Distress tolerance treatment for early-lapse smokers - Rationale, program description, and preliminary findings
Distress tolerance treatment for early-lapse smokers - Rationale, program description, and preliminary findings
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DOI：
10.1177/0145445507309024
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发表时间：
2008-05-01
影响因子：
2.3
通讯作者：
Gifford, Elizabeth V.
中科院分区：
文献类型：
--
作者：
Brown, Richard A.;Palm, Kathleen M.;Gifford, Elizabeth V.
有相当大比例的人尝试在几天内戒烟，很少有人能够恢复并实现长期戒烟。这一观察结果表明，许多吸烟者可能有戒烟尝试的历史，其特征仅仅是在戒烟尝试后的早期失态。最近关于早期戒烟的负强化概念表明，个体对戒断反应和无法忍受这些症状的经历，而不是戒断严重程度本身，可能是针对这一吸烟者亚群开发新的行为干预措施的重要治疗目标。本文提出了理论基础，并描述了一种针对早期吸烟者的新型多组分痛苦耐受治疗，该治疗结合了标准戒烟治疗的行为和药理因素，而从基于暴露和基于接受和承诺治疗的治疗方法中提取了痛苦耐受因素。本文介绍了一项初步研究（N = 16）的初步数据，并讨论了临床意义。
A significant percentage of individuals attempting smoking cessation lapse within a matter of days, and very few are able to recover to achieve long-term abstinence. This observation suggests that many smokers may have quit-attempt histories characterized exclusively by early lapses to smoking following quit attempts. Recent negative-reinforcement conceptualizations of early lapse to smoking suggest that individuals' reactions to withdrawal and inability to tolerate the experience of these symptoms, rather than withdrawal severity itself, may represent an important treatment target in the development of new behavioral interventions for this subpopulation of smokers. This article presents the theoretical rationale and describes a novel, multicomponent distress-tolerance treatment for early-lapse smokers that incorporates behavioral and pharmacological elements of standard smoking-cessation treatment, whereas drawing distress-tolerance elements from exposure-based and Acceptance and Commitment Therapy-based treatment approaches. Preliminary data from a pilot study (N = 16) are presented, and clinical implications are discussed.