The efficacy of a cognitive-behavioral treatment aimed at relapse prevention in smokers

Gregory, Vickie
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Although multicomponent smoking treatments have demonstrated an impressive decline in smoking during the treatment, long-term maintenance of nonsmoking behavior continues to be problematic. Most of the treatments have addressed this problem by enhancing the cessation interventions. In contrast, this study investigated the efficacy of a structured maintenance package, which incorporated the Relapse Prevention model, when compared to a maintenance package using group support and contingency contracting. Two cessation interventions were also employed in the current study (nicotine fading and aversion).;Seventy-nine smokers participated in the present study. Although no significant differences emerged between the maintenance treatments, evidence supported the effectiveness of the structured maintenance package, as those subjects (when compared to the groups support subjects) reported: a higher abstinence rate of 6 months, slower relapse rates, more coping attempts, and less decreases in self-confidence over time. The lack of statistical significance could have been the result of limited statistical power in this study, the stringent comparison group, and differences in therapist styles. In addition, the nicotine fading treatment, when combined with a structured maintenance package, was as effective as the aversion cessation. Nicotine fading has many advantages over the aversion treatment in terms of treating smokers with existing health problems. Finally, self-efficacy scores at the end of the formal treatment and attendance to the classes were the best predictors of success at the 6 month follow-up.

Psychology, Experimental psychology