Sex differences in the relationship between quit attempt and smoking cessation self-efficacy in adults with depressive symptoms

IF 3.7 2区 医学 Q1 PSYCHOLOGY, CLINICAL Addictive behaviors Pub Date : 2025-03-13 DOI:10.1016/j.addbeh.2025.108328
Zainab S. Shah , Sarah E. Dreyer-Oren , Sarah Barter , Julie A. Desaulniers , Lisa A. Uebelacker , Ana M. Abrantes
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Abstract

Objective

Smoking self-efficacy is a key predictor of being able to maintain smoking cessation. Smokers with depression have lower confidence that they can abstain from smoking (i.e., lower smoking self-efficacy) than those without depression. Additionally, individuals assigned female at birth (AFAB) have greater difficulty quitting smoking and lower self-efficacy than those assigned male at birth (AMAB). However, limited attention has been given to the experience of making a quit attempt on changes in smoking self-efficacy among smokers with depressive symptoms and how this may differ by abstinence outcomes and sex. The purpose of the current study was to examine whether abstinence or a reduction in cigarettes smoked during a standard smoking cessation treatment predicted post-treatment changes in smoking self-efficacy, and whether assigned sex moderated this relationship.

Methods

Participants (n = 146; 72.6 % AFAB; mean age = 46.6 years) received 12-week standard smoking cessation treatment as part of a randomized controlled trial testing two adjunctive health- and fitness-based interventions. Pre- and post-treatment, participants reported smoking self-efficacy (i.e., confidence abstaining in negative/affective-, positive/social-, and habit/addiction-related situations).

Results

Multiple regression analyses showed that abstinence was associated with higher increases in smoking self-efficacy in all facets, and decreasing cigarette use from baseline to post-treatment was significantly associated with increases in total smoking self-efficacy. AMAB smokers had higher levels of positive/social related smoking self-efficacy than did AFAB smokers, and for AFAB smokers, a reduction in cigarettes smoked was associated with greater positive/social smoking self-efficacy.

Conclusions

Findings related to the role of self-efficacy in smoking cessation outcomes of smokers with depressive symptoms and how assigned sex impacts the role of self-efficacy provide insight for smoking cessation outcomes. Future research is needed to understand mechanisms underlying smoking self-efficacy and to improve smoking cessation interventions.
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来源期刊
Addictive behaviors
Addictive behaviors 医学-药物滥用
CiteScore
8.40
自引率
4.50%
发文量
283
审稿时长
46 days
期刊介绍: Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.
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