Yoga as a Complementary Treatment for Smoking Cessation in Women

Yoga as a Complementary Treatment for Smoking Cessation in Women
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DOI:
10.1089/jwh.2011.2963
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发表时间:
2012-02-01
影响因子:
3.5
通讯作者:
Marcus, Bess H.
Marcus, Bess H.
中科院分区:
医学3区
文献类型:
--
作者:
Bock, Beth C.;Fava, Joseph L.;Marcus, Bess H.

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背景:吸烟仍然是导致美国妇女死亡的主要可预防原因。有氧运动已显示出有助于戒烟的希望,因为它可以改善影响并减少尼古丁戒断症状。戒烟领域以外的研究表明,瑜伽练习也可以减少感知压力和负面影响。方法:这项试点研究探讨了瑜伽作为戒烟的补充疗法的可行性和初步疗效。55名女性接受了为期8周的基于小组的认知行为疗法戒烟,并随机接受每周两次的串联瑜伽或一般健康和保健计划(接触控制)。主要结果测量是通过唾液可替宁测试验证的治疗结束时的7天点患病率禁欲。还进行了纵向分析,以检查在3个月和6个月随访时干预对戒烟的影响。我们检查了干预对潜在中介变量(e)的影响。例如,在一个实施例中,结果:在治疗结束时,瑜伽组妇女的戒烟率高于对照组(OR = 4.56,95%CI = 1.1 - 18.6)。通过六个月的评估,瑜伽参与者的禁欲率仍然较高(OR,1.54; 95%CI,0.34 - 6.92),尽管差异不再具有统计学意义。参加瑜伽项目的妇女也表现出减少焦虑和改善感知健康和福祉时,与controls.Conclusions:瑜伽可能是一种有效的辅助治疗戒烟的妇女。
Background: Tobacco smoking remains the leading preventable cause of death among American women. Aerobic exercise has shown promise as an aid to smoking cessation because it improves affect and reduces nicotine withdrawal symptoms. Studies outside the realm of smoking cessation have shown that yoga practice also reduces perceived stress and negative affect.Methods: This pilot study examines the feasibility and initial efficacy of yoga as a complementary therapy for smoking cessation. Fifty-five women were given 8-week group-based cognitive behavioral therapy for smoking cessation and were randomized to a twice-weekly program of Vinyasa yoga or a general health and wellness program (contact control). The primary outcome measure was 7-day point prevalence abstinence at the end of treatment validated by saliva cotinine testing. Longitudinal analyses were also conducted to examine the effect of intervention on smoking cessation at 3- and 6-month follow-up. We examined the effects of the intervention on potential mediating variables (e. g., confidence in quitting smoking, self-efficacy), as well as measures of depressive symptoms, anxiety, and perceived health (SF-36).Results: At end of treatment, women in the yoga group had a greater 7-day point-prevalence abstinence rate than controls (odds ratio [OR], 4.56; 95% CI, 1.1-18.6). Abstinence remained higher among yoga participants through the six month assessment (OR, 1.54; 95% CI, 0.34-6.92), although differences were no longer statistically significant. Women participating in the yoga program also showed reduced anxiety and improvements in perceived health and well-being when compared with controls.Conclusions: Yoga may be an efficacious complementary therapy for smoking cessation among women.