Acceptance and Commitment Therapy for Smoking Cessation: A Preliminary Study of Its Effectiveness in Comparison With Cognitive Behavioral Therapy
Acceptance and Commitment Therapy for Smoking Cessation: A Preliminary Study of Its Effectiveness in Comparison With Cognitive Behavioral Therapy
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DOI：
10.1037/a0017632
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发表时间：
2009-12-01
影响因子：
3.4
通讯作者：
Montesinos, Francisco
中科院分区：
文献类型：
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作者：
Hernandez-Lopez, Monica;Carmen Luciano, M.;Montesinos, Francisco
这项对照的初步试验确定了一种有前途的吸烟行为干预的可行性和初步效果：接受和承诺疗法（ACT）。在准实验设计中，ACT干预条件使用隐喻和经验练习，重点是个人价值观，以激励戒烟和增强体验吸烟内部线索的意愿（例如，欲望）和禁欲相关的内部困扰。比较条件是认知行为疗法（CBT）-戒烟行为干预的现行标准。每种治疗以小组形式每周7次，每次90分钟，对81名成年吸烟者进行治疗（ACT组43名; CBT组38名）。结果表明，ACT治疗与CBT治疗一样可行。他们还证明了ACT有效性的有希望的证据：在12个月随访时，30.2%的意向治疗生化支持的30天点患病率，而CBT条件下为13.2%（比值比= 5.13; p = 0.02）。现在需要在一个有效的、随机的、对照的试验中进行复制。
This controlled preliminary trial determined the feasibility and initial effectiveness of a promising behavioral intervention for smoking: Acceptance and Commitment Therapy (ACT). In a quasi-experimental design, the ACT intervention condition used metaphors and experiential exercises focused on personal values to motivate quitting smoking and enhancing the willingness to experience internal cues to smoke (e.g., urges) and abstinence-related internal distress. The comparison condition was cognitive behavioral therapy (CBT)-the current standard in behavioral intervention for smoking cessation. Each treatment was delivered in seven weekly 90-min sessions in a group format to 81 (43 in ACT; 38 in CBT) adult smokers. Results show that the ACT treatment was as feasible as the CBT treatment. They also demonstrate promising evidence of ACT's effectiveness: 30.2% intent-to-treat biochemically-supported 30-day point prevalence at twelve month follow-up, compared with 13.2% in the CBT condition (odds ratio = 5.13; p = .02). Replication in a well-powered, randomized, controlled trial is now needed.