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J Subst Abuse Treat. 2014 Mar;46(3):320-4. doi: 10.1016/j.jsat.2013.10.011. Epub 2013 Oct 29.

Expectancies for smoking cessation among drug-involved smokers: implications for clinical practice.

Author information

  • 1University of Alabama at Birmingham School of Public Health, Department of Health Behavior, 227L Ryals Public Health Building, 1665 University Blvd., Birmingham, AL 35294, USA. Electronic address: phendricks@uab.edu.
  • 2Friends Research Institute, 1040 Park Ave., Suite 103, Baltimore, MD 21201, USA; Yale University School of Medicine, One Long Wharf Dr., Box 18, New Haven, CT 06511, USA.
  • 3University of Alabama at Birmingham School of Public Health, Department of Health Behavior, 227L Ryals Public Health Building, 1665 University Blvd., Birmingham, AL 35294, USA.
  • 4University of California, San Francisco, 401 Parnassus Ave., San Francisco, CA 94143, USA.

Abstract

Drug-involved smokers may be less motivated to quit smoking because they expect smoking cessation to occasion adverse outcomes (e.g., exacerbation of drug use). Non-treatment-seeking adult smokers from the community (N=507) reported drug involvement, expectancies for smoking abstinence via the Smoking Abstinence Questionnaire (SAQ), and motivation to quit smoking (desire to quit and abstinence goal). Mediation analyses evaluated the indirect effects of binge drinking, marijuana, cocaine, other stimulant, opiate, and barbiturate/other sedative involvement on motivation to quit smoking through the SAQ Adverse Outcomes scale. Adverse outcomes expectancies accounted for a reduced desire to quit smoking and a lower likelihood of endorsing a goal of complete smoking abstinence among those involved with binge drinking, marijuana, cocaine, other stimulants, opiates, and barbiturates/other sedatives. Drug-involved smokers' greater expectancies for adverse outcomes upon quitting smoking may deter smoking quit attempts. Interventions are encouraged to counteract the notion that smoking cessation jeopardizes sobriety.

© 2014.

KEYWORDS:

Alcohol dependence; Cessation; Drug dependence; Expectancies; Motivation to quit; Smoking; Substance dependence

PMID:
24314605
[PubMed - indexed for MEDLINE]
PMCID:
PMC4101691
[Available on 2015/3/1]
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