Cognitive reactions to smoking relapse: the reciprocal relation between dissonance and self-esteem.

Perceptions of health risk associated with smoking, commitment to quitting, and self-concept were assessed among smokers before, during, and after their participation in cessation clinics. Consistent with expectations derived from cognitive dissonance theory, results indicated that relapsers' perception of risk declined after they resumed smoking, although the decline was significant only for relapsers with high self-esteem; high self-esteem relapsers experienced a significantly greater decline in commitment to quitting than did low self-esteem relapsers; and decline in risk perception among relapsers was associated with maintenance of self-esteem. The implications of these results for dissonance theory and the study of smoking relapse and cessation are discussed.

[1]  F. Gibbons,et al.  Self-esteem and the relation between risk behavior and perceptions of vulnerability to unplanned pregnancy in college women. , 1997, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[2]  F. Gibbons,et al.  A longitudinal study of the reciprocal nature of risk behaviors and cognitions in adolescents: what you do shapes what you think, and vice versa. , 1996, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[3]  P. Pirie,et al.  A comparison of smoking cessation clinic participants with smokers in the general population , 1994 .

[4]  F B Hu,et al.  Differential influence of parental smoking and friends' smoking on adolescent initiation and escalation of smoking. , 1994, Journal of health and social behavior.

[5]  S. Curry,et al.  Self-help interventions for smoking cessation. , 1993, Journal of consulting and clinical psychology.

[6]  T. Carmody.  Nicotine dependence: Psychosocial approaches to the prevention of smoking relapse. , 1993 .

[7]  P. Slovic,et al.  A psychometric study of adolescent risk perception. , 1993, Journal of adolescence.

[8]  C M Steele,et al.  Self-image resilience and dissonance: the role of affirmational resources. , 1993, Journal of personality and social psychology.

[9]  R. Baumeister.  Self-esteem : the puzzle of low self-regard , 1993 .

[10]  J. Slade,et al.  Nicotine addiction : principles and management , 1993 .

[11]  R. Baumeister,et al.  When ego threats lead to self-regulation failure: negative consequences of high self-esteem. , 1993, Journal of personality and social psychology.

[12]  W. Kip Viscusi,et al.  Smoking: Making the Risky Decision , 1992 .

[13]  P. Wilson.  Principles and practice of relapse prevention , 1992 .

[14]  W F Velicer,et al.  Assessing outcome in smoking cessation studies. , 1992, Psychological bulletin.

[15]  L. Greening,et al.  Adolescent smoking and perceived vulnerability to smoking-related causes of death. , 1991, Journal of pediatric psychology.

[16]  J. Samet.  Health benefits of smoking cessation. , 1991, Clinics in chest medicine.

[17]  A. Tesser,et al.  On the confluence of self processes , 1991 .

[18]  T. Heatherton,et al.  Development and validation of a scale for measuring state self-esteem. , 1991 .

[19]  G. Giovino,et al.  Effects of a smoker's hotline: results of a 10-county self-help trial. , 1991, Journal of consulting and clinical psychology.

[20]  M. Gerrard,et al.  Self-esteem erotophobia and retention of contraceptive and AIDS information in the classroom. , 1991 .

[21]  D. Dillman.  The Design and Administration of Mail Surveys , 1991 .

[22]  F. Gibbons,et al.  Relapse and risk perception among members of a smoking cessation clinic. , 1991, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[23]  E. Fisher,et al.  Smoking and smoking cessation. , 1990, The American review of respiratory disease.

[24]  J. Strain,et al.  The asbestos worker who smokes: adding insult to injury. , 1990, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[25]  J B McKinlay,et al.  Accuracy of perceptions of heart attack risk: what influences perceptions and can they be changed? , 1989, American journal of public health.

[26]  R. Ho.  Why do people smoke? Motives for the maintenance of smoking behaviour and its possible cessation , 1989 .

[27]  R. Baumeister,et al.  Self-Presentational Motivations and Personality Differences in Self-Esteem , 1989 .

[28]  H. Lando.  Treatment outcome evaluation methodology in smoking cessation: strengths and key issues , 1989 .

[29]  I. Rosenstock,et al.  Social Learning Theory and the Health Belief Model , 1988, Health education quarterly.

[30]  C. Steele.  The Psychology of Self-Affirmation: Sustaining the Integrity of the Self , 1988 .

[31]  N. Weinstein.  The precaution adoption process. , 1988, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[32]  G. Somes,et al.  Knowledge and beliefs regarding the consequences of cigarette smoking and their relationships to smoking status in a biracial sample. , 1988, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[33]  R. Klesges,et al.  Factors associated with participation, attrition, and outcome in a smoking cessation program at the workplace. , 1988, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[34]  E. Pollack,et al.  What are the odds that smoking will kill you? , 1987, American journal of public health.

[35]  S. Sutton,et al.  Social-psychological approaches to understanding addictive behaviours: attitude-behaviour and decision-making models. , 1987, British journal of addiction.

[36]  P. Mullen,et al.  Health behavior models compared. , 1987, Social science & medicine.

[37]  P. Knight,et al.  Humility revisited: Self-esteem, information search, and policy consistency , 1986 .

[38]  G A Marlatt,et al.  Understanding and preventing relapse. , 1986, The American psychologist.

[39]  J. Brockner,et al.  Self-esteem and reactance: Further evidence of attitudinal and motivational consequences , 1985 .

[40]  W F Velicer,et al.  Decisional balance measure for assessing and predicting smoking status. , 1985, Journal of personality and social psychology.

[41]  W. Velicer,et al.  Predicting change in smoking status for self-changers. , 1985, Addictive behaviors.

[42]  M. Becker,et al.  The Health Belief Model: A Decade Later , 1984, Health education quarterly.

[43]  J. Baskerville,et al.  The role of health beliefs in compliance with physician advice to quit smoking. , 1984, Social science & medicine.

[44]  J. Eiser,et al.  Beliefs About the Relationship Between Smoking and Causes of Death , 1983 .

[45]  R. Rogers.  Cognitive and physiological processes in fear appeals and attitude change: a revised theory of prote , 1983 .

[46]  Carl I. Hovland,et al.  Personality and Persuasibility , 1982 .

[47]  Paul D Cleary,et al.  The smoking problem: a review of the research and theory in behavioral risk modification. , 1980, Psychological bulletin.

[48]  J. Brockner.  The Effects of Self-Esteem, Success-Failure, and Self-Consciousness on Task Performance , 1979 .

[49]  G. W. Bradley.  Self-serving biases in the attribution process: A reexamination of the fact or fiction question. , 1978 .

[50]  J. Eiser,et al.  "Consonant" and "dissonant" smokers and the self-attribution of addiction. , 1978, Addictive behaviors.

[51]  M. Becker,et al.  Health Belief Model and Personal Health Behavior , 1976 .

[52]  R. A. Wicklund,et al.  Perspectives on cognitive dissonance , 1976 .

[53]  Joel B. Cohen,et al.  The social animal. , 1973 .

[54]  C. Fletcher,et al.  SMOKING AND HEALTH , 1972 .

[55]  Elliot Aronson,et al.  The Theory of Cognitive Dissonance: A Current Perspective1 , 1969 .

[56]  R. E. Johnson.  Smoking and the reduction of cognitive dissonance. , 1968, Journal of personality and social psychology.

[57]  M. Rosenberg.  Society and the adolescent self-image , 1966 .

[58]  L. A. Pervin,et al.  CIGARETTE SMOKING AND ALTERNATIVE METHODS OF REDUCING DISSONANCE. , 1965, Journal of personality and social psychology.

[59]  N. Feather,et al.  Cigarette smoking and lung cancer: A study of cognitive dissonance , 1962 .

[60]  M. R. Fields.  HEALTH EDUCATION MONOGRAPHS , 1960 .

[61]  L. Festinger.  A Theory of Cognitive Dissonance , 1957 .