Research Topics
| Stephen HigginsSummaryAffiliation: University of Vermont Country: USA Publications
Research Grants
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Detail Information
Publications
Financial incentives for smoking cessation among pregnant and newly postpartum womenStephen T Higgins
Department of Psychiatry, University of Vermont, University Health Center Campus, 1 S Prospect St, Burlington, VT 05401, USA
Prev Med 55:S33-40. 2012....
The influence of alternative reinforcers on cocaine use and abuse: a brief reviewS T Higgins
Department of Psychiatry, University of Vermont, Burlington 05401, USA
Pharmacol Biochem Behav 57:419-27. 1997..Implications of these observations for effective prevention and treatment of cocaine abuse are discussed...- Community reinforcement therapy for cocaine-dependent outpatientsStephen T Higgins
Departments of Psychiatry, Medical Biostatistics, and Psychology, University of Vermont, Burlington, VT 05401, USA
Arch Gen Psychiatry 60:1043-52. 2003..To examine the contributions of community reinforcement therapy to outcome in the community reinforcement approach (CRA) + vouchers outpatient treatment for cocaine dependence... - Comments on contingency management and conditional cash transfersStephen T Higgins
Departments of Psychiatry and Psychology, University of Vermont, Burlington, VT 05401, USA
Health Econ 19:1255-8. 2010..It is concluded that the emerging field of behavioral economics, which is informed by and integrates principles of each of those disciplines, may provide the proper conceptual framework for integrating CM and CCT... - Clinical implications of reinforcement as a determinant of substance use disordersStephen T Higgins
Department of Psychiatry, University of Vermont, Burlington, Vermont 05401, USA
Annu Rev Psychol 55:431-61. 2004..Overall, the chapter characterizes a vigorous area of clinical research that has much to contribute to a scientific analysis of substance use disorders... - Educational disadvantage and cigarette smoking during pregnancyStephen T Higgins
Department of Psychiatry, University of Vermont, Burlington, VT 05401, USA
Drug Alcohol Depend 104:S100-5. 2009..We suggest that strategies to increase educational attainment be included with more conventional tobacco-control policies in efforts to reduce smoking among girls and young women... - A pilot study on voucher-based incentives to promote abstinence from cigarette smoking during pregnancy and postpartumStephen T Higgins
Department of Psychiatry, University of Vermont, Burlington, VT 05401, USA
Nicotine Tob Res 6:1015-20. 2004..The magnitude of these treatment effects exceed levels typically observed with pregnant and recently postpartum smokers, and the maintenance of effects through 24 weeks postpartum extends the duration beyond those reported previously... - Biochemical verification of smoking status in pregnant and recently postpartum womenStephen T Higgins
Department of Psychiatry, University of Vermont, Burlington, VT 05401, USA
Exp Clin Psychopharmacol 15:58-66. 2007.... 
Continuing to struggle with the term "harm reduction"S T Higgins
College on Problems of Drug Dependence and Department of Psychiatry, University of Vermont, Burlington, Vermont, USA
Clin Pharmacol Ther 83:522-3. 2008..Instead, my comments focus on how to deal with the vast world of literature and other activities that already exist around the term...- Smoking status in the initial weeks of quitting as a predictor of smoking-cessation outcomes in pregnant womenStephen T Higgins
Department of Psychiatry, University of Vermont, Burlington, VT 05401, USA
Drug Alcohol Depend 85:138-41. 2006..Any smoking during the initial 2 weeks of attempting to quit predicts poor short- and longer-term outcomes in the general population of cigarette smokers. The present study examined whether that rule applies to pregnant women... - Effects of smoking cessation with voucher-based contingency management on birth outcomesStephen T Higgins
Department of Psychiatry, University of Vermont, 1 South Prospect Street, Burlington, VT 05401, USA
Addiction 105:2023-30. 2010..This study examined whether smoking cessation using voucher-based contingency management (CM) improves birth outcomes... - Effects of varying the monetary value of voucher-based incentives on abstinence achieved during and following treatment among cocaine-dependent outpatientsStephen T Higgins
Department of Psychiatry, University of Vermont, Burlington, VT 05401, USA
Addiction 102:271-81. 2007..This study examined whether increasing the amount of abstinence achieved during outpatient treatment for cocaine dependence is an effective method for increasing longer-term cocaine abstinence... - A within-subject comparison of three different schedules of reinforcement of drug abstinence using cigarette smoking as an exemplarJ M Roll
Department of Psychiatry, University of Vermont, Burlington 05401, USA
Drug Alcohol Depend 58:103-9. 2000.... - Contingent reinforcement increases cocaine abstinence during outpatient treatment and 1 year of follow-upS T Higgins
Department of Psychiatry, University of Vermont, Burlington 05401, USA
J Consult Clin Psychol 68:64-72. 2000..Abstinence-contingent incentives significantly increased cocaine abstinence during treatment and 1 year of follow-up compared with noncontingent incentives... - Celebrating the decade of behavior: introduction to special issueS T Higgins
Department of Psychiatry, University of Vermont, Burlington, USA
Exp Clin Psychopharmacol 8:261-3. 2000..This series of articles bodes well for the health of psychopharmacology and substance abuse research and offers a fitting salute to this important initiative... - Initial abstinence and success in achieving longer term cocaine abstinenceS T Higgins
Department of Psychiatry, University of Vermont, Burlington 05401, USA
Exp Clin Psychopharmacol 8:377-86. 2000..Devising interventions that increase the proportion of individuals who achieve an early period of sustained abstinence may be key to increasing longer term cocaine abstinence... - A promising intervention for a daunting problem: comment on Silverman et al. (2001)S T Higgins
Human Behavioral Pharmacology Laboratory, Department of Psychiatry, University of Vermont, Burlington 05401 1419, USA
Exp Clin Psychopharmacol 9:27-8; discussion 35-9. 2001..Sixth and last, the report has the potential to provoke serious thought and consideration of what more might be done to combat the daunting and related problems of chronic unemployment and drug abuse in our poorer communities... - Voucher-based incentives. A substance abuse treatment innovationStephen T Higgins
Department of Psychiatry, University of Vermont, 38 Fletcher Place, Burlington, VT 05464, USA
Addict Behav 27:887-910. 2002..Overall, voucher-based incentives hold promise as an innovative treatment intervention that has efficacy across a wide range of substance abuse problems and populations... - Contingent monetary reinforcement of smoking reductions, with and without transdermal nicotine, in outpatients with schizophreniaJennifer W Tidey
Department of Psychiatry, University of Vermont, Burlington 05401, USA
Exp Clin Psychopharmacol 10:241-7. 2002..These results offer further evidence supporting the efficacy of CM for reducing smoking among people with schizophrenia, but higher doses of nicotine replacement therapy, or another pharmacotherapy, may be needed to enhance that effect... - Examining possible gender differences among cocaine-dependent outpatientsConrad J Wong
Department of Psychology, University of Vermont, Burlington 05401, USA
Exp Clin Psychopharmacol 10:316-23. 2002..Women reported a lower frequency of alcohol use before intake, and fewer women than men met criteria for cannabis dependence. Men and women experienced comparable improvement during the course of treatment and follow-up... - Voucher-based contingent reinforcement of smoking abstinence among methadone-maintained patients: a pilot studyKelly E Dunn
University of Vermont, USA
J Appl Behav Anal 41:527-38. 2008..These results support the potential efficacy of using voucher-based CM to promote smoking cessation among methadone-maintained patients... - Evaluation of ongoing oxycodone abuse among methadone-maintained patientsKelly E Dunn
Department of Psychology, University of Vermont, Burlington, VT, USA
J Subst Abuse Treat 35:451-6. 2008.... - Turning k on its head: comments on use of an ED50 in delay discounting researchJin H Yoon
Departments of Psychiatry, University of Vermont, Burlington, VT 05401, USA
Drug Alcohol Depend 95:169-72. 2008..The ED50 proposed with regard to DD is the delay that is effective in discounting the subjective value of the delayed reinforcer by 50%. Additionally, a convenient method for calculating ED50 values for DD is discussed... - Predictors of postpartum relapse to smokingLaura J Solomon
Department of Psychology, University of Vermont, Burlington, VT 05405 0134, USA
Drug Alcohol Depend 90:224-7. 2007..Most women's first postpartum cigarettes were unplanned, in the presence of another smoker, and while experiencing negative affect. The findings suggest targets for interventions to reduce postpartum relapse... - Effects of cigarette smoking cessation on breastfeeding durationTara M Higgins
Department of Psychiatry, University of Vermont, Burlington, VT 05401, USA
Nicotine Tob Res 12:483-8. 2010..Correlational studies have confirmed associations between smoking status and breastfeeding duration, but whether smoking cessation increases breastfeeding duration has not been established... - Delay discounting predicts postpartum relapse to cigarette smoking among pregnant womenJin H Yoon
Department of Psychiatry, University of Vermont, Burlington, VT, USA
Exp Clin Psychopharmacol 15:176-86. 2007..The results extend the association of DD with risk for substance abuse to pregnant and recently postpartum cigarette smokers and demonstrate a significant relationship between DD and treatment outcome... - Depressive symptoms predict smoking status among pregnant womenTeresa J Linares Scott
Department of Psychiatry, University of Vermont, Burlington, VT 05401, USA
Addict Behav 34:705-8. 2009..These results suggest that depressive symptoms may be an independent contributor to the problem of continued smoking during pregnancy, which may have implications for smoking-cessation interventions among pregnant women... - Effects of voucher-based incentives on abstinence from cigarette smoking and fetal growth among pregnant womenSarah H Heil
Departments of Psychiatry, University of Vermont, Burlington, VT 05401, USA
Addiction 103:1009-18. 2008..This study examined whether voucher-based reinforcement therapy (VBRT) contingent upon smoking abstinence during pregnancy is an effective method for decreasing maternal smoking during pregnancy and improving fetal growth... - Brief buprenorphine detoxification for the treatment of prescription opioid dependence: a pilot studyStacey C Sigmon
Department of Psychiatry, University of Vermont, United States
Addict Behav 34:304-11. 2009.... - Effects of initial abstinence and programmed lapses on the relative reinforcing effects of cigarette smokingLaura L Chivers
University of Vermont, USA
J Appl Behav Anal 41:481-97. 2008.... - Abstinence-contingent reinforcement and engagement in non-drug-related activities among illicit drug abusersRandall E Rogers
Department of Psychiatry, University of Vermont, USA
Psychol Addict Behav 22:544-50. 2008..These results suggest that when contingency-management interventions increase abstinence from drug abuse, they also increase engagement in non-drug-related activities in naturalistic settings... - Examining maternal weight gain during contingency-management treatment for smoking cessation among pregnant womenYukiko Washio
Department of Psychiatry, University of Vermont, Burlington, VT 05401, USA
Drug Alcohol Depend 114:73-6. 2011..This study shows no evidence of excessive maternal weight gain among pregnant women receiving a CM intervention for smoking cessation... - Predictors of internalizing and externalizing problems among children of cocaine and opiate dependent parentsCatherine Stanger
Department of Psychiatry, University of Vermont, 1 South Prospect Street, Burlington, VT 05401 3456, USA
Drug Alcohol Depend 66:199-212. 2002..For drug dependent fathers, family problems were an independent predictor of children's problems... - An experimental test of the influence of prior cigarette smoking abstinence on future abstinenceSarah H Heil
Department of Psychiatry, University of Vermont, Burlington, 05401 1419, USA
Nicotine Tob Res 6:471-9. 2004..These results provide experimental evidence that prior abstinence histories can directly influence subsequent efforts to abstain from smoking... - Examining interrelationships between abstinence and coping self-efficacy in cocaine-dependent outpatientsConrad J Wong
University of Vermont, Department of Psychology, Burlington, VT, USA
Exp Clin Psychopharmacol 12:190-9. 2004..Results suggest a unidirectional relationship wherein prior abstinence predicts subsequent abstinence and confidence... - Characterizing and improving HIV/AIDS knowledge among cocaine-dependent outpatientsSarah H Heil
Substance Abuse Treatment Center, Department of Psychiatry, University of Vermont, 1 South Prospect Street, Burlington, VT 05401 1419, USA
Exp Clin Psychopharmacol 13:238-43. 2005..Results support the intervention's efficacy for increasing HIV/AIDS knowledge among cocaine-dependent outpatients. This intervention is brief, inexpensive, and easily implemented... - Delay discounting in currently using and currently abstinent cocaine-dependent outpatients and non-drug-using matched controlsSarah H Heil
Department of Psychiatry, University of Vermont, USA
Addict Behav 31:1290-4. 2006..These data replicate previous work in cocaine-dependent and other substance abusers compared to non-drug-using controls and suggest that a longer period of abstinence may be required to modify discounting in this population... - Maternal smoking and its association with birth weightIra M Bernstein
Department of Obstetrics and Gynecology, Burgess 217, FAHC, University of Vermont, Burlington, VT 05401 1435, USA
Obstet Gynecol 106:986-91. 2005..Maternal smoking has been associated with a reduction in newborn birth weight. We sought to estimate how the pattern of maternal smoking throughout pregnancy influences newborn size... - A contingent payment model of smoking cessation: effects on abstinence and withdrawalSarah H Heil
Department of Psychiatry University of Vermont, VT 05401 1419, USA
Nicotine Tob Res 5:205-13. 2003.... - Psychological symptoms following smoking cessation in pregnant smokersLaura J Solomon
Departments of Family Medicine and Psychology, University of Vermont, Vermont 05405, USA
J Behav Med 29:151-60. 2006..These findings should temper concerns that quitting smoking may have detrimental psychological consequences during pregnancy... - An overview of principles of effective treatment of substance use disorders and their potential application to pregnant cigarette smokersSarah H Heil
Department of Psychiatry, University of Vermont, Burlington, VT 05401, USA
Drug Alcohol Depend 104:S106-14. 2009..Overall, the results of this exercise suggest much promise for enhancing treatment outcomes for pregnant smokers by borrowing from and extending what has been learned with other populations with SUDs... - Voucher-based contingent reinforcement of marijuana abstinence among individuals with serious mental illnessStacey C Sigmon
Departments of Psychiatry and Psychology, University of Vermont, Burlington, VT 05401, USA
J Subst Abuse Treat 30:291-5. 2006.... - Characterizing nicotine withdrawal in pregnant cigarette smokersSarah H Heil
Department of Psychiatry, University of Vermont, Burlington, USA
Exp Clin Psychopharmacol 14:165-70. 2006..The results also suggest that pregnant smokers generally may have elevated baseline levels of withdrawal, which need to be considered in the design and analysis of future studies... - Influence of the duration of abstinence on the relative reinforcing effects of cigarette smokingJennifer Plebani Lussier
Department of Psychology, University of Vermont, Burlington, VT, USA
Psychopharmacology (Berl) 181:486-95. 2005.... - Acute effects of D-amphetamine on progressive-ratio performance maintained by cigarette smoking and moneyStacey C Sigmon
Department of Psychology, University of Vermont, 38 Fletcher Place, Burlington, VT 05401, USA
Psychopharmacology (Berl) 167:393-402. 2003..CONCLUSIONS: These results provide further evidence that D-amphetamine can increase the reinforcing effects of cigarette smoking, at least among a subset of smokers... - A contingency-management intervention to promote initial smoking cessation among opioid-maintained patientsKelly E Dunn
Department of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD, USA
Exp Clin Psychopharmacol 18:37-50. 2010..Results from this randomized clinical trial support the efficacy of contingency management interventions in promoting initial smoking abstinence in this challenging population... - Clinical trial of abstinence-based vouchers and cognitive-behavioral therapy for cannabis dependenceAlan J Budney
Department of Psychiatry, University of Vermont, Burlington, VT, USA
J Consult Clin Psychol 74:307-16. 2006..Discussion focuses on the strengths of each intervention, the clinical significance of the findings, and the need to continue efforts toward development of effective interventions... - An experimental examination of the initial weeks of abstinence in cigarette smokersSheila M Alessi
Department of Psychiatry, University of Vermont, 38 Fletcher Place, Burlington, VT 05401 1419, USA
Exp Clin Psychopharmacol 12:276-87. 2004..Results indicate that it is feasible to experimentally manipulate smoking abstinence and that doing so can enhance understanding of the relationship between early abstinence and relapse risk... - An historical note on Darwin and nonhuman drug self-administrationStephen T Higgins
Department of Psychiatry, University of Vermont, Burlington, VT 05401, USA. stephen.higgins @uvm.edu
Exp Clin Psychopharmacol 11:317. 2003.... - Methylphenidate increases cigarette smokingCraig R Rush
Department of Behavioral Science, College of Medicine, University of Kentucky, Lexington, KY 40536, USA
Psychopharmacology (Berl) 181:781-9. 2005..CONCLUSIONS: The results of this experiment suggest that methylphenidate, like d-amphetamine, increases rates of cigarette smoking... - A meta-analysis of voucher-based reinforcement therapy for substance use disordersJennifer Plebani Lussier
Department of Psychology, Psychiatry and Medical Biostatistics, and University of Vermont 05401, USA
Addiction 101:192-203. 2006..These results further support the efficacy of VBRT, quantify the magnitude of its effects, identify significant moderators and suggest potential directions for future research... - Community reinforcement approach plus vouchers for cocaine dependence in a community setting in Spain: six-month outcomesRoberto Secades-Villa
Department of Psychology, University of Oviedo, Oviedo, Spain
J Subst Abuse Treat 34:202-7. 2008..These results support the effectiveness and generalizability of the CRA plus vouchers treatment in a community setting outside of the United States. Further follow-up is required to confirm the long-term maintenance of the results... - The validity of the reinstatement model of craving and relapse to drug useJonathan L Katz
Psychobiology Section, NIDA Addiction Research Center, NIH DHHS, Baltimore, MD 21224, USA
Psychopharmacology (Berl) 168:21-30. 2003..The reinstatement procedure has been used increasingly as a laboratory model of craving and relapse to drug abuse. With the number of reports involving this procedure growing, its validity as a model of relapse merits discussion... - Extending contingency management to the treatment of methamphetamine use disordersStephen T Higgins
Am J Psychiatry 163:1870-2. 2006
Research Grants
- Future Directions in Contingency Management ResearchStephen Higgins; Fiscal Year: 2004..g., cognitive behavior therapy). Critical discussion of these issues is important to the future of CM and to the research agenda of NIDA. ..
- Voucher-based incentives to treat pregnant smokersStephen Higgins; Fiscal Year: 2005..Overall, the proposed studies have the potential to contribute important new scientific and practical information on effective treatment for one of our nation's most daunting drug abuse problems. ..
- Modeling Initial Smoking Abstinence and Relapse RiskStephen Higgins; Fiscal Year: 2006..Such information is essential to the development of more focused and effective smoking-cessation interventions. ..
- BEHAVIORAL PHARMACOLOGY OF HUMAN DRUG DEPENDENCEStephen Higgins; Fiscal Year: 2007..Moreover, this training program will continue to train qualified individuals to be successful independent researchers in the human behavioral pharmacology of drug dependence. ..
- Voucher-based incentives to treat pregnant smokersStephen Higgins; Fiscal Year: 2007..Overall, the proposed studies have the potential to contribute important new information on effective treatments for one of our nation's most daunting drug abuse problems. ..
- TREATING COCAINE ABUSE: A BEHAVIORAL APPROACHStephen Higgins; Fiscal Year: 2007..abstract_text> ..
- Modeling Initial Smoking Abstinence and Relapse RiskStephen Higgins; Fiscal Year: 2009....
- Voucher-based incentives to treat pregnant smokersStephen Higgins; Fiscal Year: 2009..Overall, the proposed studies have the potential to contribute important new information on effective treatments for one of our nation's most daunting drug abuse problems. ..
- Modeling Initial Smoking Abstinence and Relapse RiskStephen T Higgins; Fiscal Year: 2010....
- Treating Cocaine Abuse: A Behavioral ApproachStephen T Higgins; Fiscal Year: 2010....
- TREATING COCAINE ABUSE: A BEHAVIORAL APPROACHStephen Higgins; Fiscal Year: 2000..Such information is essential to a thorough evaluation of this emerging treatment technology. ..
- FACTORS INFLUENCING COCAINE USE IN HUMANSStephen Higgins; Fiscal Year: 2001..Additionally, by examining non-prescription (prior application) and prescription (this application) drugs, this project will contribute a comprehensive experimental analysis of the influence of commonly used drugs on human cocaine use. ..
- Voucher-based incentives to treat pregnant smokersStephen T Higgins; Fiscal Year: 2010..Overall, the proposed studies have the potential to contribute important new information on effective treatments for one of our nation's most daunting drug abuse problems. ..