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Is self-efficacy for smoking abstinence a cause of, or a reflection on, smoking behavior change?

Abstract：

:Social learning theory considers self-efficacy as a causal factor in behavior change. However, in line with behavioral theory, recent clinical research suggests self-efficacy ratings may reflect, rather than cause, behavior change. To test these two disparate views, self-efficacy was related to actual smoking abstinence on the next day (i.e., self-efficacy causes change), and abstinence status over 1 day was tested as a predictor of rated self-efficacy for quitting the next day (i.e., reflects change). All data were from two similar crossover studies evaluating the short-term effects of both placebo versus medication, nicotine patch (n = 209) or varenicline (n = 123), on smoking abstinence during week-long practice quit attempts. Placebo and active medication periods were separated by an ad lib smoking washout, and analyses were controlled for prior-day's abstinence or self-efficacy values. Results were very consistent between studies in showing essentially bidirectional associations: daily self-efficacy predicted next-day's abstinence, and current-day's abstinence status predicted self-efficacy for abstinence the next day. However, secondary factors differentially predicted abstinence and, to a lesser extent, self-efficacy, between these two medication studies. These data provide some support for both social learning and behavioral theories of smoking behavior change, although self-efficacy may only briefly predict subsequent short periods of abstinence as assessed in these studies. Nonetheless, because self-efficacy has long been assumed to cause behavior change, including smoking cessation, the notion of self-efficacy as a reflection of recent smoking behavior change in these studies warrants greater attention in clinical research on smoking cessation treatment.

journal_name

Exp Clin Psychopharmacol

journal_title

Experimental and clinical psychopharmacology

authors

Perkins KA,Parzynski C,Mercincavage M,Conklin CA,Fonte CA

doi

10.1037/a0025482

subject

Has Abstract

pub_date

2012-02-01 00:00:00

pages

56-62

issue

eissn

1064-1297

issn

1936-2293

pii

2011-20595-001

journal_volume

pub_type

杂志文章

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Is self-efficacy for smoking abstinence a cause of, or a reflection on, smoking behavior change?