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Changes in confidence and craving during smoking reduction
Author(s) -
O'Connor Kieron,
Langlois Robert
Publication year - 1998
Publication title -
clinical psychology and psychotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.315
H-Index - 76
eISSN - 1099-0879
pISSN - 1063-3995
DOI - 10.1002/(sici)1099-0879(199809)5:3<145::aid-cpp150>3.0.co;2-r
Subject(s) - confidence interval , coping (psychology) , psychology , craving , situational ethics , attendance , clinical psychology , smoking cessation , medicine , social psychology , psychiatry , addiction , pathology , economics , economic growth
This article reports two studies designed to explore patterns of change in confidence about not smoking during gradual smoking reduction. In the first study, trends in self‐reported smoking, craving and confidence were measured over baseline, 10 attendance sessions and at 2‐month follow‐up in a group receiving situationally tailored coping strategies, and two comparison groups receiving either a uniform coping strategy (relaxation therapy) or no systematic coping strategy. The coping strategy group showed a more consistent increase in confidence, but all groups were able to cut out smoking, situation by situation, without corresponding increases in craving in other situations. In a second study, 60 smokers were assigned to one of three gradual reduction groups emphasizing: self‐efficacy or behavioural coping skills, or a third control programme. Confidence in not smoking increased during treatment in the self‐efficacy and behavioural coping groups, and initial situational differences in confidence had flattened out post‐treatment. Higher confidence at follow‐up correlated significantly with lower saliva cotinine level. In conclusion, situational reduction can be accomplished systematically and is associated, in some subjects, with an overall increase in confidence in coping with no smoking. © 1998 John Wiley & Sons, Ltd.