title: Cognitive-behavioral therapy to reduce weight concerns improves smoking cessation outcome in weight-concerned women.
abstract: Women smokers concerned about weight gain (N = 219) were randomly assigned to 1 of 3 adjunct treatments accompanying group smoking cessation counseling: (a) behavioral weight control to prevent weight gain (weight control); (b) cognitive-behavioral therapy (CBT) to directly reduce weight concern, in which dieting was discouraged; and (c) standard counseling alone (standard), in which weight gain was not explicitly addressed. Ten sessions were conducted over 7 weeks, and no medication was provided. Continuous abstinence was significantly higher at posttreatment and at 6 and 12 months of follow-up for CBT (56%, 28%, and 21%, respectively), but not for weight control (44%, 18%, and 13%, respectively), relative to standard (31%, 12%, and 9%, respectively). However, weight control, and to a lesser extent CBT, was associated with attenuation of negative mood after quitting. Prequit body mass index, but not change in weight or in weight concerns postquit, predicted cessation outcome at 1 year. In sum, CBT to reduce weight concerns, but not behavioral weight control counseling to prevent weight gain, improves smoking cessation outcome in weight-concerned women.
authors.affiliation: Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pennsylvania 15213, USA. perkinska@msx.upmc.edu
authors.forename: K A
authors.initials: KA
authors.lastname: Perkins
authors.forename: M D
authors.initials: MD
authors.lastname: Marcus
authors.forename: M D
authors.initials: MD
authors.lastname: Levine
authors.forename: D
authors.initials: D
authors.lastname: D'Amico
authors.forename: A
authors.initials: A
authors.lastname: Miller
authors.forename: M
authors.initials: M
authors.lastname: Broge
authors.forename: J
authors.initials: J
authors.lastname: Ashcom
authors.forename: S
authors.initials: S
authors.lastname: Shiffman
mesh_terms: D000293:Adolescent; D000328:Adult; D015928:Cognitive Behavioral Therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D016540:Smoking Cessation; D015430:Weight Gain