Relapse prevention versus broad spectrum treatment for smoking cessation: a comparison of efficacy.
The efficacy of a smoking cessation relapse prevention (RP) program, emphasizing cognitive-behavioral coping skills, was compared to that of a broad spectrum (BS) program, which emphasized behavioral skills. It was hypothesized that the RP program would be more effective in producing long-term abstinence, compared to the BS package. Abstinence rates validated by saliva thiocyanate and carbon monoxide, as well as self-report of smoking reduction, were measured at posttreatment, 3 and 6 months. No differences in posttreatment quit rates were found between the two groups, although both programs produced significantly higher quit rates than the wait-list control group. Contrary to prediction, the BS group produced marginally significantly greater abstinence at 3 months. No differences in abstinence were found at 6 months. Reduction in cigarette consumption was marginally significantly greater for the BS group at 3 and 6 months. Various mediators of treatment outcome were not found to influence success in quitting. There was a significant weight gain in those who quit.
Emmons
K M
KM
Miriam Hospital/Brown University.
Emont
S L
SL
Collins
R L
RL
Weidner
G
G
D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D002248:Carbon Monoxide / Q000378:metabolism; D002638:Chewing Gum; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009538:Nicotine / Q000008:administration & dosage; D012008:Recurrence; D012463:Saliva / Q000378:metabolism; D012907:Smoking / Q000523:psychology; D016540:Smoking Cessation / Q000379:methods* / Q000523:psychology; D000074606:Smoking Prevention; D013861:Thiocyanates / Q000378:metabolism; D016896:Treatment Outcome; D015430:Weight Gain
D002638:Chewing Gum; D013861:Thiocyanates; D009538:Nicotine; D002248:Carbon Monoxide; C031760:thiocyanate