THE EFFECTS OF SMOKING SCHEDULES ON CESSATION OUTCOME - CAN WE IMPROVE ON COMMON METHODS OF GRADUAL AND ABRUPT NICOTINE WITHDRAWAL
THE EFFECTS OF SMOKING SCHEDULES ON CESSATION OUTCOME - CAN WE IMPROVE ON COMMON METHODS OF GRADUAL AND ABRUPT NICOTINE WITHDRAWAL
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DOI：
10.1037/0022-006x.63.3.388
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发表时间：
1995-06-01
影响因子：
5.9
通讯作者：
VANVUNAKIS, H
中科院分区：
文献类型：
--
作者：
CINCIRIPINI, PM;LAPITSKY, L;VANVUNAKIS, H
这项研究比较了两种传统的戒烟方法的效果，逐渐减少和“突然停止吸烟”，以及一种新的戒烟方法，这种方法涉及香烟间隔的变化。128名参与者在目标日期戒烟，经过3周的时间(a)计划减少吸烟（吸烟间隔时间逐渐增加），(b)非计划减少吸烟（逐渐减少，吸烟间隔时间没有具体变化），(c)计划不减少吸烟（固定吸烟间隔时间，吸烟频率没有减少），或(c)非计划不减少吸烟（吸烟间隔时间和吸烟频率没有变化）。参与者还接受了认知行为预防复发训练。禁欲1年后，四组的平均禁欲率分别为44%、18%、32%和22%。总的来说，计划减量组表现最好，而非计划减量组表现最差。两个计划组的表现都比未计划组好。计划减少吸烟与减少紧张、疲劳、吸烟冲动、戒断症状、增加应对努力（应对行为与冲动的比率）和自我效能有关，表明对不吸烟的适应有所改善，减少了复发的脆弱性。
This study compared the efficacy of 2 traditional methods of smoking cessation, gradual reduction and ''cold turkey,'' with a new approach involving variation in the intercigarette interval. One hundred twenty-eight participants quit smoking on a target date, after a 3-week period of (a) scheduled reduced smoking (progressive increase in the intercigarette interval), (b) nonscheduled reduced smoking (gradual reduction, no specific change in the intercigarette interval), (c) scheduled nonreduced smoking (fixed intercigarette interval, no reductions in frequency), or (c) nonscheduled nonreduced smoking (no change in intercigarette interval or smoking frequency). Participants also received cognitive-behavioral relapse prevention training. Abstinence at 1 year averaged 44%, 18%, 32%, and 22% for the 4 groups, respectively. Overall, the scheduled reduced group performed the best and the nonscheduled reduced group performed the worst. Both scheduled groups performed better than nonscheduled ones. Scheduled reduced smoking was associated with reduced tension, fatigue, urges to smoke, withdrawal symptoms, increased coping effort (ratio of coping behavior to urges), and self-efficacy, suggesting an improved adaptation to nonsmoking and reduced vulnerability to relapse.