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Cited by 101Smoking Behavior and CessationMindfulness and Compassion InterventionsSubstance Abuse Treatment and Outcomes

The DOI matches its Crossref record; 33 of the 34 references it cites were found in a registry or an index.

Efficacy of mindfulness meditation for smoking cessation: A systematic review and meta-analysis

Maglione, Margaret A., Maher, Alicia Ruelaz, Ewing, Brett, Colaiaco, Benjamin, Newberry, Sydne, Kandrack, Ryan, Shanman, Roberta M., Sorbero, Melony E., Hempel, Susanne·2017·Addictive Behaviors
DOI 10.1016/j.addbeh.2017.01.022
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Abstract

Background Smokers increasingly seek alternative interventions to assist in cessation or reduction efforts. Mindfulness meditation, which facilitates detached observation and paying attention to the present moment with openness, curiosity, and acceptance, has recently been studied as a smoking cessation intervention.Aims This review synthesizes randomized controlled trials (RCTs) of mindfulness meditation (MM) interventions for smoking cessation.Methods Five electronic databases were searched from inception to October 2016 to identify English-language RCTs evaluating the efficacy and safety of MM interventions for smoking cessation, reduction, or a decrease in nicotine cravings. Two independent reviewers screened literature using predetermined eligibility criteria, abstracted study-level information, and assessed the quality of included studies. Meta-analyses used the Hartung-Knapp-Sidik-Jonkman method for random-effects models. The quality of evidence was assessed using the GRADE approach.Findings Ten RCTs of MM interventions for tobacco use met inclusion criteria. Intervention duration, intensity, and comparison conditions varied considerably. Studies used diverse comparators such as the American Lung Association's Freedom from Smoking (FFS) program, quitline counseling, interactive learning, or treatment as usual (TAU). Only one RCT was rated as good quality and reported power calculations indicating sufficient statistical power. Publication bias was detected. Overall, mindfulness meditation did not have significant effects on abstinence or cigarettes per day, relative to comparator groups. The small number of studies and heterogeneity in interventions, comparators, and outcomes precluded detecting systematic differences between adjunctive and monotherapy interventions. No serious adverse events were reported.Conclusions MM did not differ significantly from comparator interventions in their effects on tobacco use. Low-quality evidence, variability in study design among the small number of existing studies, and publication bias suggest that additional, high-quality adequately powered RCTs should be conducted.

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Metadata

Authors
Maglione, M. A., Maher, A. R., Ewing, B., Colaiaco, B., Newberry, S., Kandrack, R., Shanman, R. M., Sorbero, M. E., & Hempel, S.
Affiliations
RAND Corporation (US)
Corresponding author
Maglione, Margaret A.
ORCID
Venue
Addictive Behaviors
Publisher
Elsevier BV
Published
2017-06
Volume
69
Pages
27-34
ISSN
0306-4603 (ISSN-L)
DOI
10.1016/j.addbeh.2017.01.022
OpenAlex
W2579126547
Cited by
101
References
34
Citations by year
2026: 3 · 2025: 7 · 2024: 9 · 2023: 16 · 2022: 11 · 2021: 14 · 2020: 16 · 2019: 10 · 2018: 9 · 2017: 6
FWCI
1.38
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Addictive Behaviors (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords
mindfulness meditation, smoking cessation, nicotine craving, tobacco use reduction, abstinence, adjunctive intervention, usual care, intervention efficacy
MeSH terms
Humans, Smoking, Smoking Cessation, Treatment Outcome, Meditation, Mindfulness

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