Cognitive-behavioral treatment with behavioral activation for smoking cessation: randomized controlled trial
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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.
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A plausible reason for the absence of differences between groups is that the cognitive-behavioral treatment 'Programa para Dejar de Fumar' is an intervention that has demonstrated high levels of abstinence rates in previous studies.
“A plausible reason that could explain the absence of differences between both groups is that the cognitive-behavioral treatment “Programa para Dejar de Fumar” (Becoña, 2007) is an intervention that has demonstrated high levels of abstinence rates in previous studies (Martínez-Vispo et al., 2019; Rodríguez-Cano et al., 2016).”
From Evaluation of effectiveness and acceptability of a psychological treatment for smoking cessation combined with a smartphone App: A pilot study (2024) · cites this paper as Martínez-Vispo et al., 2019
The Methods (Conditions; page unavailable) identify the standard treatment as “Programa para Dejar de Fumar.” The Results (Primary smoking outcomes; page unavailable) report 45.9% abstinence at treatment end and 18.3% at 12 months for that treatment. The Discussion calls the 30% 12-month rate in the behavioral-activation group high, but does not establish that the standard program had high abstinence rates across previous studies. (LLM, conf=0.82)
Experimental — accuracy not yet measuredThe cognitive-behavioral treatment 'Programa para Dejar de Fumar' has demonstrated high levels of abstinence rates in previous studies.
“the cognitive-behavioral treatment “Programa para Dejar de Fumar” (Becoña, 2007) is an intervention that has demonstrated high levels of abstinence rates in previous studies (Martínez-Vispo et al., 2019; Rodríguez-Cano et al., 2016).”
From Evaluation of effectiveness and acceptability of a psychological treatment for smoking cessation combined with a smartphone App: A pilot study (2024) · cites this paper as Martínez-Vispo et al., 2019
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- Authors
- Martínez-Vispo, C., Rodríguez-Cano, R., López-Durán, A., Senra, C., Fernández del Río, E., & Becoña, E.
- Affiliations
- Universidade de Santiago de Compostela (ES)
- Corresponding author
- Martínez-Vispo, Carmela
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2019-04-08
- Volume
- 14
- Issue
- 4
- Pages
- e0214252
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC6453447
- OpenAlex
- W2935740047
- Cited by
- 56
- References
- 73
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 9 · 2023: 11 · 2022: 9 · 2021: 7 · 2020: 6 · 2019: 2
- FWCI
- 4.12
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- Hispana (submittedVersion, cc-by)
- Repositorio institucional da Universidade de Santiago de Compostela (University of Santiago de Compostela) (submittedVersion, cc-by)
- Zaguan (Universidad de Zaragoza) (submittedVersion, cc-by)
- Funders
- Ministerio de Economía y Competitividad (PSI2015-66755-R)
- European Regional Development Fund (PSI2015-66755-R)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- smoking cessation, behavioral activation, cognitive behavioral therapy, group therapy, smoking abstinence, depressive symptoms, mood management, reinforcement, long-term follow-up
- MeSH terms
- Adult, Behavior, Depression, Female, Follow-Up Studies, Humans, Male, Middle Aged, Patient Compliance, Regression Analysis, Cognitive Behavioral Therapy, Smoking Cessation, Patient Satisfaction
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