title: Self-efficacy for cocaine abstinence: pretreatment correlates and relationship to outcomes.
abstract: Little research has been conducted on the relationship of self-efficacy at treatment entry to individual differences or to treatment outcome for patients with cocaine dependence. Those relationships were examined in 163 cocaine-dependent patients in a residential treatment program using two measures of self-efficacy administered in the first week of treatment: beliefs about success in quitting in general and confidence about not using in 11 cocaine-specific high-risk situations. The most robust correlates of self-efficacy were greater desire to stop using and lower urge to use in high-risk situations. Age, depressive symptoms, cognitive functioning, recent substance use, and past success with quitting also correlated with self-efficacy. Both measures of self-efficacy predicted quantity and frequency of cocaine use and abstinence at 3 but not 6 months after treatment after controlling pretreatment cocaine use. Results suggest that treatments should target self-efficacy in cocaine-dependent patients.
authors.affiliation: Providence Veterans Affairs Medical Center, Providence, RI 02908, USA. sara_dolan@baylor.edu <sara_dolan@baylor.edu>
authors.forename: Sara L
authors.initials: SL
authors.lastname: Dolan
authors.forename: Rosemarie A
authors.initials: RA
authors.lastname: Martin
authors.forename: Damaris J
authors.initials: DJ
authors.lastname: Rohsenow
mesh_terms: D000328:Adult; D019970:Cocaine-Related Disorders / Q000523:psychology* / Q000534:rehabilitation; D003071:Cognition; D003863:Depression / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D009042:Motivation; D012114:Residential Treatment; D020377:Self Efficacy; D016896:Treatment Outcome