Journal
JOURNAL OF ABNORMAL PSYCHOLOGY
Volume 114, Issue 4, Pages 661-675Publisher
AMER PSYCHOLOGICAL ASSOC
DOI: 10.1037/0021-843X.114.4.661
Keywords
self-efficacy; outcome expectancies; smoking; relapse; ecological momentary assessment
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According to social learning models of drug relapse, decreases in abstinence self-efficacy (ASE) and increases in positive smoking outcome expectancies (POEs) should foreshadow lapses and relapse. In this study, the authors examined this hypothesis by using ecological momentary assessment data from 305 smokers who achieved initial abstinence front smoking and monitored their smoking and their ASE and POEs by using palmtop computers. Daily ASE and POEs predicted the occurrence of a 1st lapse on the following day. Following a lapse, variations in daily ASE predicted the onset of relapse, even after controlling for concurrent smoking. ASF and POEs generally neither mediated nor moderated each other's effects. These data emphasize the role of dynamic factors in the relapse process.
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