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Dimensions of impulsive behavior: Predicting contingency management treatment outcomes for adolescent smokers
- Source :
- Addictive Behaviors. 90:334-340
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- Background Behavioral measures of impulsive behavior include the dimensions of behavioral disinhibition, decision-making, and lapses of attention. These behaviors are associated with a range of risky activities during adolescence, including cigarette smoking; however, few studies have evaluated their associations with tobacco treatment outcomes. The current study examined the relationship between impulsive behavior and contingency management treatment outcomes for adolescent smokers. Methods Data from two contingency management smoking cessation trials were combined (N = 189 adolescents). Participants provided breath carbon monoxide (CO) samples with incentives delivered contingent (i.e., active treatment [AT] condition) or non-contingent (i.e., control treatment [CT] condition) on CO level. Dimensions of impulsive behavior were assessed pre- and post-treatment using the Go/Stop Task, a measure of delay discounting, a continuous performance task, while self-reported impulsivity was assessed with the Barratt Impulsiveness Scale-Adolescent. Relationships between impulsive behavior and treatment outcomes (efficacy and adherence) were assessed using linear mixed effects models. Results Participants in the AT condition had significantly lower program CO levels at each treatment phase. Delay discounting in the AT condition predicted CO levels, with those discounting the most lowering their breath CO levels the least. Delay discounting also predicted program adherence across both conditions. Conclusions Delay discounting may be the most relevant dimension of impulsive behavior to predict outcomes for adolescent smokers completing CM programs, both in terms of successful reductions in smoking and program adherence. Suggestions are made to reduce the effects of delay discounting for adolescent smokers using this treatment approach.
- Subjects :
- Male
Adolescent
medicine.medical_treatment
Treatment outcome
030508 substance abuse
Medicine (miscellaneous)
Contingency management
Toxicology
Impulsivity
Article
03 medical and health sciences
0302 clinical medicine
Behavior Therapy
Continuous performance task
medicine
Humans
030212 general & internal medicine
Discounting
Smokers
medicine.diagnostic_test
Smoking
Psychiatry and Mental health
Clinical Psychology
Treatment Outcome
Delay Discounting
Adolescent Behavior
Disinhibition
Impulsive Behavior
Smoking cessation
Female
Smoking Cessation
medicine.symptom
0305 other medical science
Breath carbon monoxide
Psychology
Clinical psychology
Subjects
Details
- ISSN :
- 03064603
- Volume :
- 90
- Database :
- OpenAIRE
- Journal :
- Addictive Behaviors
- Accession number :
- edsair.doi.dedup.....7883d23709a72ce80ab147f3fc13da8d
- Full Text :
- https://doi.org/10.1016/j.addbeh.2018.11.031