Cognitive-behavioral treatment with behavioral activation for smoking cessation: Randomized controlled trial

被引:38
作者
Martinez-Vispo, Carmela [1 ]
Rodriguez-Cano, Ruben [1 ]
Lopez-Duran, Ana [1 ]
Senra, Carmen [2 ]
Fernandez del Rio, Elena [3 ]
Becona, Elisardo [1 ]
机构
[1] Univ Santiago de Compostela, Fac Psychol, Dept Clin Psychol & Psychobiol, Smoking Cessat & Addict Disorders Unit, Galicia, Spain
[2] Univ Santiago de Compostela, Fac Psychol, Dept Clin Psychol & Psychobiol, Galicia, Spain
[3] Univ Zaragoza, Dept Psychol & Sociol, Zaragoza, Spain
来源
PLOS ONE | 2019年 / 14卷 / 04期
关键词
INCLUDING PREGNANT-WOMEN; DEPRESSIVE SYMPTOMS; SUBSTANCE USE; ALTERNATIVE REINFORCERS; PHARMACOTHERAPY INTERVENTIONS; FAGERSTROM TEST; MISSING DATA; ABSTINENCE; SMOKERS; REWARD;
D O I
10.1371/journal.pone.0214252
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Introduction Behavioral Activation is a behavioral-based treatment that has been proposed as suitable for smoking cessation, as it simultaneously addresses reinforcement-related variables and also mood management. The aim of this study was to compare the effects of a cognitive-behavioral smoking cessation treatment with components of behavioral activation (SCBSCT-BA) with a standard cognitive-behavioral treatment (SCBSCT), and a wait-list control group (WL). Method The sample was comprised of 275 adults smokers (61.4% females, mean age = 45.36, SD = 10.96). After baseline assessment sessions, participants were randomized (ratio: 2.2.1.) to SCBSCT-BA, SCBSCT, or WL. Active groups received 8 weekly 1-hour face-to-face group sessions. Biochemically verified smoking abstinence and depressive symptoms were assessed at the end of treatment, and at 3-, 6-, and 12-month follow-ups. Results Significant treatment effects in 7-dayspoint prevalence abstinence rates were found for both active groups at the end of treatment. Abstinence rates at 12-months follow-up were 30% for SCBSCT-BA, and 18% for SCBSCT. Using Multiple Imputation for missing data, regression analysis showed significantly greater ORs for the SCBSCT-BA condition (vs. SCBSCT) at the end of treatment and at 3-months follow-up. At 6-, and 12-months follow-ups, ORs for the SCBSCT-BA condition, although greater, did not reach statistical significance. Multilevel analysis showed that abstinence was related to reductions in depressive symptoms. Conclusions SCBSCT-BA obtained positive results at short and medium term. Participants who quit smoking experienced a significant reduction in depressive symptoms. Findings support the benefit of adding BA to a cognitive-behavioral smoking cessation treatment.
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页数:20
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