This study examines psychosocial predictors of self-initiated substance use cessation among youths who have had recent substance use experience. Variables included those that are the focus of many primary prevention programs. Middle school and high school students who used either alcohol, cigarettes, smokeless tobacco, marijuana, or inhalants were surveyed on two occasions, one year separating the pretest and posttest. Pretest differences distinguished those who would quit versus those who would continue using alcohol, tobacco, and marijuana, but not inhalants. The largest pretest differences were youths' normative beliefs, manifest commitments to not use substances, and perceived incongruence between drug use and their desired lifestyles. Those who continued to use had scale values for most mediators that continued to worsen in programmatic terms, whereas measures among those who quit significantly improved. School-aged users may benefit from programs that target some of the same mediators currently promoted as effective in primary prevention programs.
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References
1.
AryD.V.BiglanA.1988Longitudinal changes in adolescentcigarette smoking behavior: Onset and cessation. Journal of Behavioral Medicine, 11, 361–382.
2.
BotvinG.J.BakerE.DusenburyL.BotvinE.M.DiazT.1995Long-term follow-up results of a randomized drug abuse prevention trial in a white middle-class population. Journal of the American Medical Association, 273, 1106–1112.
3.
DerzonJ.H.LipseyM.W.1999A synthesis of the relationship of marijuana use with delinquent and problem behaviors. School Psychology International, 20, 57–68.
4.
DiClementeC.C.ProchaskaJ.O.1982Self-change and therapy change of smoking behavior: A comparison of processes of change in cessation and maintenance. Addictive Behaviors, 7, 133–142.
5.
DiClementeC.C.ProchaskaJ.O.FairhurstS.K.VelicerW.F.VelasquezM.M.RossiJ.S.1991The process of smoking cessation: An analysis of precontemplation, contemplation, and preparation stages of change. Journal of Consulting and Clinical Psychology, 59, 295–304.
6.
DishionT.J.AndrewsD.W.1995Preventing escalation in problem behaviors with high-risk young adolescents: Immediate and 1-year outcomes. Journal of Consulting and Clinical Psychology, 63, 538–548.
7.
DonaldsonS.I.GrahamJ.W.HansenW.B.1994Testing the generalizability of intervening mechanism theories: Understanding the effects of adolescent drug use prevention interventions. Journal of Behavioral Medicine, 17, 195–216.
8.
EggertL.L.ThompsonE.A.HertingJ.R.NicholasL.J.DickerB.G.1994Preventing Adolescent Drug Abuse and High School Dropout Through an Intensive School-Based Social Network Development Program. American Journal of Health Promotion, 8, 202–215.
9.
EggertL.L.ThompsonE.A.HertingJ.R.NicholsS.E.1995Reducing Suicide Potential Among High-Risk Youth: Tests of a School-Based Prevention Program. Suicide and Life-Threatening Behavior, 25, 276–296.
10.
HansenW.B.1983Behavioral predictors of abstinence: Early indicators of a dependence on tobacco among adolescents. International Journal of the Addictions, 18(7), 913–920.
11.
HansenW.B.1992School-based substance abuse prevention: A review of the state of the art in curriculum 1980–1990. Health Education Research, 7(3), 403–430.
12.
HansenW.B.CollinsL.M.JohnsonC.A.GrahamJ.W.1985Self-initiated smoking cessation among high school students. Addictive Behaviors, 10, 265–271.
13.
HansenW.B.GrahamJ.W.1991Preventing alcohol, marijuana, and cigarette use among adolescents: Peer pressure resistance training vs. establishing conservative norms. Preventive Medicine, 20, 414–430.
14.
HansenW.B.JohnsonC.A.FlayB.R.GrahamJ.W.SobelJ.L.1988Affective and social influences approaches to the prevention of multiple substance abuse among seventh grade students: Results from Project SMART. Preventive Medicine, 17, 1–20.
15.
HansenW.B.McNealR.B.1996Law of maximum expected potential effect: constraints placed on program effectiveness by mediator relationships. Health Education Research, 11(4), 501–507.
16.
HansenW.B.McNealR.B.1997How D.A.R.E. works: An examination of program effects on mediating variablesHealth Education and Behavior, 24(2), 165–176.
17.
HawkinsJ.D.CatalanoR.MillerJ.1992Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: implications for substance use prevention. Psychological Bulletin, 112, 64–105.
18.
KandelD.B.YamaguchiK.ChenK.1992Stages of progression in drug involvement from adolescence to adulthood: Further evidence for the gateway theory. Journal of Studies on Alcohol, 53, 447–457.
19.
MacKinnonD.1994Analysis of mediating variables in prevention and intervention research. NIDA Research Monograph, Number 139, 127–154. Rockville, MD: National Institutes of Health.
20.
MacKinnonD.P.JohnsonC.A.PentzM.A.HansenW.B.FlayB.F.WangE.Y.I.1991Mediating mechanisms in a school-based drug prevention program: First year effects of the Midwestern Prevention Project. Health Psychology, 10(3), 164–172.
21.
MarlattG.A.1996Taxonomy of high-risk situations for alcohol relapse: evolution and development of a cognitive- behavioral model. Addiction, 91(12), 37–50.
22.
McBrideC.M.CurryS.J.StephensR.S.WellsE.A.RoffmanR.A.HawkinsJ.D.1994Intrinsic and extrinsic motivation for change in cigarette smokers, marijuana smokers, and cocaine users. Psychology of Addictive Behavior, 8(4), 243–250.
23.
McNealR.B.HansenW.B.1999Developmental patterns associated with the onset of drug use: Changes in postulated mediators during adolescence. Journal of Drug Issues, 29(2), 381–400.
24.
MoffittT.1993Adolescence-limited and life-course persistent antisocial behavior: a developmental taxonomy. Psychological Review, 100, 674–701.
25.
MoffittT.1997Adolescence-limited and life-course-persistent offending: a complementary pair of developmental theories. In ThornberryT. (Ed.), Developmental Theories of Crime and Delinquency (pp. 11–54). New Brunswick: Transaction Press.
26.
MrazekP.J.HaggertyR.J. (Eds.) 1994Reducing risks for mental disorders: Frontiers for preventive intervention research. Washington, D.C.: National Academy Press.
27.
NaginD.FarringtonD.MoffittT.1995Life-course trajectories of different types of offenders. Criminology, 33, 111–139.
28.
NaginD.LandK.1993Age, criminal careers, and population heterogeneity: specification and estimation of a non-parametric, mixed Poisson model. Criminology, 31, 327–362.
29.
PallonenU.E.LeskinenL.ProchaskaJ.O.WilleyC.J.KaariainenR.SalonenJ.T.1994A two-year self-help smoking cessation manual intervention among middle-aged Finnish men: An application of the Transtheoretical Model. Preventive Medicine, 23, 507–514.
30.
PentzM.A.DwyerJ.H.MacKinnonD.P.FlayB.R.HansenW.B.WangE.Y.I.JohnsonC.A.1989A multi-community trial for primary prevention of adolescent drug abuse: Effects on drug use prevalence. Journal of the American Medical Association, 261(22), 3259–3266.
31.
ProchaskaJ.O.DiClementeC.C.NorcrossJ.C.1992In search of how people change: Applications to addictive behaviors. American Psychologist, 47(9), 1102–1112.
32.
SnowM.G.ProchaskaJ.O.RossiJ.S.1992Stages of change for smoking cessation among former problem drinkers: A cross-sectional analysis. Journal of Substance Abuse, 4, 107–116.
33.
SussmanS.DentC.W.1999One-year prospective prediction of marijuana use cessation among youth at continuation high schools. Addictive Behaviors, 24(3), 411–417.
34.
SussmanS.DentC.W.SeversonH.BurtonD.FlayB.R.1998Self-initiated quitting among adolescent smokers. Preventive Medicine, 27(5), A19–28.
