The Effects of Beliefs About Smoking and Health on Smoking Cessation

The purpose of this study was to examine whether beliefs of an American sample about smoking and health, as defined by cognitive orientation theory, would determine those smoking cessation program participants who would become abstainers and those who would not. Although the smoking cessation program was not designed to influence the specific kinds of beliefs studied, subscales measuring two of the four types of beliefs differentiated participants who would become abstainers from those who would not. Abstainers tended to have stronger goal beliefs about their desire to quit smoking, and stronger beliefs about the health-related implications of smoking. Participants' beliefs that they could resist an urge to smoke, which implied the use of coping skills, were more important in determining who would abstain from smoking than was their confidence that they could quit smoking, which implied the use of willpower.     

The effects of beliefs about smoking and health on smoking cessation

The purpose of this study was to examine whether beliefs of an American sample about smoking and health, as defined by cognitive orientation theory, would determine those smoking cessation program participants who would become abstainers and those who would not. Although the smoking cessation program was not designed to influence the specific kinds of beliefs studied, subscales measuring two of the four types of beliefs differentiated participants who would become abstainers from those who would not. Abstainers tended to have stronger goal beliefs about their desire to quit smoking, and stronger beliefs about the health-related implications of smoking. Participants' beliefs that they could resist an urge to smoke, which implied the use of coping skills, were more important in determining who would abstain from smoking than was their confidence that they could quit smoking, which implied the use of willpower.     

Mechanisms of self-control failure: motivation and limited resources

Research has found that individuals who are lower in self-control strength because of previous self-control exertions perform more poorly on subsequent tests of self-control. The present studies suggest that this effect may be moderated by motivation. In particular, depletion and motivation jointly determine self-control performance. Individuals who were depleted and believed that the task would help others (Experiment 1) or believed that their efforts could benefit them (Experiment 2) performed better on a subsequent test of self-control than individuals who were depleted and lower in motivation. The results of Experiment 3 replicated these findings and suggested that depletion only affects performance on tasks that require self-control; tasks that are difficult but do not require self-control are immune to the effects of depletion. Hence, depleted individuals may compensate for their lack of self-control resources when sufficiently motivated. The results may help explain the nature of self-control strength.     

APPLICATIONS OF SELF-CONTROL PROCEDURES BY CHILDREN: A REVIEW

Self-control procedures as used by children to affect their own behavior were reviewed. Particular emphasis was placed on self-instruction, self-determined criteria, self-assessment, and self-reinforcement. Self-punishment, comprehensive programs, and innovative self-control procedures (distraction and restatement of contingencies) were also evaluated. Basic effectiveness, comparisons with similar externally imposed interventions, maintenance, and the augmental value of the procedures were assessed. Important problems for future research were identified.     

Specifying the determinants of the initiation and maintenance of behavior change: an examination of self-efficacy, satisfaction, and smoking cessation.

Using data from smokers (N = 591) who enrolled in an 8-week smoking cessation program and were then followed for 15 months, the authors tested the thesis that self-efficacy guides the decision to initiate smoking cessation but that satisfaction with the outcomes afforded by quitting guides the decision to maintain cessation. Measures of self-efficacy and satisfaction assessed at the end of the program, 2 months, and 9 months were used to predict quit status at 2, 9, and 15 months, respectively. At each point, participants were categorized as either initiators or maintainers on the basis of their pattern of cessation behavior. Across time, self-efficacy predicted future quit status for initiators, whereas satisfaction generally predicted future quit status for maintainers. Implications for models of behavior change and behavioral interventions are discussed.     

CO-WORKER SOCIAL SUPPORT IN A WORKSITE SMOKING CONTROL PROGRAM

We evaluated the effects of adding a social support component to a worksite controlled smoking treatment program. Twenty-four participants were randomly assigned to either a controlled smoking or a controlled smoking plus partner support condition. Within a multiple baseline across behaviors design, smokers in both conditions made efforts to achieve sequential 50% reductions in: (a) nicotine content of brand smoked, (b) number of cigarettes smoked per day, and (c) percentage of each cigarette smoked. Self-monitoring records, laboratory analyses of spent cigarette butts, and carbon monoxide determinations indicated that both conditions were effective in producing significant reductions in each of the three target behaviors and in carbon monoxide levels. All participants who quit smoking during the program maintained their abstinence at a 6-month follow-up, and those who did not quit were smoking less at follow-up than they had at pretest on all dependent variables. However, few differences were observed between controlled smoking and controlled smoking plus partner support conditions either during treatment or at the 6-month follow-up. Results are discussed with regard to previous worksite studies, future directions for research on social support, and variables that may have mediated treatment outcome.     

欺骗判断与欺骗行为中自我控制的影响

欺骗判断与欺骗行为有着不同的心理机制, 正确认识二者之间的关系有助于增强人际间的信任和团队的长远利益。采用行为学实验从两种视角下考察自我控制对欺骗的影响。实验1采用材料评定的方法考察了识别他人自我控制能力状况对欺骗判断的影响, 结果发现对比高自我控制能力的人, 被试更倾向于认为低自我控制能力的人更有可能为了自己的利益产生欺骗行为和欺骗倾向。实验2采用颜色Stroop任务考察了识别他人自我控制资源衰竭状况对欺骗判断的影响, 结果发现当识别他人自我控制资源衰竭时, 在评价他人为自己利益去欺骗、为他人利益去欺骗以及在特定情境中欺骗倾向上, 没有发现任何显著的主效应或交互作用。实验3采用视觉−感知任务来考察不同水平的自我控制能力对欺骗行为的影响, 结果发现, 对比高自我控制组, 低自我控制组有更多的欺骗行为和欺骗倾向。实验4采用颜色Stroop任务和视觉−感知任务来考察自我控制资源对欺骗行为的影响, 结果发现, 对比控制组, 自我控制资源衰竭组有更多的欺骗行为和欺骗倾向。这些研究结果表明, 在进行欺骗判断时, 相比自我控制资源状况, 个体会优先识别他人的自我控制能力水平来判断其是否具有欺骗动机或欺骗倾向。在欺骗行为中, 高自我控制能力的个体, 能够更好地抑制自私动机, 更多的考虑长远利益, 出于自身利益去欺骗的可能性会更小; 自我控制资源充足的个体, 更有可能会经得住诱惑, 自私自利的欺骗行为发生的可能性也会更小。     

Self-control revisited: Or why doesn't anyone actually read Skinner anymore?

Self-control continues to develop as a major source of explanatory concepts within cognitive behavior therapy. The recent history of self-control is reviewed, and three related areas of disagreement between radical behaviorists and cognitive behaviorists are discussed. The logical status of self-reinforcement, reciprocity, and private events is examined and evaluated. This review suggests that a radical behavioral approach continues to offer psychology the most effective program for the analysis of behavior.     

In the trenches of real-world self-control: neural correlates of breaking the link between craving and smoking

Successful goal pursuit involves repeatedly engaging self-control against temptations or distractions that arise along the way. Laboratory studies have identified the brain systems recruited during isolated instances of self-control, and ecological studies have linked self-control capacity to goal outcomes. However, no study has identified the neural systems of everyday self-control during long-term goal pursuit. The present study integrated neuroimaging and experience-sampling methods to investigate the brain systems of successful self-control among smokers attempting to quit. A sample of 27 cigarette smokers completed a go/no-go task during functional magnetic resonance imaging before they attempted to quit smoking and then reported everyday self-control using experience sampling eight times daily for 3 weeks while they attempted to quit. Increased activation in right inferior frontal gyrus, pre-supplementary motor area, and basal ganglia regions of interest during response inhibition at baseline was associated with an attenuated association between cravings and subsequent smoking. These findings support the ecological validity of neurocognitive tasks as indices of everyday response inhibition.     

Self-reinforcement

Self-reinforcement in operant situations generally refers to those arrangements in which the subject delivers to himself a consequence, contingent on his behavior. However, it is noted that the definition of all other types of reinforcement make its delivery contingent on the subject's behavior. What is actually at issue is the agent who defines whether or not the response required for reinforcement has been met. In self-reinforcement, the subject himself defines this. In the laboratory, this requirement is machine-defined; in school examinations, it is teacher-defined; and in many clinical self-control situations, it is also independently defined. A reinforcement contingency presupposes such independence, absent in self-reinforcement. Implications for research and practice are discussed and alternative formulations are offered.     

Maintenance and transfer of self-reinforcement functions

In order to examine conditions maintaining self-reinforcement functions, pigeons were trained to reward their own performances and then tested for adherence to work requirements under decreasing likelihood of punishment for undeserved self-reward. Contingent self-reinforcement was stably maintained given moderate to high probability that unmerited self-reward would incur punishing consequences. In successive reversals of treatment and test conditions, the amount of behavior performed for each self-reward covaried with self-reinforcement rate. A further experiment demonstrated that self-reinforcing practices, involving both performance and consummatory contingencies, transfer to new activities for which the animal had never been trained to reward himself contingently. Adherence to performance requirements was more stringent, however, than to limitations on amount of rcinforcers consumed from freely available provisions.     

Effects of Contract Framing,Motivation to Quit,and Self-Efficacy on Smoking Reduction1

Social learning theorists (SLT) have advocated that individual's cognitive beliefs about perceived behavioral ability and outcome expectancies are predictive of behavior change. SLT's also propose that the threat of losing positive rewards may result in greater behavior change than gaining rewards for altering behaviors such as smoking. Specifically, presenting behavioral outcomes in a loss frame context has proven more influential under certain conditions than presenting outcomes in a gain frame context. The present study evaluated the relationship between smoking cessation self-efficacy motivation to quit, and contract framing on smoking reduction. The majority of cognitive and behavioral changes occurred between baseline and 3 months into a 12-month treatment program. An interaction between contract framing and motivation to quit suggested that, for subjects with low motivation, receiving combined (gain plus loss) frame contracts resulted in smoking fewer cigarettes posttreatment than receiving gain frame only contracts. An interaction between framing and self-efficacy also indicated that subjects who received combined frame contracts smoked fewer cigarettes if they had high rather than low self-efficacy beliefs.     

Comparison of three antismoking interventions among pregnant women in an urban setting: a randomized trial

This study examined smoking cessation and cigarette reduction of indigent inner city pregnant women (n = 193) who completed one of three interventions: a special video program based on their perceptions of the effects of smoking during pregnancy, the American Lung Association's "Freedom From Smoking For You and Your Baby" program, or the usual physician's advice. Six percent of the women quit smoking, and 43% reduced the number of cigarettes they smoked. There were no significant differences among the three groups for either the number who quit smoking or who reduced the number of cigarettes smoked.     

Type A personality, self-control, and vulnerability to stress

Type A behavior (hard-driving, competitive, time-urgent, hostile-irritable) has been linked to high stress levels and the risk of eventual cardiovascular problems (i.e., coronary heart disease, CHD). However, this pattern of behavior closely resembles the traditional masculine instrumental (goal-oriented) orientation, and, if kept within limits, may be viewed as adaptive in success-oriented, middle-class college students. Hypothetically then, Type A behavior may be displayed by a broad group of individuals, and only in those cases when it is allowed to reach extreme proportions is stress sufficient enough to confer risk. This article considers two lines of reasoning. Is greater self-control required for college women to be Type As, because it involves crossing into traditional male role behavior? Type A women displayed significantly better self-control then Type B women; the opposite result was disclosed for college men with Type As displaying poorer self-control than Type Bs. The question of whether risk-conferring Type A behavior would result from poorer self-control was answered in the affirmative. Self-control assumed moderator status; poorer self-control in both male and female Type As was associated with high levels of day-to-day stress relative to Type As with better self-control. Self-control did not influence stress level in Type Bs. This moderator effect suggests that only Type As who cannot contain their behavior within adaptive limits will be vulnerable to excessive stress and at risk for CHD.     

Training children's self-control: A field experiment in self-monitoring and goal-setting in the classroom

A field experiment investigated the effects of training in self-monitoring and goal-setting skills on classroom study behavior and academic achievement among elementary school students in an individualized mathematics program. In the Self-Monitoring Conditions, students were shown a simple system for observing and maintaining daily records of their own study behavior during their math classes; orthogonally, in the Goal-Setting Conditions, students were shown a simple method of setting and recording daily performance goals during their math classes. Exposure to self-monitoring procedures produced significant increases in both appropriate study behavior and in actual achievement in the mathematics program, while exposure to goal-setting procedures had no effect on either study behavior or academic achievement. Nor, contrary to expectation, did exposure to the goal-setting instructions enhance the effectiveness of the self-monitoring system. The implications of these results in terms of implicit and explicit models of self-reinforcement processes were discussed.     

The Association Between Self-Control and Hoarding: A Case Report

The capacity to exert control over one's behavior is known as self-control, and this ability to self-regulate is a necessary component for directing personal behavior toward achieving a specific goal. Baumeister and colleagues have suggested that self-control operates within a resource model such that an individual may strengthen this resource through directed practice. Hoarding is one syndrome wherein self-control may play a substantial role. Within a translational research framework, two separate case studies sought to determine if practicing self-control in a non-hoarding-related domain might have an impact on an individual's hoarding symptoms and their readiness for treatment. Two individuals diagnosed with hoarding were enrolled in a self-control practice condition. Both self-control levels and hoarding symptoms were measured at pre– and post–time points using self-report and behavioral indices. Findings in support of a favorable effect of self-control on mitigating behavioral hoarding symptoms were mixed, with 1 patient experiencing marked improvement in symptoms and the other not. We also found that self-control practice was associated with both increased motivation for treatment and overall level of self-awareness. The implications of self-control for hoarding are discussed from a disease-reduction and prevention standpoint, along with the role self-control might play within more traditional cognitive behavioral interventions.     

助推戒烟的行为干预策略

烟草危害是人类所面临的重大公共健康挑战之一。传统的控烟策略主要依赖健康宣教、烟草税和控烟条例等手段,但是较少考虑到吸烟行为的“非理性因素”及其心理机制,因此仍不能有效帮助吸烟者成功戒烟。行为科学的发展为助推吸烟者成功戒烟提供了新视角。以实施主体和干预的影响机制为划分标准,可将助推戒烟的行为干预策略分为由政府和公共健康服务部门执行的情境型干预策略和认知型干预策略以及吸烟者可自主执行的情境型和认知型干预策略,一方面便于吸烟者和相关部门选取可执行的戒烟行为干预策略,另一方面为进一步开发和验证助推戒烟的行为干预策略提供参考。虽然基于行为科学的助推干预策略已经取得了一定的进展,未来研究仍有必要进一步在真实世界中验证和评估戒烟助推干预策略的效果。未来也有必要进一步将行为改变技术融入到数字化的戒烟服务或应用小程序中去以提升其效果。未来也需要考察如何应用戒烟助推干预策略防止电子烟产品的负面影响并减少这类策略的误用和滥用。     

利用无意识目标启动降低个体的冲动购买行为：个体目标状态的调节作用

冲动购买会给个体和社会带来诸多不良影响,而探讨如何降低冲动购买的研究报道却很少。此外,仅有的少数研究都是从提升自我控制能力的角度来开展,其干预方法具有一定的局限性。本研究从提升自我控制的动机角度出发,考察利用无意识目标启动能否降低冲动购买,并考察其适用条件。研究发现,无意识目标启动可以显著降低有省钱目标个体的冲动购买行为,而对无省钱目标个体的冲动购买行为没有显著影响。本研究结果提示,无意识目标启动有希望成为一种简单、便捷的降低冲动购买行为的有效干预方式,特别是对有省钱目标的个体而言。     

Predictors of smoking cessation in Taiwan: using the theory of planned behavior

This study aimed to explore the factors predicting the intention to quit smoking and the subsequent behavior 6 months later using the theory of planned behavior (TPB). Data were obtained from 145 smokers who attended a smoking cessation clinic in a community hospital. All participants completed a questionnaire which included demographic information, TPB-based items, perceived susceptibility and previous attempts to quit. The actual quitting behavior was obtained by follow-up phone calls 6 months later. The TPB constructs explained 34% of the variance in intention to quit smoking. By adding perceived susceptibility, the explained variance was significantly improved to 40%. The most important predictors were perceived behavior control and perceived susceptibility, followed by attitude. Subjective norm did not contribute to the prediction of intention. Attitude and perceived behavior control contributed to the prediction of actual quitting behavior, but intention, subjective norm and perceived susceptibility did not. Our findings support that the TPB is generally a useful framework to predict the intention to quit smoking in Taiwan. The inclusion of perceived susceptibility improved the prediction of intention. With regards to successfully quitting, attitude and perceived behavior control played more crucial roles than other TPB constructs. Smoking cessation promotion initiatives focusing on reinforcing cessation belief, enhancing a smoker’s perception of their capability to quit smoking, and persuading smokers that they can overcome cessation barriers to cessation could make subsequent interventions more effective.