Skip to main content
Top
Gepubliceerd in: Mindfulness 6/2017

20-06-2017 | ORIGINAL PAPER

Observational Study on a Mindfulness Training for Smokers within a Smoking Cessation Program

Auteurs: James M. Davis, Simon B. Goldberg, Kelly S. Angel, Rachel H. Silver, Emily A. Kragel, Delaney J. Lagrew

Gepubliceerd in: Mindfulness | Uitgave 6/2017

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Mindfulness is a skill of intentionally directing one’s attention to emotions, thoughts, or physical sensations with an open-minded, non-judgmental attitude. Mindfulness can enable a person to experience challenging feelings or situations without reacting impulsively or automatically. Mindfulness training may be provided to smokers to help them manage smoking triggers, urges, stress, or negative emotions without smoking. Randomized controlled trials have now shown that mindfulness training for smokers (MTS) yields smoking abstinence rates that are equal to or higher than matched behavioral treatments. We describe a comparative observational study on MTS within an ongoing clinical program. The study was conducted with a naturalistic design and utilized no procedures or evaluations beyond those already employed in clinical practice. All participants were advised to use FDA-approved smoking cessation medications and were provided with a choice of two behavioral treatments—MTS (selfpay) or the Wisconsin Tobacco Quit Line (WTQL) (free). Over a 12-month study period, 181 clinic patients enrolled; 65.75% (119) choose MTS and 34.25% (62) choose WTQL. MTS compared to WTQL treatment initiators showed significantly higher biochemically confirmed 7-day point prevalence smoking abstinence at 2 weeks post-quit attempt (MTS = 47.00%, QL = 24.52%, p = .011, OR = 2.71). Intent-to-treat analysis showed similar outcomes (p = .019, OR = 2.45). The study provides evidence that MTS provided within clinical program leads to similar outcomes as found in randomized controlled trials. The strategic use of MTS within a smoking cessation program is discussed.
Literatuur
go back to reference Alberg, A. J., Shopland, D. R., & Cummings, K. M. (2014). The 2014 Surgeon General’s report: commemorating the 50th anniversary of the 1964 report of the Advisory Committee to the US Surgeon General and updating the evidence on the health consequences of cigarette smoking. American Journal of Epidemiology, 179(4), 403–412. doi:10.1093/aje/kwt335.CrossRefPubMedPubMedCentral Alberg, A. J., Shopland, D. R., & Cummings, K. M. (2014). The 2014 Surgeon General’s report: commemorating the 50th anniversary of the 1964 report of the Advisory Committee to the US Surgeon General and updating the evidence on the health consequences of cigarette smoking. American Journal of Epidemiology, 179(4), 403–412. doi:10.​1093/​aje/​kwt335.CrossRefPubMedPubMedCentral
go back to reference An, L. C., Betzner, A., Schillo, B., Luxenberg, M. G., Christenson, M., Wendling, A., et al. (2010). The comparative effectiveness of clinic, work-site, phone, and web-based tobacco treatment programs. Nicotine & Tobacco Research, 12(10), 989–996. doi:10.1093/ntr/ntq133.CrossRef An, L. C., Betzner, A., Schillo, B., Luxenberg, M. G., Christenson, M., Wendling, A., et al. (2010). The comparative effectiveness of clinic, work-site, phone, and web-based tobacco treatment programs. Nicotine & Tobacco Research, 12(10), 989–996. doi:10.​1093/​ntr/​ntq133.CrossRef
go back to reference Annamalai, A., Singh, N., & O’Malley, S. S. (2015). Smoking use and cessation among people with serious mental illness. The Yale Journal of Biology and Medicine, 88(3), 271–277.PubMedPubMedCentral Annamalai, A., Singh, N., & O’Malley, S. S. (2015). Smoking use and cessation among people with serious mental illness. The Yale Journal of Biology and Medicine, 88(3), 271–277.PubMedPubMedCentral
go back to reference Beck, A. T. (1979). Cognitive therapy of depression. New York: Guilford Press. Beck, A. T. (1979). Cognitive therapy of depression. New York: Guilford Press.
go back to reference Brandon, T. H. (2001). Behavioral tobacco cessation treatments: yesterday’s news or tomorrow’s headlines? Journal of Clinical Oncology, 19(18), 64S–68S.PubMed Brandon, T. H. (2001). Behavioral tobacco cessation treatments: yesterday’s news or tomorrow’s headlines? Journal of Clinical Oncology, 19(18), 64S–68S.PubMed
go back to reference Brewer, J. A., Mallik, S., Babuscio, T. A., Nich, C., Johnson, H. E., Deleone, C. M., et al. (2011). Mindfulness training for smoking cessation: results from a randomized controlled trial. Drug Alcohol Dependendence, 119(1–2), 72–80. doi:10.1016/j.drugalcdep.2011.05.027.CrossRef Brewer, J. A., Mallik, S., Babuscio, T. A., Nich, C., Johnson, H. E., Deleone, C. M., et al. (2011). Mindfulness training for smoking cessation: results from a randomized controlled trial. Drug Alcohol Dependendence, 119(1–2), 72–80. doi:10.​1016/​j.​drugalcdep.​2011.​05.​027.CrossRef
go back to reference Brewer, J. A., Elwafi, H. M., & Davis, J. H. (2013). Craving to quit: psychological models and neurobiological mechanisms of mindfulness training as treatment for addictions. Psychology of addictive behaviors: journal of the Society of Psychologists in Addictive Behaviors, 27(2), 366–379. doi:10.1037/a0028490.CrossRef Brewer, J. A., Elwafi, H. M., & Davis, J. H. (2013). Craving to quit: psychological models and neurobiological mechanisms of mindfulness training as treatment for addictions. Psychology of addictive behaviors: journal of the Society of Psychologists in Addictive Behaviors, 27(2), 366–379. doi:10.​1037/​a0028490.CrossRef
go back to reference Brown, R. A., Burgess, E. S., Sales, S. D., Whiteley, J. A., Evans, M. D., & Miller, I. W. (1995). Reliability and validity of a smoking timeline follow-back interview. Psychology of Addictive Behavior, 12(2), 101–112.CrossRef Brown, R. A., Burgess, E. S., Sales, S. D., Whiteley, J. A., Evans, M. D., & Miller, I. W. (1995). Reliability and validity of a smoking timeline follow-back interview. Psychology of Addictive Behavior, 12(2), 101–112.CrossRef
go back to reference Centers for Disease Control and Prevention. (2008). Smoking-attributable mortality, years of potential life lost, and productivity losses—United States, 2000-2004. Morbidity and Mortality Weekly Report, 57(45), 1226. Centers for Disease Control and Prevention. (2008). Smoking-attributable mortality, years of potential life lost, and productivity losses—United States, 2000-2004. Morbidity and Mortality Weekly Report, 57(45), 1226.
go back to reference Centers for Disease Control and Prevention. (2011). Quitting smoking among adults: United States, 2001-2010. Morbidity and Mortality Weekly Report, 60(44), 1513–1519. Centers for Disease Control and Prevention. (2011). Quitting smoking among adults: United States, 2001-2010. Morbidity and Mortality Weekly Report, 60(44), 1513–1519.
go back to reference Centers for Disease Control and Prevention. (2013). Vital signs: current cigarette smoking among adults aged ≥18 years with mental illness—United States, 2009–2011. Morbidity and Mortality Weekly Report, 62(5), 81–87. Centers for Disease Control and Prevention. (2013). Vital signs: current cigarette smoking among adults aged ≥18 years with mental illness—United States, 2009–2011. Morbidity and Mortality Weekly Report, 62(5), 81–87.
go back to reference Chaiton, M., Diemert, L., Cohen, J. E., Bondy, S. J., Selby, P., Philipneri, A., & Schwartz, R. (2016). Estimating the number of quit attempts it takes to quit smoking successfully in a longitudinal cohort of smokers. British Medical Journal, 6(6), e011045. doi:10.1136/bmjopen-2016-011045. Chaiton, M., Diemert, L., Cohen, J. E., Bondy, S. J., Selby, P., Philipneri, A., & Schwartz, R. (2016). Estimating the number of quit attempts it takes to quit smoking successfully in a longitudinal cohort of smokers. British Medical Journal, 6(6), e011045. doi:10.​1136/​bmjopen-2016-011045.
go back to reference Cokkinides, V., Bandi, P., McMahon, C., Jemal, A., Glynn, T., & Ward, E. (2009). Tobacco control in the United States—recent progress and opportunities. CA: a Cancer Journal for Clinicians, 59(6), 352–365. doi:10.3322/caac.20037. Cokkinides, V., Bandi, P., McMahon, C., Jemal, A., Glynn, T., & Ward, E. (2009). Tobacco control in the United States—recent progress and opportunities. CA: a Cancer Journal for Clinicians, 59(6), 352–365. doi:10.​3322/​caac.​20037.
go back to reference Davis, J. M., Goldberg, S. B., Anderson, M. C., Manley, A. R., Smith, S. S., & Baker, T. B. (2014a). Randomized trial on mindfulness training for smokers targeted to a disadvantaged population. Substance Use & Misuse, 49(5), 571–585. doi:10.3109/10826084.2013.770025.CrossRef Davis, J. M., Goldberg, S. B., Anderson, M. C., Manley, A. R., Smith, S. S., & Baker, T. B. (2014a). Randomized trial on mindfulness training for smokers targeted to a disadvantaged population. Substance Use & Misuse, 49(5), 571–585. doi:10.​3109/​10826084.​2013.​770025.CrossRef
go back to reference Dimidjian, S., & Segal, Z. V. (2015). Prospects for a clinical science of mindfulness-based intervention. American Psychologist, 70(7), 593.CrossRefPubMed Dimidjian, S., & Segal, Z. V. (2015). Prospects for a clinical science of mindfulness-based intervention. American Psychologist, 70(7), 593.CrossRefPubMed
go back to reference Fiore, M. C., Jaen, C. R., Baker, T. B., Bailey, W. C., Benowitz, N. L., Curry, S. J., et al. (2008). Treating tobacco use and dependence: an introduction to the US Public Health Service Clinical Practice Guideline. American Journal of Preventative Medicine, 35(2), 158–176.CrossRef Fiore, M. C., Jaen, C. R., Baker, T. B., Bailey, W. C., Benowitz, N. L., Curry, S. J., et al. (2008). Treating tobacco use and dependence: an introduction to the US Public Health Service Clinical Practice Guideline. American Journal of Preventative Medicine, 35(2), 158–176.CrossRef
go back to reference Garland, E. L., Froeliger, B., & Howard, M. O. (2013). Mindfulness training targets neurocognitive mechanisms of addiction at the attention-appraisal-emotion interface. Frontiers in Psychiatry, 4, 173. doi:10.3389/fpsyt.2013.00173. Garland, E. L., Froeliger, B., & Howard, M. O. (2013). Mindfulness training targets neurocognitive mechanisms of addiction at the attention-appraisal-emotion interface. Frontiers in Psychiatry, 4, 173. doi:10.​3389/​fpsyt.​2013.​00173.
go back to reference Gifford, E. V., Kohlenberg, B. S., Hayes, S. C., Pierson, H. M., Piasecki, M. P., Antonuccio, D. O., & Palm, K. M. (2011). Does acceptance and relationship focused behavior therapy contribute to bupropion outcomes? A randomized controlled trial of functional analytic psychotherapy and acceptance and commitment therapy for smoking cessation. Behavior Therapy, 42(4), 700–715.CrossRefPubMed Gifford, E. V., Kohlenberg, B. S., Hayes, S. C., Pierson, H. M., Piasecki, M. P., Antonuccio, D. O., & Palm, K. M. (2011). Does acceptance and relationship focused behavior therapy contribute to bupropion outcomes? A randomized controlled trial of functional analytic psychotherapy and acceptance and commitment therapy for smoking cessation. Behavior Therapy, 42(4), 700–715.CrossRefPubMed
go back to reference Goodwin, R. D., Keyes, K. M., & Hasin, D. S. (2009). Changes in cigarette use and nicotine dependence in the United States: evidence from the 2001–2002 wave of the National Epidemiologic Survey of alcoholism and related conditions. American Journal of Public Health, 99(8), 1471–1477. doi:10.2105/AJPH.2007.127886.CrossRefPubMedPubMedCentral Goodwin, R. D., Keyes, K. M., & Hasin, D. S. (2009). Changes in cigarette use and nicotine dependence in the United States: evidence from the 2001–2002 wave of the National Epidemiologic Survey of alcoholism and related conditions. American Journal of Public Health, 99(8), 1471–1477. doi:10.​2105/​AJPH.​2007.​127886.CrossRefPubMedPubMedCentral
go back to reference Halpern, S. D., French, B., Small, D. S., Saulsgiver, K., Harhay, M. O., Audrain-McGovern, J., et al. (2015). Randomized trial of four financial-incentive programs for smoking cessation. New England Journal of Medicine, 372(22), 2108–2117. doi:10.1056/NEJMoa1414293.CrossRefPubMedPubMedCentral Halpern, S. D., French, B., Small, D. S., Saulsgiver, K., Harhay, M. O., Audrain-McGovern, J., et al. (2015). Randomized trial of four financial-incentive programs for smoking cessation. New England Journal of Medicine, 372(22), 2108–2117. doi:10.​1056/​NEJMoa1414293.CrossRefPubMedPubMedCentral
go back to reference Irvin, J. E., Hendricks, P. S., & Brandon, T. H. (2003). The increasing recalcitrance of smokers in clinical trials II: Pharmacotherapy trials. Nicotine & Tobacco Research, 5(1), 27–35.CrossRef Irvin, J. E., Hendricks, P. S., & Brandon, T. H. (2003). The increasing recalcitrance of smokers in clinical trials II: Pharmacotherapy trials. Nicotine & Tobacco Research, 5(1), 27–35.CrossRef
go back to reference Kabat-Zinn, J., & Hanh, T. N. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Delta Trade Paperbacks. Kabat-Zinn, J., & Hanh, T. N. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Delta Trade Paperbacks.
go back to reference Kobinsky, K. H., Redmond, L. A., Smith, S. S., Yepassis-Zembrou, P. L., & Fiore, M. C. (2010). The Wisconsin Tobacco Quit Line’s fax to quit program: participant satisfaction and effectiveness. Wisconsin Medical Journal, 109(2), 79–84.PubMed Kobinsky, K. H., Redmond, L. A., Smith, S. S., Yepassis-Zembrou, P. L., & Fiore, M. C. (2010). The Wisconsin Tobacco Quit Line’s fax to quit program: participant satisfaction and effectiveness. Wisconsin Medical Journal, 109(2), 79–84.PubMed
go back to reference Koszycki, D., Benger, M., Shlik, J., & Bradwejn, J. (2007). Randomized trial of a meditation-based stress reduction program and cognitive behavior therapy in generalized social anxiety disorder. Behvaior Research and Therapy, 45(10), 2518–2526. doi:10.1016/j.brat.2007.04.011.CrossRef Koszycki, D., Benger, M., Shlik, J., & Bradwejn, J. (2007). Randomized trial of a meditation-based stress reduction program and cognitive behavior therapy in generalized social anxiety disorder. Behvaior Research and Therapy, 45(10), 2518–2526. doi:10.​1016/​j.​brat.​2007.​04.​011.CrossRef
go back to reference Madison, K., Schmidt, H., & Volpp, K. G. (2013). Smoking, obesity, health insurance, and health incentives in the affordable care act. Journal of American Medical Association, 310(2), 143–144. doi:10.1001/jama.2013.7617.CrossRef Madison, K., Schmidt, H., & Volpp, K. G. (2013). Smoking, obesity, health insurance, and health incentives in the affordable care act. Journal of American Medical Association, 310(2), 143–144. doi:10.​1001/​jama.​2013.​7617.CrossRef
go back to reference Moulton, L. H. (2004). Covariate-based constrained randomization of group-randomized trials. Clinical Trials, 1(3), 297–305.CrossRefPubMed Moulton, L. H. (2004). Covariate-based constrained randomization of group-randomized trials. Clinical Trials, 1(3), 297–305.CrossRefPubMed
go back to reference National institute for Health and Care Excellence. (2010). How to stop smoking in pregnancy and following childbirth. 1–58. National institute for Health and Care Excellence. (2010). How to stop smoking in pregnancy and following childbirth. 1–58.
go back to reference Oikonomou, M. T., Arvanitis, M., & Sokolove, R. L. (2016). Mindfulness training for smoking cessation: a meta-analysis of randomized-controlled trials. Journal of Health Psychology, 1–10. doi:10.1177/1359105316637667. Oikonomou, M. T., Arvanitis, M., & Sokolove, R. L. (2016). Mindfulness training for smoking cessation: a meta-analysis of randomized-controlled trials. Journal of Health Psychology, 1–10. doi:10.​1177/​1359105316637667​.
go back to reference R Development Core Team. (2011). R: A language and environment for statistical computing. Vienna: R Foundation for Statistical Computing. R Development Core Team. (2011). R: A language and environment for statistical computing. Vienna: R Foundation for Statistical Computing.
go back to reference Rogojanski, J., Vettese, L. C., & Antony, M. M. (2011). Coping with cigarette cravings: comparison of suppression versus mindfulness-based strategies. Mindfulness, 2(1), 14–26.CrossRef Rogojanski, J., Vettese, L. C., & Antony, M. M. (2011). Coping with cigarette cravings: comparison of suppression versus mindfulness-based strategies. Mindfulness, 2(1), 14–26.CrossRef
go back to reference Segal, Z. V., Williams, M. J., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression (2nd ed.). New York: Guilford Press. Segal, Z. V., Williams, M. J., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression (2nd ed.). New York: Guilford Press.
go back to reference Sibbald, B., & Roland, M. (1998). Understanding controlled trials. Why are randomised controlled trials important? British Medical Journal, 316(7126), 201.CrossRefPubMedPubMedCentral Sibbald, B., & Roland, M. (1998). Understanding controlled trials. Why are randomised controlled trials important? British Medical Journal, 316(7126), 201.CrossRefPubMedPubMedCentral
go back to reference Teasdale, J. D., Segal, Z., & Williams, J. M. (1995). How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help? Behaviour Research and Therapy, 33(1), 25–39.CrossRefPubMed Teasdale, J. D., Segal, Z., & Williams, J. M. (1995). How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help? Behaviour Research and Therapy, 33(1), 25–39.CrossRefPubMed
go back to reference Vidrine, J. I., Spears, C. A., Heppner, W. L., Reitzel, L. R., Marcus, M. T., Cinciripini, P. M., et al. (2016). Efficacy of Mindfulness-Based Addiction Treatment (MBAT) for smoking cessation and lapse recovery: a randomized clinical trial. Journal of Consulting and Clinical Psychology, 84(9), 824–838. doi:10.1037/ccp0000117.CrossRefPubMedPubMedCentral Vidrine, J. I., Spears, C. A., Heppner, W. L., Reitzel, L. R., Marcus, M. T., Cinciripini, P. M., et al. (2016). Efficacy of Mindfulness-Based Addiction Treatment (MBAT) for smoking cessation and lapse recovery: a randomized clinical trial. Journal of Consulting and Clinical Psychology, 84(9), 824–838. doi:10.​1037/​ccp0000117.CrossRefPubMedPubMedCentral
go back to reference Volpp, K. G., Troxel, A. B., Pauly, M. V., Glick, H. A., Puig, A., Asch, D. A., et al. (2009). A randomized, controlled trial of financial incentives for smoking cessation. New England Journal of Medicine, 360(7), 699–709. doi:10.1056/NEJMsa0806819.CrossRefPubMed Volpp, K. G., Troxel, A. B., Pauly, M. V., Glick, H. A., Puig, A., Asch, D. A., et al. (2009). A randomized, controlled trial of financial incentives for smoking cessation. New England Journal of Medicine, 360(7), 699–709. doi:10.​1056/​NEJMsa0806819.CrossRefPubMed
go back to reference Way, B. M., Creswell, J. D., Eisenberger, N. I., & Lieberman, M. D. (2010). Dispositional mindfulness and depressive symptomatology: correlations with limbic and self-referential neural activity during rest. Emotion, 10(1), 12–24.CrossRefPubMedPubMedCentral Way, B. M., Creswell, J. D., Eisenberger, N. I., & Lieberman, M. D. (2010). Dispositional mindfulness and depressive symptomatology: correlations with limbic and self-referential neural activity during rest. Emotion, 10(1), 12–24.CrossRefPubMedPubMedCentral
go back to reference Weisberg, H. I., Hayden, V. C., & Pontes, V. P. (2009). Selection criteria and generalizability within the counterfactual framework: explaining the paradox of antidepressant-induced suicidality? Clinical Trials, 6(2), 109–118. doi:10.1177/1740774509102563.CrossRefPubMed Weisberg, H. I., Hayden, V. C., & Pontes, V. P. (2009). Selection criteria and generalizability within the counterfactual framework: explaining the paradox of antidepressant-induced suicidality? Clinical Trials, 6(2), 109–118. doi:10.​1177/​1740774509102563​.CrossRefPubMed
go back to reference Westbrook, C., Creswell, J. D., Tabibnia, G., Julson, E., Kober, H., & Tindle, H. A. (2013). Mindful attention reduces neural and self-reported cue-induced craving in smokers. Social Cognitive Affective Neuroscience, 8(1), 73–84. doi:10.1093/scan/nsr076.CrossRefPubMed Westbrook, C., Creswell, J. D., Tabibnia, G., Julson, E., Kober, H., & Tindle, H. A. (2013). Mindful attention reduces neural and self-reported cue-induced craving in smokers. Social Cognitive Affective Neuroscience, 8(1), 73–84. doi:10.​1093/​scan/​nsr076.CrossRefPubMed
go back to reference Whitfield, H. J. (2006). Towards case-specific applications of mindfulness-based cognitive-behavioural therapies: a mindfulness-based rational emotive behaviour therapy. Counselling Psychology Quarterly, 19(2), 205–217. doi:10.1080/09515070600919536.CrossRef Whitfield, H. J. (2006). Towards case-specific applications of mindfulness-based cognitive-behavioural therapies: a mindfulness-based rational emotive behaviour therapy. Counselling Psychology Quarterly, 19(2), 205–217. doi:10.​1080/​0951507060091953​6.CrossRef
go back to reference Witkiewitz, K., Bowen, S., Harrop, E. N., Douglas, H., Enkema, M., & Sedgwick, C. (2014). Mindfulness-based treatment to prevent addictive behavior relapse: theoretical models and hypothesized mechanisms of change. Substance Use & Misuse, 49(5), 513–524. doi:10.3109/10826084.2014.891845.CrossRef Witkiewitz, K., Bowen, S., Harrop, E. N., Douglas, H., Enkema, M., & Sedgwick, C. (2014). Mindfulness-based treatment to prevent addictive behavior relapse: theoretical models and hypothesized mechanisms of change. Substance Use & Misuse, 49(5), 513–524. doi:10.​3109/​10826084.​2014.​891845.CrossRef
go back to reference Wolpe, J. (1990). The practice of behavior therapy (3rd ed.). New York: Pergamon. Wolpe, J. (1990). The practice of behavior therapy (3rd ed.). New York: Pergamon.
Metagegevens
Titel
Observational Study on a Mindfulness Training for Smokers within a Smoking Cessation Program
Auteurs
James M. Davis
Simon B. Goldberg
Kelly S. Angel
Rachel H. Silver
Emily A. Kragel
Delaney J. Lagrew
Publicatiedatum
20-06-2017
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 6/2017
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-017-0744-8

Andere artikelen Uitgave 6/2017

Mindfulness 6/2017 Naar de uitgave