRR20146)
National Institute on Alcohol Abuse and Alcoholism (K23AA016936)
National Institute on Drug Abuse (L30 DA023847, R01DA022386, R01DA011692)
National Center for Research Resources (UL1RR029884)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Keywords: tobacco dependence, delay discounting, locus of control, executive function, self-control, socioeconomic disparities, smoking cessation, recurrence prediction, nicotine dependence, stress, cognitive behavioral therapy, prognostic factors
MeSH terms: Adult, Female, Humans, Impulsive Behavior, Internal-External Control, Male, Middle Aged, Reward, Social Class, Tobacco Use Disorder, Cognitive Behavioral Therapy, Smoking Cessation, Treatment Outcome, Executive Function

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

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