Efficacy of mindfulness-based addiction treatment (MBAT) for smoking cessation and lapse recovery: A randomized clinical trial.
Open accessAbstract
OBJECTIVE: To compare the efficacy of Mindfulness-Based Addiction Treatment (MBAT) to a Cognitive Behavioral Treatment (CBT) that matched MBAT on treatment contact time, and a Usual Care (UC) condition that comprised brief individual counseling. METHOD: Participants (N = 412) were 48.2% African American, 41.5% non-Latino White, 5.4% Latino, and 4.9% other, and 57.6% reported a total annual household income < $30,000. The majority of participants were female (54.9%). Mean cigarettes per day was 19.9 (SD = 10.1). Following the baseline visit, participants were randomized to UC (n = 103), CBT (n = 155), or MBAT (n = 154). All participants were given self-help materials and nicotine patch therapy. CBT and MBAT groups received 8 2-hr in-person group counseling sessions. UC participants received 4 brief individual counseling sessions. Biochemically verified smoking abstinence was assessed 4 and 26 weeks after the quit date. RESULTS: Logistic random effects model analyses over time indicated no overall significant treatment effects (completers only: F(2, 236) = 0.29, p = .749; intent-to-treat: F(2, 401) = 0.9, p = .407). Among participants classified as smoking at the last treatment session, analyses examining the recovery of abstinence revealed a significant overall treatment effect, F(2, 103) = 4.41, p = .015 (MBAT vs. CBT: OR = 4.94, 95% CI: 1.47 to 16.59, p = .010, Effect Size = .88; MBAT vs. UC: OR = 4.18, 95% CI: 1.04 to 16.75, p = .043, Effect Size = .79). CONCLUSION: Although there were no overall significant effects of treatment on abstinence, MBAT may be more effective than CBT or UC in promoting recovery from lapses. (PsycINFO Database Record
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Vidrine 2016 observed no statistically significant or clinically meaningful difference between conditions for depression, perceived stress, negative affect, or positive affect at any time point.
“They analysed changes between quit date and six months and observed no statistically significant or clinically meaningful difference between conditions for any outcome.”
From Mindfulness for smoking cessation (2022) · cites this paper as Vidrine 2016
The Results section, “Effects of MBAT in Facilitating Recovery from a Lapse” (page unavailable), reports statistically significant differences between conditions, contrary to the printed sentence’s claim of no difference for any outcome. The paper’s mentions of depression, perceived stress, and affect in “Attrition and Sensitivity Analyses” concern missing-data comparisons, not treatment effects on those outcomes; they do not establish the narrower claim about those four outcomes. (LLM, conf=0.85)
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Experimental — accuracy not yet measuredPooled data from three studies comparing mindfulness training with an intensity-matched alternative smoking cessation treatment showed no evidence of benefit, with RR 0.99 (95% CI 0.67 to 1.46; I2 = 0%; 542 participants; low-certainty evidence).
“Pooled data showed no evidence of a benefit of mindfulness training, with a point estimate very close to the null (RR 0.99, 95% CI 0.67 to 1.46; I2 = 0%; 542 participants; low‐certainty evidence; Analysis 1.1).”
From Mindfulness for smoking cessation (2022) · cites this paper as Vidrine 2016
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Experimental — accuracy not yet measuredThere were no significant overall differences in abstinence rates across MBAT, CBT, and TAU, but MBAT showed benefits over CBT and TAU in promoting recovery from a lapse among participants who were not abstinent at the end of treatment.
“In another study (78) that evaluated the efficacy of MBAT versus CBT and TAU, there were no significant overall differences in abstinence rates across the three treatments. However, MBAT showed benefits over CBT and TAU in promoting recovery from a lapse among participants who were not abstinent at the end of treatment.”
From Mindfulness-Based Interventions for the Treatment of Substance and Behavioral Addictions: A Systematic Review (2018) · cites this paper as [78]
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MethodNegative Affect as Motivation to Smoke
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“…stress, negative affect, and depression strongly predict and are setting events for relapse (Baker, Brandon, & Chassin, 2004; Borrelli, Bock, King, Pinto, & Marcus, 1996; Brandon, 1994; Correa-Fernandez et al., 2012; Glassman et al., 1990; Niaura et al., 1999; Shiffman, 2005; Welsch et al., 1999).”
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BackgroundA pilot study on mindfulness based stress reduction for smokers
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Dynamic Influences on Smoking Relapse Process
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The increasing recalcitrance of smokers in clinical trials
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“Mindfulness-Based Addiction Treatment (MBAT) Given that many smokers have a history of failed quit attempts, high levels of nicotine dependence, and/or other comorbidities (Irvin & Brandon, 2000), there is a critical need for new behavioral treatments.”
BackgroundThe Impact of Depression on Smoking Cessation in Women
Borrelli, B., Bock, B. C., King, T. K., Pinto, B. M., & Marcus, B. H. (1996) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(18)30295-2 · Cited by 125 · see citing works
Chabrol, H., Niezborala, M., Chastan, E., & de León, J. (2005) · Addictive Behaviors · doi:10.1016/j.addbeh.2005.02.001 · Cited by 125 · see citing works
Mood disturbance fails to resolve across 31 days of cigarette abstinence in women.
Gilbert, D. G., McClernon, F. J., Rabinovich, N. E., Plath, L. C., Masson, C. L., Anderson, A. E., & Sly, K. F. (2002) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.70.1.142 · Cited by 105 · cited 1× · see citing works
“These low quit rates are not surprising given that cessation is associated with increased levels of negative affect and stress that can persist for months, as assessed by both self-report and asymmetries in brain activity (Gilbert et al., 2002; Piasecki, Fiore, & Baker, 1998).”
BackgroundHistory and symptoms of depression among smokers during a self-initiated quit attempt
NIAURA, R. S., DiBenedetti, D. B., Borrelli, B., Shadel, W. G., Abrams, D. B., & Goldstein, M. R. (1999) · Nicotine & Tobacco Research · doi:10.1080/14622299050011371 · Cited by 99 · cited 2× · see citing works
“This phenomenon is further complicated by a plethora of evidence indicating that stress, negative affect, and depression strongly predict and are setting events for relapse (Baker, Brandon, & Chassin, 2004; Borrelli, Bock, King, Pinto, & Marcus, 1996; Brandon, 1994; Correa-Fernandez et al., 2012; Glassman et al., 1990…”
BackgroundRandomized trial on mindfulness training for smokers targeted to a disadvantaged population
Davis, J. M., Goldberg, S. B., Anderson, M. C., Manley, A. R., Smith, S. S., & Baker, T. B. (2014) · Substance Use & Misuse · doi:10.3109/10826084.2013.770025 · Cited by 96 · see citing works
The increasing recalcitrance of smokers in clinical trials II: Pharmacotherapy trials
Irvin, J. E., Irvin, J., & Irvin, J. (2003) · Nicotine & Tobacco Research · doi:10.1080/1462220031000070534 · Cited by 95 · see citing works
The relationship between cognition and emotion: the mind-in-place in mood disorders
Teasdale, J. D. (2015) · Oxford University Press eBooks · doi:10.1093/med:psych/9780192627254.003.0004 · Cited by 93 · see citing works
Associations of Mindfulness with Nicotine Dependence, Withdrawal, and Agency
Vidrine, J., Businelle, M., Cinciripini, P., Li, Y.-S., Marcus, M. T., Waters, A. J., Reitzel, L. R., & Wetter, D. (2009) · Substance Abuse · doi:10.1080/08897070903252973 · Cited by 84 · cited 2× · see citing works
“; Vidrine et al., 2009; Waters et al., 2009).”
BackgroundSelf-citationRandomized trial comparing mindfulness training for smokers to a matched control
Davis, J. M., Manley, A. R., Goldberg, S. B., Smith, S. S., & Jorenby, D. E. (2014) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2014.04.005 · Cited by 83 · see citing works
Mindfulness and Emotion Regulation
Heppner, W. L., Spears, C. A., Vidrine, J. I., & Wetter, D. W. (2015) · Handbook of Mindfulness and Self-Regulation · doi:10.1007/978-1-4939-2263-5_9 · Cited by 78 · see citing works
Self-citationSegal, Z. V., Vincent, P., & LEVITT, A. J. (2002) · Journal of Psychiatry and Neuroscience · doi:10.1139/jpn.0246 · Cited by 70 · see citing works
Aucoin, M., Lalonde-Parsi, M.-J., & Cooley, K. (2014) · Evidence-based Complementary and Alternative Medicine · doi:10.1155/2014/140724 · Cited by 67 · see citing works
Schnoll, R. A., Goren, A., Annunziata, K., & Suaya, J. A. (2013) · Addiction · doi:10.1111/add.12285 · Cited by 63 · see citing works
van den Hurk, P. A. M., Janssen, B. H., Giommi, F., Barendregt, H. P., & Gielen, S. C. A. M. (2010) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2010.07.002 · Cited by 61 · see citing works
Pilot randomized trial on mindfulness training for smokers in young adult binge drinkers
Davis, J. M., Mills, D. M., Stankevitz, K. A., Manley, A. R., Majeskie, M. R., & Smith, S. S. (2013) · BMC Complementary and Alternative Medicine · doi:10.1186/1472-6882-13-215 · Cited by 60 · cited 1× · see citing works
“Four of the studies (Bowen & Marlatt, 2009; Brewer et al., 2011; Davis, Manley, et al., 2014; Davis et al., 2013) found that the mindfulness-based intervention evaluated produced significantly higher smoking abstinence rates than the control treatment.”
BackgroundDispositional Mindfulness Predicts Enhanced Smoking Cessation and Smoking Lapse Recovery
Heppner, W. L., Spears, C. A., Correa-Fernández, V., Castro, Y., Li, Y., Guo, B., Reitzel, L. R., Vidrine, J. I., Mazas, C. A., Cofta-Woerpel, L. M., et al. (2016) · Annals of Behavioral Medicine · doi:10.1007/s12160-015-9759-3 · Cited by 43 · see citing works
Self-citationAssociations between Mindfulness and Implicit Cognition and Self-Reported Affect
Waters, A. J., Reitzel, L. R., Cinciripini, P. M., Li, Y., Marcus, M. T., Vidrine, J. I., & Wetter, D. W. (2009) · Substance Abuse · doi:10.1080/08897070903252080 · Cited by 33 · see citing works
Self-citationCorrea-Fernández, V., Ji, L., Castro, Y., Heppner, W. L., Vidrine, J. I., Costello, T. J., Mullen, P. D., Cofta-Woerpel, L., Velasquez, M. M., Greisinger, A., et al. (2012) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0027532 · Cited by 31 · cited 2× · see citing works
“This phenomenon is further complicated by a plethora of evidence indicating that stress, negative affect, and depression strongly predict and are setting events for relapse (Baker, Brandon, & Chassin, 2004; Borrelli, Bock, King, Pinto, & Marcus, 1996; Brandon, 1994; Correa-Fernandez et al., 2012; Glassman et al., 1990…”
BackgroundSelf-citationMindfulness predicts lower affective volatility among African Americans during smoking cessation.
Adams, C. E., Chen, M., Guo, L., Lam, C. Y., Stewart, D. W., Correa-Fernández, V., Cano, M. Á., Heppner, W. L., Vidrine, J. I., Li, Y., et al. (2014) · Psychology of Addictive Behaviors · doi:10.1037/a0036512 · Cited by 30 · cited 2× · see citing works
“A uthor M anuscript A uthor M anuscript A uthor M anuscript A uthor M anuscript mindfulness, negative affect, and alcohol problems (i.e., that mindfulness both reduces negative affect and reduces the strength of the association between negative affect and alcohol problems; Adams et al., 2014).”
BackgroundSelf-citationGuillot, C. R., Zvolensky, M. J., & Leventhal, A. M. (2014) · Addictive Behaviors · doi:10.1016/j.addbeh.2014.08.004 · Cited by 29 · see citing works
Herzog, T. A., Lazev, A. B., Irvin, J. E., Juliano, L. M., Greenbaum, P. E., & Brandon, T. H. (2002) · Behavior Therapy · doi:10.1016/s0005-7894(02)80004-1 · Cited by 21 · cited 2× · see citing works
“, influenced by other members of the group), failure to take group effects into account in statistical analyses may lead to inaccurate inferences, particularly in the form of Type I errors (Herzog et al., 2002; Kapson, McDonald, & Haaga, 2012).”
BackgroundHatchard, T., Lepage, C., Hutton, B., Skidmore, B., & Poulin, P. A. (2014) · Systematic Reviews · doi:10.1186/2046-4053-3-134 · Cited by 17 · see citing works
Marcus, M. T., Liehr, P. R., Schmitz, J. M., Moeller, F. G., Swank, P. R., Fine, M., Cron, S. G., Granmayeh, L. K., & Carroll, D. D. (2007) · Nursing Research · doi:10.1097/01.nnr.0000270024.52242.39 · Cited by 15 · cited 2× · see citing works
“, 2007; Davis, Manley, Goldberg, Smith, & Jorenby, 2014), and treatment dropout (Marcus et al., 2007).”
Self-citationThe effect of unanimous first session attendance on psychoeducational smoking cessation groups.
Kapson, H. S., McDonald, D. O., & Haaga, D. A. F. (2011) · Group Dynamics Theory Research and Practice · doi:10.1037/a0026029 · Cited by 2 · see citing works
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Sorted by citations
Mindfulness-based interventions for psychiatric disorders: A systematic review and meta-analysis
Goldberg, S. B., Tucker, R. P., Greene, P. A., Davidson, R. J., Wampold, B. E., Kearney, D. J., & Simpson, T. L. (2018) · Clinical Psychology Review · doi:10.1016/j.cpr.2017.10.011 · Cited by 1,145 · see citing works
“minimal treatment (very brief or minimal intensity interventions, e.g., five- to 10-min individual counseling sessions for smoking cessation; Vidrine et al., 2016); (3) non-specific active control (active conditions in which no mechanism of change or clear rationale for treatment was provided, e.”
BackgroundMindfulness and Behavior Change
Schuman-Olivier, Z., Trombka, M., Lovas, D. A., Brewer, J. A., Vago, D. R., Gawande, R., Dunne, J. P., Lazar, S. W., Loucks, E. B., & Fulwiler, C. (2020) · Harvard Review of Psychiatry · doi:10.1097/hrp.0000000000000277 · Cited by 435 · see citing works
Guidelines for the understanding and management of pain in chronic pancreatitis
Drewes, A. M., Bouwense, S. A. W., Campbell, C. M., Ceyhan, G. O., Delhaye, M., Demir, I. E., Garg, P. K., van Goor, H., Halloran, C., Isaji, S., et al. (2017) · Pancreatology · doi:10.1016/j.pan.2017.07.006 · Cited by 321 · see citing works
“Mindfulness-based therapy may also help with recovery from smoking relapse [57].”
BackgroundSancho, M., De Gracia, M., Rodríguez, R. C., Mallorquí-Bagué, N., Sánchez-González, J., Trujols, J., Sánchez, I., Jiménez-Murcia, S., & Menchón, J. M. (2018) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2018.00095 · Cited by 224 · see citing works
Additional behavioural support as an adjunct to pharmacotherapy for smoking cessation
Hartmann-Boyce, J., Hong, B., Livingstone-Banks, J., Wheat, H., & Fanshawe, T. R. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009670.pub4 · Cited by 186 · see citing works
Mindfulness-based programs for substance use disorders: a systematic review of manualized treatments
Korecki, J. R., Schwebel, F. J., Votaw, V. R., & Witkiewitz, K. (2020) · Substance Abuse Treatment, Prevention, and Policy · doi:10.1186/s13011-020-00293-3 · Cited by 145 · see citing works
“Vidrine et al., 2016 [25] MBAT: 8, 120- min group sessions.”
BackgroundMethodInfluentialNeurobiological Changes Induced by Mindfulness and Meditation: A Systematic Review
Calderone, A., Latella, D., Impellizzeri, F., Pasquale, P. D., Famà, F., Quartarone, A., & Calabrò, R. S. (2024) · Biomedicines · doi:10.3390/biomedicines12112613 · Cited by 158 · see citing works
“For example, mindfulness-based interventions have been found to help reduce cigarette cravings and consumption in smokers, particularly in women [23,24].”
Efficacy of mindfulness meditation for smoking cessation: a systematic review and meta-analysis
Maglione, M. A., Maher, A. R., Ewing, B., Colaiaco, B., Newberry, S., Kandrack, R., Shanman, R. M., Sorbero, M. E., & Hempel, S. (2017) · Addictive Behaviors · doi:10.1016/j.addbeh.2017.01.022 · Cited by 101 · see citing works
Spears, C. A., Hedeker, D., Li, L., Wu, C., Anderson, N. K., Houchins, S. C., Vinci, C., Hoover, D. S., Vidrine, J. I., Cinciripini, P. M., et al. (2017) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000229 · Cited by 80 · see citing works
“In the largest known trial of mindfulness treatment for smoking cessation, Vidrine et al. (2016) compared mindfulness-based addiction treatment (MBAT) to cognitive-behavioral therapy (CBT) and usual care (UC).”
InfluentialSelf-citationMindfulness and Emotion Regulation
Heppner, W. L., Spears, C. A., Vidrine, J. I., & Wetter, D. W. (2015) · Handbook of Mindfulness and Self-Regulation · doi:10.1007/978-1-4939-2263-5_9 · Cited by 78 · see citing works
Self-citationBaer, R., Gu, J., Cavanagh, K., & Strauss, C. (2019) · Psychological Assessment · doi:10.1037/pas0000744 · Cited by 66 · see citing works
Vinci, C. (2020) · Current Oncology Reports · doi:10.1007/s11912-020-00915-w · Cited by 66 · see citing works
Turel, O., & Osatuyi, B. (2017) · Computers in Human Behavior · doi:10.1016/j.chb.2017.08.022 · Cited by 60 · see citing works
“Consequently, teaching peopl to develop stronger mindfulness is key to many treatment programs of compulsive behaviors (Black, 2014; Brewer et al., 2013; McConnell & Froeliger, 2015; Vidrine et al., 2016).”
BackgroundMindful moments: A review of brief, low‐intensity mindfulness meditation and induced mindful states
Heppner, W. L., & Shirk, S. D. (2018) · Social and Personality Psychology Compass · doi:10.1111/spc3.12424 · Cited by 58 · see citing works
Self-citationMcClure, J. B., Bricker, J. B., Mull, K. E., & Heffner, J. L. (2018) · Nicotine & Tobacco Research · doi:10.1093/ntr/nty268 · Cited by 52 · see citing works
Cadham, C. J., Jayasekera, J. C., Advani, S., Fallon, S., Stephens, J. L., Braithwaite, D., Jeon, J., Cao, P., Levy, D. T., Meza, R., et al. (2019) · Lung Cancer · doi:10.1016/j.lungcan.2019.06.024 · Cited by 49 · see citing works
“…1 3 Okuyemi, 2013 1 1 NA 0 1 1 4 Pesis-Katz, 2011 0 1 NA 0 0 0 1 Ramos, 2010 1 0 NA 1 1 1 4 Sheffer, 2017 1 0 NA 1 0 1 3 Smith, 2014 0 0 NA 0 1 1 2 Vidrine, 2016 1 1 NA 0 1 1 4 Webb, 2010 1 1 NA 0 1 1 4 Wewers, 2017 0 1 1 1 1 1 5 Whiteley, 2012 0 1 NA 1 1 1 4 Williams, 2016 0 0 NA 0 0 0…”
Mindfulness-based interventions for addictive behaviors: implementation issues on the road ahead
Wilson, A. D., Roos, C. R., Robinson, C. S., Stein, E. R., Manuel, J. A., Enkema, M. C., Bowen, S., & Witkiewitz, K. (2017) · Psychology of Addictive Behaviors · doi:10.1037/adb0000319 · Cited by 41 · see citing works
Roche, A. I., Kroska, E. B., & Denburg, N. L. (2019) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2019.06.002 · Cited by 41 · see citing works
Schwebel, F. J., Korecki, J. R., & Witkiewitz, K. A. (2020) · Current Addiction Reports · doi:10.1007/s40429-020-00302-2 · Cited by 39 · see citing works
Spears, C. A., Abroms, L. C., Glass, C. R., Hedeker, D., Eriksen, M. P., Cottrell-Daniels, C., Tran, B. Q., & Wetter, D. W. (2019) · JMIR mHealth and uHealth · doi:10.2196/13059 · Cited by 37 · see citing works
“Each week from treatment session 2 to session 8, participants completed a weekly mindfulness practice log [12] to indicate the number of days that they practiced each of 5 core mindfulness techniques taught in treatment (sitting meditation, body scan, walking meditation, yoga/mindful stretching, and mindful awareness…”
InfluentialSelf-citationMindfulness for smoking cessation
Jackson, S., Brown, J., Norris, E., Livingstone-Banks, J., Hayes, E., & Lindson, N. (2022) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013696.pub2 · Cited by 45 · see citing works
Minami, H., Brinkman, H. R., Nahvi, S., Arnsten, J. H., Mindt, M. R., Wetter, D. W., Bloom, E. L., Price, L. H., Vieira, C., Donnelly, R., et al. (2017) · Contemporary Clinical Trials · doi:10.1016/j.cct.2017.12.014 · Cited by 33 · see citing works
Self-citationMindfulness-based interventions for addictions among diverse and underserved populations
Spears, C. A. (2018) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2018.12.012 · Cited by 34 · see citing works
“For example, MBIs have shown benefits for smoking cessation in low-SES [8,27] and racially/ ethnically diverse adults [6,7].”
BackgroundMethodSelf-citationTobacco Cessation in Oncology Care
Kaiser, E. G., Prochaska, J. J., & Kendra, M. S. (2018) · Oncology · doi:10.1159/000489266 · Cited by 34 · see citing works
Vinci, C., Li, L., Wu, C., Lam, C. Y., Guo, L., Correa-Fernández, V., Spears, C. A., Hoover, D. S., Etcheverry, P. E., & Wetter, D. W. (2017) · Health Psychology · doi:10.1037/hea0000535 · Cited by 33 · see citing works
Self-citationMindfulness-based interventions for psychiatric disorders: A systematic review and meta-analysisPreprint
Goldberg, S. B., Tucker, R. P., Greene, P. A., Davidson, R. J., Wampold, B. E., Kearney, D. J., Kearney, D., & Simpson, T. L. (2019) · doi:10.31231/osf.io/etghn · Cited by 38 · see citing works
Cambron, C., Hopkins, P. D., Burningham, C., Lam, C. Y., Cinciripini, P. M., & Wetter, D. W. (2020) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2020.107840 · Cited by 30 · see citing works
“Inconsistent findings from recent mindfulness-based RCTs among low SES smokers (Vidrine et al., 2016) suggest that further etiological research is needed.”
ResultSelf-citationDrinking motives mediate the relationship between facets of mindfulness and problematic alcohol use
Vinci, C., Spears, C. A., Peltier, M. R., & Copeland, A. L. (2016) · Mindfulness · doi:10.1007/s12671-016-0515-y · Cited by 28 · see citing works
Self-citationThe effects of mindfulness-based yogic breathing on craving, affect, and smoking behavior.
Lotfalian, S., Spears, C. A., & Juliano, L. M. (2019) · Psychology of Addictive Behaviors · doi:10.1037/adb0000536 · Cited by 27 · see citing works
“, 2014), as well as higher rates of lapse recovery (Vidrine et al., 2016).”
BackgroundInfluentialSelf-citationRoos, C. R., Hedy Kober, A., Trull, T. J., MacLean, R. R., & Mun, C. J. (2020) · Current Addiction Reports · doi:10.1007/s40429-020-00329-5 · Cited by 28 · see citing works
Hopkins, P. D., Spears, C. A., Hoover, D. S., Li, L., Cambron, C., Potter, L. N., Cinciripini, P. M., Lam, C. Y., & Wetter, D. W. (2021) · Psychology of Addictive Behaviors · doi:10.1037/adb0000734 · Cited by 25 · see citing works
Self-citationSpears, C. A., Bell, S. A., Scarlett, C. A., Anderson, N. K., Cottrell‐Daniels, C., Lotfalian, S., Bandlamudi, M., Grant, A., Sigurdardottir, A., Carter, B. P., et al. (2018) · JMIR mhealth and uhealth · doi:10.2196/11246 · Cited by 25 · see citing works
“For example, rates of between-session mindfulness practice were relatively low in a recent trial of Mindfulness-Based Addiction Treatment for adult smokers [17].”
Self-citationFélix-Junior, I. J., Donate, A. P. G., Noto, A. R., Galduróz, J. C. F., Simionato, N. M., & Opaleye, E. S. (2022) · Addictive Behaviors Reports · doi:10.1016/j.abrep.2022.100467 · Cited by 23 · see citing works
Everyday discrimination indirectly influences smoking cessation through post-quit self-efficacy
Alexander, A. C., Hébert, E. T., Businelle, M. S., & Kendzor, D. E. (2019) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2019.01.033 · Cited by 19 · see citing works
Hanley, A. W., & Garland, E. L. (2021) · Journal of Evidence-Based Social Work · doi:10.1080/26408066.2020.1833803 · Cited by 16 · see citing works
Meditation for the primary and secondary prevention of cardiovascular disease
Rees, K., Takeda, A., Court, R. A., Kudrna, L., Hartley, L., & Ernst, E. (2024) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013358.pub2 · Cited by 18 · see citing works
Okoli, C. T. C., El-Mallakh, P. L., & Seng, S. (2018) · Issues in Mental Health Nursing · doi:10.1080/01612840.2018.1490833 · Cited by 16 · see citing works
“Future studies may examine effective means of relapse prevention for PWS engaging in TT; particularly mindfulness-based counseling strategies may be explored (Ruscio, Muench, Brede, & Waters, 2016; Vidrine et al., 2016).”
Garey, L., Reitzel, L. R., Neisler, J., Kendzor, D. E., Zvolensky, M. J., Neighbors, C., Hernandez, D. C., & Businelle, M. S. (2018) · Behavioral Medicine · doi:10.1080/08964289.2018.1447905 · Cited by 16 · see citing works
Self-citationImmediate Effects of the Mindful Body Scan Practice on Risk-Taking Behavior
Upton, S. R., & Renshaw, T. L. (2018) · Mindfulness · doi:10.1007/s12671-018-0948-6 · Cited by 12 · see citing works
A Randomized Controlled Trial Evaluating the Effect of Tai Chi on the Drug Craving in Women
Wang, M., Chen, Y., Xu, Y., Zhang, X., Sun, T., Li, H., Yuan, C., Li, J., Ding, Z., Ma, Z., et al. (2022) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-022-00917-8 · Cited by 16 · see citing works
“In clinical trials, Vidrine et al. (2016) reported that mindfulness-based addiction treatment might prevent patients from deteriorating from early lapses and subsequently progressing to a full relapse.”
Weng, X., Luk, T. T., Lau, O. S., Suen, Y. N., Lee, J. J., Li, W. H. C., Kwok, J. Y. Y., Lam, T. H., & Wang, M. P. (2020) · Addictive Behaviors · doi:10.1016/j.addbeh.2020.106677 · Cited by 15 · see citing works
Karelitz, J. L., McClure, E. A., Wolford‐Clevenger, C., Pacek, L. R., & Cropsey, K. L. (2021) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2021.108570 · Cited by 15 · see citing works
Mindfulness-based treatment for smoking cessation: a randomized controlled trial
Araújo, M. S., da Silva, L. M., Pereira, G. M. A., Pinto, N. F., Costa, F. M., Moreira, L., Nunes, D. P., Canan, M. G. M., & de Oliveira, M. H. S. (2021) · Jornal Brasileiro de Pneumologia · doi:10.36416/1806-3756/e20210254 · Cited by 13 · see citing works
“(11) The efficacy of MBT for smoking cessation has been shown to be similar to or, regarding long-term abstinence maintenance, even greater than that of CBT.(11-13) In addition, MBT has been shown to be associated with mood improvement, reduction in the urge to smoke, and reduction in abstinence symptoms.”
InfluentialVinci, C., Sutton, S. K., Yang, M.-J., Baban, S. S., Sauls, R., Witkiewitz, K. A., Brandon, K. O., Unrod, M., Brandon, T. H., & Wetter, D. W. (2023) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2023.109768 · Cited by 11 · see citing works
Self-citationGibbons, I., Bernards, J. C., Bean, R. A., Young, B. C., & Wolfgramm, M. R. (2020) · American Journal of Family Therapy · doi:10.1080/01926187.2020.1848481 · Cited by 11 · see citing works
Community-Based Yoga for Women Undergoing Substance Use Disorder Treatment
Galantino, M. L., Turetzkin, S., Lawlor, S., Jones, L., & Brooks, J. C. (2021) · International Journal of Yoga · doi:10.4103/ijoy.ijoy_103_20 · Cited by 10 · see citing works
“Mindfulness‐based addiction treatment, featuring yoga, shows specific benefit in preventing lapses from converting to full‐blown relapse.[39] It is theorized to be a feasible addition to MAT to more fully address underlying pain.”
MethodSmoking Cessation for Those Pursuing Recovery from Substance Use Disorders
Derefinko, K. J., García, F. I. S., & Sumrok, D. D. (2018) · Medical Clinics of North America · doi:10.1016/j.mcna.2018.02.014 · Cited by 10 · see citing works
Hemenway, M., Witkiewitz, K. A., Unrod, M., Brandon, K. O., Brandon, T. H., Wetter, D. W., Sutton, S. K., & Vinci, C. (2020) · Contemporary Clinical Trials · doi:10.1016/j.cct.2020.106218 · Cited by 10 · see citing works
“Therefore, MBRP-SA includes a quit smoking date at session 5, which is also supported by the existing literature on mindfulness-based treatments for smoking cessation[26].”
BackgroundSelf-citationSmyth, A. P. J., & Milyavskaya, M. (2021) · European Journal of Social Psychology · doi:10.1002/ejsp.2770 · Cited by 9 · see citing works
Minding the Gap: Leveraging Mindfulness to Inform Cue Exposure Treatment for Substance Use Disorders
Vinci, C., Sawyer, L. E., & Yang, M.-J. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.649409 · Cited by 9 · see citing works
“Although the mindfulness literature has not yet determined the ideal timing/spacing of meditations to produce the greatest effect, within MBIs for addiction, more engagement with the mindfulness practices during treatment is associated with better outcomes, and these studies often take place over an 8-week time span,…”
BackgroundInfluentialMhende, J., Bell, S. A., Cottrell‐Daniels, C., Luong, J., Streiff, M., Dannenfelser, M., Hayat, M. J., & Spears, C. A. (2021) · JMIR Formative Research · doi:10.2196/25926 · Cited by 9 · see citing works
Self-citationFacets of Mindfulness Mediate the Relationship Between Depressive Symptoms and Smoking Behavior
Vinci, C., Spears, C. A., Peltier, M. R., & Copeland, A. L. (2016) · Mindfulness · doi:10.1007/s12671-016-0582-0 · Cited by 9 · see citing works
Self-citationHorváth, M., Grutman, A. J., O’Malley, S. S., Gueorguieva, R. V., Khan, N., Brewer, J. A., & Garrison, K. A. (2021) · JMIR Research Protocols · doi:10.2196/32521 · Cited by 9 · see citing works
“Previous studies indicate that mindfulness training may reduce cigarette craving and withdrawal [22,23], aid in smoking cessation [24,25], and support recovery from lapses following a quit attempt [26].”
InfluentialVinci, C., Sutton, S. K., Yang, M.-J., Jones, S. R., Kumar, S., & Wetter, D. W. (2025) · JMIR mhealth and uhealth · doi:10.2196/55379 · Cited by 8 · see citing works
Self-citationNeurobiological Considerations for Tobacco Use Disorder
Chawla, M., & Garrison, K. A. (2018) · Current Behavioral Neuroscience Reports · doi:10.1007/s40473-018-0168-3 · Cited by 8 · see citing works
ystematic review on the clinical management of chronic pain and comorbid opioid use disorder
Jiménez-Fernández, B., Calomarde-Gómez, C., López-Lazcano, A., Lligoña, A., Gual, A., & López‐Pelayo, H. (2022) · Adicciones · doi:10.20882/adicciones.1680 · Cited by 8 · see citing works
“Research also supports the use of mindfulness-based interventions (MBIs) such as Mindfulness-Based Relapse Prevention (MBPR) (Bowen, Chawla & Marlatt, 2011), Mindfulness-Oriented Recovery Enhancement (MORE) (Garland et al., 2014), and Mindfulness-Based Addiction Treatment (MBAT) (Vidrine et al., 2016) for treating add…”
BackgroundZvolensky, M. J., Paulus, D. J., Bakshaie, J., Viana, A. G., Reitzel, L. R., Garza, M. J., Cardoso, J. B., Ochoa‐Perez, M., Smith, L. J., Lemaire, C. M., et al. (2017) · Mindfulness · doi:10.1007/s12671-017-0747-5 · Cited by 8 · see citing works
Self-citationBilinçli Farkındalık (Mindfulness) ve Perinatal Ruh Sağlığı: Bir Sistematik Derleme
Dağlar, Ö. Ş., & Şahin, N. H. (2021) · Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi · doi:10.48071/sbuhemsirelik.951950 · Cited by 7 · see citing works
A Brief History of Group Therapy as a Field and the Representation of Women in Its Development
Paquin, J. D., Abegunde, C., Hahn, A., & Fassinger, R. E. (2020) · International Journal of Group Psychotherapy · doi:10.1080/00207284.2020.1798176 · Cited by 7 · see citing works
Smoking Cessation Using Wearable Sensors: Protocol for a Microrandomized Trial
Hernandez, L. M., Wetter, D. W., Kumar, S., Sutton, S. K., & Vinci, C. (2021) · JMIR Research Protocols · doi:10.2196/22877 · Cited by 7 · see citing works
“Mindfulness-based interventions have been effective in reducing smoking [15-18] and have results comparable with those of other empirically supported treatments (ie, cognitive behavioral therapy) [18].”
ResultSelf-citationAshare, R. L., Wileyto, E. P., Logue-Chamberlain, E., Gross, R., Tyndale, R. F., Lerman, C. E., Hawk, L. W., Cinciripini, P. M., George, T. P., Lubitz, S. F., et al. (2020) · Psychology of Addictive Behaviors · doi:10.1037/adb0000619 · Cited by 7 · see citing works
Self-citationMuench, C., Malloy, E. J., & Juliano, L. M. (2020) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000605 · Cited by 7 · see citing works
“The development of lapse-responsive treatments is still in its infancy (Ferguson, Gitchell, & Shiffman, 2012; Juliano, Houtsmuller, et al., 2006; Vidrine et al., 2016).”
BackgroundCottrell‐Daniels, C., Jones, D. M., Bell, S. A., Bandlamudi, M., & Spears, C. A. (2021) · American Journal of Qualitative Research · doi:10.29333/ajqr/11427 · Cited by 6 · see citing works
“Mindfulness-based interventions show promise for promoting smoking cessation as well as recovery from early lapses to smoking (e.g., Brewer et al., 2011; Oikonomou et al., 2017; Vidrine et al., 2016; Vinci, 2020).”
BackgroundInfluentialSelf-citationObservational Study on a Mindfulness Training for Smokers within a Smoking Cessation Program
Davis, J. M., Goldberg, S. B., Angel, K. S., Silver, R. H., Kragel, E. A., & Lagrew, D. J. (2017) · Mindfulness · doi:10.1007/s12671-017-0744-8 · Cited by 6 · see citing works
“Since then, Mindfulness Training for Smokers (MTS) and similar interventions have been evaluated in a number of randomized controlled trials (RCTs) (Brewer et al. 2011; Davis et al. 2013, 2014a, b; Vidrine et al. 2016).”
Vinci, C., Cambron, C., Lam, C. Y., & Wetter, D. W. (2021) · Health Psychology · doi:10.1037/hea0001093 · Cited by 7 · see citing works
Self-citationSpears, C. A., Mhende, J., Hawkins, C., Vuong, V., Hayat, M. J., Eriksen, M. P., Hedeker, D., Abroms, L. C., & Wetter, D. W. (2022) · JMIR Research Protocols · doi:10.2196/35688 · Cited by 5 · see citing works
“Participants also complete a Mindfulness Practice Log [11] to indicate how frequently they practice each mindfulness technique taught in treatment.”
BackgroundMethodInfluentialSelf-citationBehavior and Substance Addictions in Children
Belisle, J., & Dixon, M. R. (2020) · Pediatric Clinics of North America · doi:10.1016/j.pcl.2020.02.013 · Cited by 5 · see citing works
Neurocircuitry of Mindfulness-Based Interventions for Substance Use Prevention and Recovery
Kirlić, N., Cohen, Z. P., & Stewart, J. L. (2021) · Current Addiction Reports · doi:10.1007/s40429-021-00396-2 · Cited by 5 · see citing works
Ancient Indian Education and Mindfulness
Anālayo, B. (2019) · Mindfulness · doi:10.1007/s12671-019-01145-3 · Cited by 5 · see citing works
Alexander, A. C., Nollen, N. L., Ahluwalia, J. S., Hébert, E. T., Businelle, M. S., & Kendzor, D. E. (2019) · Social Science & Medicine · doi:10.1016/j.socscimed.2019.112562 · Cited by 5 · see citing works
Abdelaal, H. M., & El‐Ashry, A. M. (2024) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2024.10.008 · Cited by 4 · see citing works
Mindfulness-Based Approaches in Addiction Treatment
McClintock, A. S., & Marcus, M. T. (2020) · Springer eBooks · doi:10.1007/978-3-030-36391-8_27 · Cited by 4 · see citing works
Self-citationZylva, R. D., Mortimer, E. K., Miller, E. R., Tsourtos, G., Lawn, S., Wilson, C. J., Karnon, J. D., Woodman, R. J., & Ward, P. (2023) · Addiction Science & Clinical Practice · doi:10.1186/s13722-022-00355-w · Cited by 3 · see citing works
“[37, 38] Research also indicates that mindfulness-based addiction therapy might help smokers “bounce back” from lapses and regain abstinence at a higher rate compared to CBT and usual care [39].”
ResultSchmidt, M. B. R., Grekin, E. R., & Lumley, M. A. (2023) · Substance Use & Misuse · doi:10.1080/10826084.2023.2215311 · Cited by 3 · see citing works
de Souza, I. C. W., Kozasa, E. H., Rabello, L., Mattozo, B., Bowen, S. W., Richter, K. P., Sartes, L. M. A., & Noto, A. R. (2019) · Tobacco Induced Diseases · doi:10.18332/tid/105846 · Cited by 3 · see citing works
Evidenzbasierte Psychotherapie bei Abhängigkeitserkrankungen
Block, I., & Loeber, S. (2018) · Der Nervenarzt · doi:10.1007/s00115-018-0483-7 · Cited by 2 · see citing works
The Role of Mindfulness in Treating Addictive Disorders and Rehabilitation
Kathirasan, K. (2018) · International Journal of Psychology & Behavior Analysis · doi:10.15344/2455-3867/2018/155 · Cited by 2 · see citing works
“Generally, MBIs were found to be superior to treatment as usual [51,57].”
BackgroundResultMindfulness-Based Interventions in the Treatment of Physical Conditions
Goyal, M., & Rusch, H. L. (2020) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780198808640.013.34 · Cited by 2 · see citing works
Sanford, B. T. (2018) · Springer eBooks · doi:10.1007/978-3-319-70539-2_37 · Cited by 2 · see citing works
Sanchez, T. F., Santamaria, E. K., Brewer, J. A., Rubenstein, D., & Operario, D. (2022) · Mindfulness · doi:10.1007/s12671-022-01986-5 · Cited by 2 · see citing works
Scarlett, C. A., Strosnider, C. L., Elahi, H., Dannenfelser, M., Owen‐Smith, A. A., & Spears, C. A. (2023) · Mindfulness · doi:10.1007/s12671-023-02151-2 · Cited by 2 · see citing works
“After completing baseline assessments, participants received 8 weeks of MBAT, delivered in weekly 2-hr sessions (Vidrine et al., 2016; Wetter et al., 2007).”
MethodSelf-citationJones, D. R., Potter, L. N., Lam, C. Y., Schlechter, C. R., Nahum-Shani, I., Fagundes, C., & Wetter, D. W. (2024) · Annals of Behavioral Medicine · doi:10.1093/abm/kaae020 · Cited by 2 · see citing works
“These positive affect states should, in turn, improve tobacco cessation among those who identify as African American, decreasing abstinence violation effects [86].”
BackgroundResultSelf-citationImmediate Effects of the Mindful Body Scan Practice on Risk-Taking Behavior
Upton, S. R. (2017) · doi:10.31390/gradschool_theses.4558 · Cited by 2 · see citing works
Mindfulness, Emotion Regulation, and Links to Behavioral Health
Heppner, W. L., & Spears, C. A. (2025) · Springer eBooks · doi:10.1007/978-3-031-91451-5_11 · Cited by 1 · see citing works
Self-citationSmoking Cessation in the Context of Integrated Care
Sanford, B. T. (2018) · Springer eBooks · doi:10.1007/978-3-319-93003-9_12 · Cited by 1 · see citing works
Hitsman, B. L., Baker, A., & King, A. C. (2017) · CHEST Journal · doi:10.1016/j.chest.2017.03.031 · Cited by 1 · see citing works
“12,13 Third, APPs may be more likely than physicians to be able to link behaviors that cluster together to enhance readiness to quit smoking.”
BackgroundComponents of Psychological Flexibility and Inflexibility That Predict Risk-Taking Behaviors
Upton, S. R. (2020) · doi:10.31390/gradschool_dissertations.5306 · Cited by 1 · see citing works
Investigating the Effects of Mindfulness Meditation on Motivation
Smyth, A. P. J. (2020) · doi:10.22215/etd/2020-14267 · Cited by 1 · see citing works
Mindfulness Training and Smoking Cessation
Jeung, O., Lee, E. S., & Paek, Y. (2019) · Journal of the Korean Society for Research on Nicotine and Tobacco · doi:10.25055/jksrnt.2019.10.1.13
“군의 26주째 금연성공율에서 차이가 없었지만 CBT나 usual care에 비해 MT가 재발 후 다시 금연하는 효과가 있었 다.(16) Brewer 등에 비해 Vidrine 등의 금연성공율의 차이”
Third Wave Therapies and Substance Use Disorders: A Case Example
Stotts, A. L., Villarreal, Y. R., Spellman, M., & Northrup, T. F. (2022) · Springer eBooks · doi:10.1007/978-3-031-11677-3_25
Non-Pharmacologic Approaches to Tobacco Cessation
Patel, S., Reed, B. W., & Doran, N. (2023) · Respiratory medicine · doi:10.1007/978-3-031-24914-3_5
Harris, J. C., & Juliano, L. M. (2023) · Integrative Medicine Reports · doi:10.1089/imr.2023.0005
Atención plena compasiva para dejar de fumar en México: un ensayo clínico aleatorizado
Tello, A. L., Padilla, J. R. P., Gómez, L. A. G., Pérez, M. A. H., Echánove, M. J. O., Gómez, R. M., Sosa, J. J. S., Ruiz‐Velasco, S., & Moreno-Coutiño, A. B. (2023) · Revista Internacional de Investigación en Adicciones · doi:10.28931/riiad.2023.1.04
Efetividade de intervenções baseadas em Mindfulness sobre o abuso de substâncias
Thiago, J. V. M., Santos, E. R., Vida, H. C. O., & da Silva, E. E. A. (2023) · Research Society and Development · doi:10.33448/rsd-v12i6.42205
Nicotine Use Among Pregnant and Reproductive-Age Women: Treatment and New Frontiers
Hand, D. J. (2020) · Topics in Obstetrics & Gynecology · doi:10.1097/01.pgo.0000721268.11856.a7
Youdin, R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780197575024.003.0008
Evaluasi Efektivitas Mindfulness Therapy terhadap Smoking Cessation: Studi Meta-Analysis
Eka, G., & Yudiarso, A. (2024) · Jurnal Ilmu Perilaku · doi:10.25077/jip.7.2.164-181.2023
Barcellos, C. M., Aguiar, R. N., da Silva, J. V. M. B., da Silva, L. C., Souza, D., & do Nascimento, L. C. G. (2024) · Cuadernos de Educación y Desarrollo · doi:10.55905/cuadv16n2-071
Black, D. S., Ioannidis, J. P. A., Wee, C. P., & Kirkpatrick, M. G. (2024) · Addictive Behaviors · doi:10.1016/j.addbeh.2024.108177
Effectiveness of Self-Help Smoking Cessation Programs in the 21st Century: A Systematic Review
Fillette, L., & Varescon, I. (2025) · Journal of Addictions Nursing · doi:10.1097/jan.0000000000000629
- Authors
- Vidrine, J. I., Spears, C. A., Heppner, W. L., Reitzel, L. R., Marcus, M. T., Cinciripini, P. M., Waters, A. J., Li, Y., Nguyen, N. T. T., Cao, Y., Tindle, H. A., Fine, M., Safranek, L. V., & Wetter, D. W.
- Affiliations
- OU Health Stephenson Cancer Center (US)
- Catholic University of America (US)
- Georgia College & State University (US)
- University of Houston (US)
- The University of Texas Health Science Center at Houston (US)
- The University of Texas MD Anderson Cancer Center (US)
- Uniformed Services University of the Health Sciences (US)
- Michael E. DeBakey VA Medical Center (US)
- Vanderbilt University (US)
- Rice University (US)
- ORCID
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2016-09
- Volume
- 84
- Issue
- 9
- Pages
- 824-838
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- PMC
- PMC5061584
- OpenAlex
- W2405972414
- Cited by
- 109
- References
- 86
- Citations by year
- 2026: 6 · 2025: 4 · 2024: 9 · 2023: 9 · 2022: 7 · 2021: 13 · 2020: 19 · 2019: 12 · 2018: 15 · 2017: 12 · 2016: 2 · 2015: 1
- FWCI
- 10.99
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion, other-oa)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse
- Centers for Disease Control and Prevention
- National Cancer Institute
- National Center for Complementary and Integrative Health
- National Institute of General Medical Sciences
- Oklahoma Tobacco Settlement Endowment Trust
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- smoking cessation, cognitive behavioral therapy, nicotine dependence, smoking abstinence, group counseling, treatment efficacy
- MeSH terms
- Adult, Combined Modality Therapy, Counseling, Female, Humans, Male, Middle Aged, Smoking, Smoking Cessation, Treatment Outcome, Tobacco Use Cessation Devices, Mindfulness
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