Reinforcer pathology and response to contingency management for smoking cessation

Psychology of Addictive Behaviors : Journal of the Society of Psychologists in Addictive Behaviors
Alba González-RozRoberto Secades-Villa

Abstract

The recognition of the interplay between cigarette demand and impulsivity as a proxy of reinforcer pathology (RP) has prompted studies that assess these 2 constructs. Scarce research has examined their interrelation within clinical contexts. This secondary analysis sought to identify different types of treatment-seeking smokers based on cigarette demand and delay discounting and examine their differential response to contingency management (CM). The dataset included 305 participants (68% female) receiving either a cognitive-behavioral treatment (CBT) or CBT + CM. A cluster analysis based on the bifactorial structure of a cigarette purchase task (i.e., psychological inertia and persistence) and delay discounting (base-10 logarithmic transformation of the area under the curve) was conducted. Clusters were compared in abstinence rates at posttreatment and 6-month follow-up. Two RP subgroups emerged, Cluster 1 (n = 128) and Cluster 2 (n = 177), which were interpreted as "individuals with excessive tobacco valuation" and "steep discounters," respectively. At 8 weeks, the percentage of abstinent individuals was higher in those in Cluster 2 compared to those in Cluster 1 (76.3% vs. 61%; χ2 = 8.291, p = .004, ϕ = .16). The nonsignifica...Continue Reading

Citations

Jul 18, 2019·The Cochrane Database of Systematic Reviews·Caitlin NotleyJamie Hartmann-Boyce
Feb 23, 2021·Journal of Substance Abuse Treatment·Gema Aonso-DiegoRoberto Secades-Villa

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