Mindfulness training for smoking cessation: a meta-analysis of randomized-controlled trials
Abstract
Recent studies have shown that mindfulness training has a promising potential for smoking treatment. In order to examine the efficacy of mindfulness training in smoking cessation, we performed a systematic review of the literature and meta-analysis of randomized controlled trials. Four randomized controlled trials with 474 patients were included in our analysis. The results showed that 25.2 percent of participants remained abstinent for more than 4 months in the mindfulness group compared to 13.6 percent of those who received usual care therapy (relative risk, 1.88; 95 percent confidence interval, 1.04-3.40). Our results suggest that mindfulness training may have an important role to play in efforts to lower cigarette smoking rates.
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Brewer 2011 accounts for the difference between the conclusions of Oikonomou 2017's review and this review, because Brewer 2011 indicated a strong benefit of mindfulness training with high imprecision (RR 4.97, 95% CI 1.52 to 16.22; 88 participants).
“Brewer 2011 accounts for the difference between the conclusions of Oikonomou 2017's review and our review. Brewer 2011's results indicated a strong benefit of mindfulness training, albeit with high levels of imprecision (RR 4.97, 95% CI 1.52 to 16.22; 88 participants).”
From Mindfulness for smoking cessation (2022) · cites this paper as Oikonomou 2017
Similar to Oikonomou 2017, Goldberg 2018 differs from this review's results because it included Brewer 2011, which showed a strong benefit of mindfulness on abstinence rates.
“Similar to Oikonomou 2017, this differs from our results because it included Brewer 2011, which showed a strong benefit of mindfulness on abstinence rates.”
From Mindfulness for smoking cessation (2022) · cites this paper as Oikonomou 2017
Oikonomou 2017 pooled data from three of four included studies and showed significantly greater smoking abstinence rates in smokers who received mindfulness treatment compared to control at 17- to 24-week follow-up (RR 1.88, 95% CI 1.04 to 3.40; I2 = 44%; 419 participants).
“Pooled data from three of their four included studies showed significantly greater smoking abstinence rates in smokers who received mindfulness treatment compared to control at 17‐ to 24‐week follow‐up (RR 1.88, 95% CI 1.04 to 3.40; I2 = 44%; 419 participants).”
From Mindfulness for smoking cessation (2022) · cites this paper as Oikonomou 2017
Some, but not all, studies and meta-analyses have found that meditation can decrease various forms of psychological and psychosocial distress such as perceived stress, anxiety, and negative affect; increase smoking cessation rates; and modestly lower systolic and diastolic blood pressures.
“Some, but not all, studies and meta-analyses have found that meditation can decrease various forms of psychological and psychosocial distress such as perceived stress, anxiety, and negative affect; increase smoking cessation rates; and modestly lower systolic and diastolic blood pressures. 81,213-218”
From Psychological Health, Well-Being, and the Mind-Heart-Body Connection: A Scientific Statement From the American Heart Association (2021) · cites this paper as [215]
Mindfulness practice reduces emotion distress, craving and withdrawal symptoms for nicotine-deprived smokers, in combination with lower relapse in smoking cessation.
“Mindfulness practice reduces the emotion distress, craving and withdrawal symptoms for nicotine-deprived smokers,45 in combination with lower relapse in smoking cessation.46”
From Biological mechanism study of meditation and its application in mental disorders (2020) · cites this paper as [46]
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- Authors
- Oikonomou, M. T., Arvanitis, M., & Sokolove, R. L.
- Affiliations
- University of Surrey (GB)
- Boston Medical Center (US)
- Boston University (US)
- Corresponding author
- Sokolove, Robert L
- ORCID
- Arvanitis, Marios
- Venue
- Journal of Health Psychology
- Publisher
- SAGE Publications
- Published
- 2016-04-04
- Volume
- 22
- Issue
- 14
- Pages
- 1841-1850
- ISSN
- 1359-1053 (ISSN-L)
- 1461-7277
- OpenAlex
- W2341026505
- Cited by
- 123
- References
- 33
- Citations by year
- 2026: 8 · 2025: 11 · 2024: 9 · 2023: 18 · 2022: 16 · 2021: 15 · 2020: 18 · 2019: 12 · 2018: 6 · 2017: 9 · 2016: 1
- FWCI
- 1.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- 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
- mindfulness training, smoking cessation, nicotine dependence, smoking abstinence, tobacco dependence treatment
- MeSH terms
- Tobacco Smoking, Humans, Time Factors, Randomized Controlled Trials as Topic, Smoking Cessation, Mindfulness
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