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Cognitive-behavioral treatment with behavioral activation for smoking cessation: Randomized controlled trial

Author

Listed:
  • Carmela Martínez-Vispo
  • Rubén Rodríguez-Cano
  • Ana López-Durán
  • Carmen Senra
  • Elena Fernández del Río
  • Elisardo Becoña

Abstract

Introduction: Behavioral Activation is a behavioral-based treatment that has been proposed as suitable for smoking cessation, as it simultaneously addresses reinforcement-related variables and also mood management. The aim of this study was to compare the effects of a cognitive-behavioral smoking cessation treatment with components of behavioral activation (SCBSCT-BA) with a standard cognitive-behavioral treatment (SCBSCT), and a wait-list control group (WL). Method: The sample was comprised of 275 adults smokers (61.4% females, mean age = 45.36, SD = 10.96). After baseline assessment sessions, participants were randomized (ratio: 2.2.1.) to SCBSCT-BA, SCBSCT, or WL. Active groups received 8 weekly 1-hour face-to-face group sessions. Biochemically verified smoking abstinence and depressive symptoms were assessed at the end of treatment, and at 3-, 6-, and 12-month follow-ups. Results: Significant treatment effects in 7-dayspoint prevalence abstinence rates were found for both active groups at the end of treatment. Abstinence rates at 12-months follow-up were 30% for SCBSCT-BA, and 18% for SCBSCT. Using Multiple Imputation for missing data, regression analysis showed significantly greater ORs for the SCBSCT-BA condition (vs. SCBSCT) at the end of treatment and at 3-months follow-up. At 6-, and 12-months follow-ups, ORs for the SCBSCT-BA condition, although greater, did not reach statistical significance. Multilevel analysis showed that abstinence was related to reductions in depressive symptoms. Conclusions: SCBSCT-BA obtained positive results at short and medium term. Participants who quit smoking experienced a significant reduction in depressive symptoms. Findings support the benefit of adding BA to a cognitive-behavioral smoking cessation treatment. Trial registration: www.clinicaltrials.gov NCT02844595.

Suggested Citation

  • Carmela Martínez-Vispo & Rubén Rodríguez-Cano & Ana López-Durán & Carmen Senra & Elena Fernández del Río & Elisardo Becoña, 2019. "Cognitive-behavioral treatment with behavioral activation for smoking cessation: Randomized controlled trial," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-20, April.
    • Handle: RePEc:plo:pone00:0214252
    DOI: 10.1371/journal.pone.0214252
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    References listed on IDEAS

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    2. David Ekers & Lisa Webster & Annemieke Van Straten & Pim Cuijpers & David Richards & Simon Gilbody, 2014. "Behavioural Activation for Depression; An Update of Meta-Analysis of Effectiveness and Sub Group Analysis," PLOS ONE, Public Library of Science, vol. 9(6), pages 1-11, June.
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    1. Carmela Martínez-Vispo & Ana López-Durán & Carmen Senra & Elisardo Becoña, 2020. "Specific Relapse Predictors: Could Cognitive-Behavioral Treatment for Smoking Cessation Be Improved?," IJERPH, MDPI, vol. 17(12), pages 1-9, June.
    2. Ana López-Durán & Elisardo Becoña & Carmen Senra & Daniel Suárez-Castro & María Barroso-Hurtado & Carmela Martínez-Vispo, 2022. "A Randomized Clinical Trial to Assess the Efficacy of a Psychological Treatment to Quit Smoking Assisted with an App: Study Protocol," IJERPH, MDPI, vol. 19(15), pages 1-18, August.
    3. Lindsey W. Vilca & Evelyn L. Chambi-Mamani & Emely D. Quispe-Kana & Mónica Hernández-López & Tomás Caycho-Rodríguez, 2022. "Functioning of the EROS-R Scale in a Clinical Sample of Psychiatric Patients: New Psychometric Evidence from the Classical Test Theory and the Item Response Theory," IJERPH, MDPI, vol. 19(16), pages 1-14, August.

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