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Using extended cognitive behavioral treatment and medication to treat dependent smokers

Author

Listed:
  • Hall, S.M.
  • Humfleet, G.L.
  • Muñoz, R.F.
  • Reus, V.I.
  • Prochaska, J.J.
  • Robbins, J.A.

Abstract

Objectives: We evaluated smoking-cessation efficacy of an extended course of sustained-release bupropion (bupropion SR) and cognitive-behavioral treatment (CBT). Methods: Participants who smoked at least 10 cigarettes per day and who smoked within 30 minutes of arising (n=406) completed a 12-week smokingcessation treatment including group counseling, nicotine-replacement therapy, and bupropion SR. Participants were then randomly assigned to 1 of 5 conditions: (1) no further treatment, (2) active bupropion SR for 40 weeks, (3) placebo for 40 weeks, (4) active bupropion SR and 11 sessions of CBT for 40 weeks (A-CBT), or (5) placebo and 11 sessions of CBT for 40 weeks. Participants were assessed at baseline and at weeks 12, 24, 52, 64, and 104. Results: A-CBT was not superior to the other 3 extended treatments. From weeks 12 through 104, all extended treatment conditions were superior to standard treatment. At weeks 64 and 104, the 2 CBT conditions produced significantly higher abstinence rates than did the other 3 conditions. Conclusions: Brief contact with providers can increase abstinence during treatment. CBT may increase long-term abstinence after extended treatment is terminated.

Suggested Citation

  • Hall, S.M. & Humfleet, G.L. & Muñoz, R.F. & Reus, V.I. & Prochaska, J.J. & Robbins, J.A., 2011. "Using extended cognitive behavioral treatment and medication to treat dependent smokers," American Journal of Public Health, American Public Health Association, vol. 101(12), pages 2349-2356.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2010.300084_9
    DOI: 10.2105/AJPH.2010.300084
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