Contingency management and cognitive behavioral therapy for trauma-exposed smokers with and without posttraumatic stress disorder.
Contingency management and cognitive behavioral therapy for trauma-exposed smokers with and without posttraumatic stress disorder.
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DOI：
10.1016/j.addbeh.2018.10.042
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发表时间：
2019-03
影响因子：
4.4
通讯作者：
Rasmusson AM
中科院分区：
文献类型：
--
作者：
Japuntich SJ;Lee LO;Pineles SL;Gregor K;Joos CM;Patton SC;Krishnan-Sarin S;Rasmusson AM
与没有精神病理学的人相比，患有或不患有创伤后应激障碍（PTSD）的遭受创伤的人更有可能吸烟，并且戒烟成功率较低。应急管理 (CM) 技术（即戒烟激励）对某些患有精神病理学的人群的戒烟具有明显的功效，但尚未在 PTSD 中得到充分测试。这项试点研究探讨了 CM 联合短期认知行为疗法 (CBT) 在促进患有或不患有 PTSD 的创伤暴露个体戒烟方面的可行性。 50 名遭受创伤的吸烟者（18 名患有创伤后应激障碍）被要求戒烟和尼古丁替代疗法一个月。在戒烟的第一周，每天提供 CBT，并为经生化验证的连续戒烟日支付越来越多的 CM 津贴；由于戒烟失败，CM 津贴被扣留，并在恢复戒烟后重置为初始支付水平。在接下来的三周内，我们提供了 CBT 和固定的研究访问费用。在至少参加过一次戒烟前访视的 50 名符合资格的参与者中（49% 为女性，35% 目前患有 PTSD），43 人 (86%) 参加了第一次戒烟后研究访视，32 人 (64%) 完成了第一周的 CM/CBT 治疗，26 人 (52%) 完成了研究。患有和不患有 PTSD 的参与者的戒烟后 7 天点戒烟率相似：39% 与 38%（1 周）、33% 与 28%（2 周）、22% 与 19%（3 周）以及 22% 与 13%（4 周）。使用 CM + CBT 来支持戒烟对于患有或不患有 PTSD 的创伤暴露吸烟者来说是一种有希望的干预措施。
Trauma-exposed individuals with and without posttraumatic stress disorder (PTSD) are more likely to smoke and less successful in quit attempts than individuals without psychopathology. Contingency management (CM) techniques (i.e., incentives for abstinence) have demonstrable efficacy for smoking cessation in some populations with psychopathology, but have not been well tested in PTSD. This pilot study examined the feasibility of CM plus brief cognitive behavioral therapy (CBT) in promoting smoking cessation among trauma-exposed individuals with and without PTSD. Fifty trauma-exposed smokers (18 with PTSD) were asked to abstain from tobacco and nicotine replacement therapy for one month. During week one of cessation, CBT was provided daily and increasing CM stipends were paid for each continuous day of biochemically-verified abstinence; CM stipends were withheld in response to smoking lapses and reset to the initial payment level upon abstinence resumption. CBT and fixed payments for study visits were provided during the subsequent three weeks. Of the 50 eligible participants who attended at least one pre-quit visit (49% female, 35% current PTSD), 43 (86%) attended the first post-quit study visit, 32 (64%) completed the first week of CM/CBT treatment, and 26 (52%) completed the study. Post-quit seven-day point prevalence abstinence rates for participants with and without PTSD, respectively, were similar: 39% vs. 38% (1 week), 33% vs. 28% (2 weeks), 22% vs. 19% (3 weeks), and 22% vs. 13% (4 weeks). Use of CM + CBT to support tobacco abstinence is a promising intervention for trauma-exposed smokers with and without PTSD.
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影响因子：
2.9
作者：
Alessi, Sheila M.;Petry, Nancy M.;Urso, Julie
通讯作者：
Urso, Julie
DOI：
10.1016/0163-1047(91)90592-e
发表时间：
1991-09-01
期刊：
BEHAVIORAL AND NEURAL BIOLOGY
影响因子：
--
作者：
FAIMAN, CP;DEERAUSQUIN, GA;BARATTI, CM
通讯作者：
BARATTI, CM
影响因子：
120.7
作者：
Lasser, K;Boyd, JW;Bor, DH
通讯作者：
Bor, DH
影响因子：
4.2
作者：
Krishnan-Sarin, Suchitra;Cavallo, Dana A.;Carroll, Kathleen M.
通讯作者：
Carroll, Kathleen M.
影响因子：
3.6
作者：
Kubany, ES;Haynes, SN;Burns, K
通讯作者：
Burns, K