Extended cognitive behavior therapy for cigarette smoking cessation.
PRIMARY AIM: Examine the effectiveness of extended cognitive behavior therapy (CBT) in promoting longer-term smoking abstinence. DESIGN: Open-label treatment phase followed by extended treatment phase. Randomization conducted prior to entry into open-label treatment phase; analysis based on intentio...
| Published in: | Addiction Vol. 103; no. 8; pp. 1381 - 1391 |
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| Main Authors: | , , , , , , , , , |
| Format: | clinical trial research tables/charts Journal Article |
| Published: |
Wiley-Blackwell
Aug2008
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105674556&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105674556 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: Aug2008 vid: 103 iid: 8 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 105674556 2010037495 10.1111/j.1360-0443.2008.02273.x NLM18855829 105674556 ppf: 1381 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Extended cognitive behavior therapy for cigarette smoking cessation. aug: au: Killen JD Fortmann SP Schatzberg AF Arredondo C Murphy G Hayward C Celio M Cromp D Fong D Pandurangi M affil: Stanford University School of Medicine, Hoover Pavilion, Quarry Road, Stanford, CA, USA sug: subj: Bupropion Therapeutic Use Cognitive Therapy Nicotine Patch Therapeutic Use Smoking Cessation Smoking Therapy Telehealth Adolescence Adult Aged Breath Tests Bupropion Adverse Effects Center for Epidemiological Studies Depression Scale Chi Square Test Clinical Trials Combined Modality Therapy Confidence Intervals Descriptive Statistics Drug Therapy, Combination Female Funding Source Interview Guides Logistic Regression Male Middle Age Nicotine Patch Adverse Effects Odds Ratio Prevalence Psychological Tests Questionnaires Recurrence Prevention and Control Scales Self Report Sex Factors Smoking Drug Therapy Structured Interview Support, Psychosocial Treatment Outcomes Human Adolescent: 13-18 years Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Female Male ab: PRIMARY AIM: Examine the effectiveness of extended cognitive behavior therapy (CBT) in promoting longer-term smoking abstinence. DESIGN: Open-label treatment phase followed by extended treatment phase. Randomization conducted prior to entry into open-label treatment phase; analysis based on intention-to-treat to avoid threat of selection bias. SETTING: Community smoking cessation clinic. PARTICIPANTS: A total of 304 adult smokers (> or = 18 years of age; > or = 10 cigarettes/day). INTERVENTION: Open-label (8 weeks): all participants received bupropion SR, nicotine patch, CBT. Extended treatment (12 weeks): participants received either CBT + voicemail monitoring and telephone counseling or telephone-based general support. MEASUREMENTS: Seven-day point prevalence abstinence, expired-air carbon monoxide. RESULTS: At week 20 follow-up, CBT produced a higher 7-day point prevalence abstinence rate: 45% versus 29%, P = 0.006; at 52 weeks the difference in abstinence rates (31% versus 27%) was not significant. History of depression was a moderator of treatment. Those with a positive history had a better treatment response at 20 weeks when assigned to the less intensive telephone support therapy (P < 0.05). CONCLUSION: The superiority of CBT to 20 weeks suggests that continued emphasis on the development of cognitive and behavioral strategies for maintaining non-smoking during an extended treatment phase may help smokers to maintain abstinence in the longer term. At present, the minimum duration of therapy is unknown. pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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