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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
Open accessAbstract
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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“With respect to addictive behaviors, high WMC is hypothesized to allow use of cognitive and other self-control strategies to resist maladaptive urges”
From A randomized controlled trial protocol for engaging distress tolerance and working memory to aid smoking cessation in low socioeconomic status (SES) adults (2020) · cites this paper as Sheffer et al, 2012
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“and low WMC is linked to poorer response to smoking cessation treatment in a low-SES sample (Bickel, Jarmolowicz, Mueller, Gatchaljan, &McClure, 2012; Sheffer et al, 2012).”
From A randomized controlled trial protocol for engaging distress tolerance and working memory to aid smoking cessation in low socioeconomic status (SES) adults (2020) · cites this paper as Sheffer et al, 2012
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Metadata
- 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
- 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
- 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
- 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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