Evidence map›Paper›PMID 25938628›Full record

Trial reportPsychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors2015

Willpower versus "skillpower": Examining how self-efficacy works in treatment for marijuana dependence.

Mark D Litt, Ronald M Kadden

Open access · hybridAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 29 citations in OpenAlex.

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  3. Individualized assessment and treatment program (IATP) for cannabis use disorder: Randomized controlled trial with and without contingency management.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Mark D LittDivision of Behavioral Sciences and Community Health, University of Connecticut Health Center.
Ronald M KaddenDepartment of Psychiatry, University of Connecticut Health Center.
UConn Health · US

Funding

ZONISAMIDE VERSUS PLACEBOM01RR006192 · NCRR · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI LAURENCIN, CATO T. · 1994 to 2008
$22.1M
Individualized Assessment and Treatment for Marijuana Dependence: Treatment MechaR01DA012728 · NIDA · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI LITT, MARK D. · 2000 to 2017
$7.1M
Individualized Assessment and Treatment Program for Alcoholism: Treatment and MechanismsR01AA024729 · NIAAA · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI LITT, MARK D. · 2016 to 2020
$3.0M
NCRR NIH HHS M01 RR006192NCRR NIH HHS M01-RR06192NIAAA NIH HHS R01 AA024729NIDA NIH HHS 5R01 DA012728NIDA NIH HHS R01 DA012728
6 · The paper itself

Abstract

Self-efficacy has repeatedly been demonstrated to be a robust predictor of outcomes in the treatment of marijuana use disorders. It is not clear, however, how increases in confidence in ability to refrain from use get translated into actual improvements in drug-related outcomes. Marlatt, among others, viewed the acquisition and use of coping skills as the key to behavior change, and self-efficacy as a cognitive state that enabled coping. But that model of behavior change has not been supported, and few studies have shown that the effects of self-efficacy are mediated by coping or by other processes. The current study combined 3 marijuana treatment trials comprising 901 patients to examine the relationships between self-efficacy, coping, and potential mediators, to determine if the effects of self-efficacy on outcomes could be explained. Results of multilevel models indicated that self-efficacy was a strong predictor of adaptive outcomes in all trials, even when no active treatment was provided. Tests of mediation showed that effects of self-efficacy on marijuana use and on marijuana-related problems were partially mediated by use of coping skills and by reductions in emotional distress, but that direct effects of self-efficacy remained largely unexplained. The results are seen as supportive of efforts to improve coping skills and reduce distress in marijuana treatment, but also suggest that additional research is required to discover what is actually occurring when substance use changes, and how self-efficacy enables those changes.

Indexed as

Adaptation, PsychologicalSelf EfficacyVolitionAdultCase ManagementCognitive Behavioral TherapyEmotionsFemaleHumansMaleMarijuana AbuseMarijuana SmokingMotivational InterviewingSelf ConceptTreatment OutcomeYoung Adult

Identifiers

PMID25938628
PMCPMC4587351
OpenAlexW1777872619

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.