NICOTINE FADING, SELF-MONITORING AND CIGARETTE FADING TO PRODUCE CIGARETTE ABSTINENCE OR CONTROLLED SMOKING
NICOTINE FADING, SELF-MONITORING AND CIGARETTE FADING TO PRODUCE CIGARETTE ABSTINENCE OR CONTROLLED SMOKING
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DOI：
10.1016/0005-7967(83)90122-5
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发表时间：
1983-01-01
影响因子：
4.1
通讯作者：
AXELROTH, E
中科院分区：
文献类型：
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作者：
FOXX, RM;AXELROTH, E
吸烟治疗方案的开发和评估。在多基线设计中，将12例受试者随机分配至2组中的1组。受试者首先接受尼古丁褪色和自我监测程序，为期3周，每周更换香烟品牌，逐渐减少尼古丁和焦油的含量，并绘制每日摄入的两种物质。那些无法戒烟的受试者，然后给予一个戒烟褪色程序，其中他们系统地减少吸烟的数量为3周。该研究有以下两个目标：实现合理的戒烟比例;通过让非戒烟者吸食焦油和尼古丁含量极低的香烟，将他们的吸烟量减少到更安全的水平。12个月。随访结果显示，33%的受试者戒烟，所有非戒烟者吸烟的焦油和尼古丁含量低于其基线品牌。一半的非戒烟者的吸烟率相对于基线有所下降，而另一半则有所上升。受试者每日尼古丁摄入量减少13.3 mg（较基线减少81.6%），焦油摄入量减少218.2 mg（较基线减少85.5%）。该研究的目标已经实现，非厌恶性联合手术不仅可用于治疗习惯性吸烟者，还可用于治疗那些无法通过使用香烟烟雾作为厌恶性刺激的戒烟手术治疗的心血管和呼吸系统问题患者。提出并讨论了一种用于治疗吸烟的最小限制模型。
A smoking-treatment program was developed and evaluated. Twelve subjects were randomly assigned to 1 of 2 groups within a multiple baseline design. Subjects were first given a nicotine-fading and self-monitoring procedure for 3 wk in which they changed their cigarette brands each week to ones containing progressively less nicotine and tar and plotted their daily intake of the 2 substances. Those subjects unable to quit smoking were then given a cigarette-fading procedure in which they systematically reduced the number of cigarettes smoked for 3 wk. The study had the following 2 goals: to achieve a reasonable percentage of abstinence; and to reduce nonabstainers'' smoking to a safer level by having them smoke very low tar and nicotine cigarettes. The 12-mo. follow-up results revealed that 33% of the subjects were abstinent and all nonabstainers were smoking cigarettes lower in tar and nicotine than their baseline brands. Half the nonabstainers had decreased their smoking rate relative to baseline while the other half had increased. The subjects decreased their daily nicotine intake by 13.3 mg (81.6% reduction from baseline) and tar intake by 218.2 mg (85.5% reduction from baseline). The study''s goals were achieved, and the nonaversive combined procedure could be used to treat not only habitual smokers but also those with cardiovascular and respiratory problems who cannot be treated by smoking-cessation procedures that use cigarette smoke as the aversive stimulus. A least-restrictive model for treating smoking is proposed and discussed.