Does Acceptance and Relationship Focused Behavior Therapy Contribute to Bupropion Outcomes? A Randomized Controlled Trial of Functional Analytic Psychotherapy and Acceptance and Commitment Therapy for Smoking Cessation
Does Acceptance and Relationship Focused Behavior Therapy Contribute to Bupropion Outcomes? A Randomized Controlled Trial of Functional Analytic Psychotherapy and Acceptance and Commitment Therapy for Smoking Cessation
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DOI：
10.1016/j.beth.2011.03.002
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发表时间：
2011-12-01
期刊：
影响因子：
3.7
通讯作者：
Palm, Kathleen M.
中科院分区：
文献类型：
--
作者：
Gifford, Elizabeth V.;Kohlenberg, Barbara S.;Palm, Kathleen M.
本研究评估了一种将安非他酮与基于接受和关系情境（ARC）模型的新型接受和关系重点行为干预相结合的治疗方法。来自社区样本的 303 名吸烟者被随机分配接受安非他酮（一种广泛使用的戒烟药物）或安非他酮加功能分析心理治疗 (FAP) 和接受与承诺治疗 (ACT)。在治疗前、治疗后、6个月和1年的随访中对吸烟结果进行客观测量，并自我报告接受度和关系过程的测量。在 1 年随访中，联合治疗明显优于单独使用安非他酮，联合治疗的 7 天点戒烟率为 31.6%，而单独用药的戒烟率为 17.5%。治疗后的接受度和治疗关系在统计上介导了 12 个月的结果。通过接受和以关系为中心的行为治疗可以增强安非他酮的治疗效果。
This study evaluated a treatment combining bupropion with a novel acceptance and relationship focused behavioral intervention based on the acceptance and relationship context (ARC) model. Three hundred and three smokers from a community sample were randomly assigned to bupropion, a widely used smoking cessation medication, or bupropion plus functional analytic psychotherapy (FAP) and acceptance and commitment therapy (ACT). Objective measures of smoking outcomes and self-report measures of acceptance and relationship processes were taken at pretreatment, posttreatment, 6-month, and 1-year follow-up. The combined treatment was significantly better than bupropion alone at 1-year follow-up with 7-day point prevalence quit rates of 31.6% in the combined condition versus 17.5% in the medication-alone condition. Acceptance and the therapeutic relationship at posttreatment statistically mediated 12-month outcomes. Bupropion outcomes were enhanced with an acceptance and relationship focused behavioral treatment.