Behavioral impulsivity predicts treatment outcome in a smoking cessation program for adolescent smokers.
OBJECTIVE
To examine the relationship between impulsivity and smoking cessation treatment response among adolescents.


METHODS
Thirty adolescent smokers participated in a high school based smoking cessation program combining contingency management and cognitive behavioral therapy. Self-report (Barratt impulsiveness scale (BIS-II); Kirby delay discounting measure (DDM)) and behavioral (experiential discounting task (EDT); continuous performance task (CPT)) measures of impulsivity were assessed at treatment onset.


RESULTS
Sixteen participants (53%) were abstinent from smoking at completion of the four-week study. Compared to abstinent adolescents, those not achieving abstinence discounted monetary rewards more on the EDT and committed more commission errors on the CPT. Group differences were not observed on the BIS-II or DDM.


CONCLUSIONS
These preliminary results suggest that specific behavioral measures of impulsivity may be associated with the ability to initiate and/or maintain abstinence from smoking among adolescent smokers.
Krishnan-Sarin
Suchitra
S
Department of Psychiatry, Yale University School of Medicine, Connecticut Mental Health Center, 34 Park Street, New Haven, CT 06519, USA. suchitra.krishnan-sarin@yale.edu
Reynolds
Brady
B
Duhig
Amy M
AM
Smith
Anne
A
Liss
Thomas
T
McFetridge
Amanda
A
Cavallo
Dana A
DA
Carroll
Kathleen M
KM
Potenza
Marc N
MN
D000293:Adolescent; D005260:Female; D005544:Forecasting; D006801:Humans; D007175:Impulsive Behavior; D008297:Male; D012907:Smoking; D016540:Smoking Cessation / Q000523:psychology*; D016896:Treatment Outcome