Body image treatment for weight concerned smokers: a pilot study
Matthew M Clark1, J Taylor Hays, Kristin S Vickers
1Department of Psychiatry and Psychology, Mayo Clinic, 200 First Street, SW, Rochester, MN 55905, USA. clark.matthew@mayo.edu
Addictive Behaviors
|June 1, 2005
Summary
Cognitive behavioral therapy for body image concerns showed a trend toward higher smoking abstinence rates in weight-concerned female smokers compared to weight management therapy. Both groups received bupropion SR and counseling for smoking cessation.
Area of Science:
- Behavioral Psychology
- Addiction Medicine
- Public Health
Background:
- Smoking cessation remains a significant public health challenge, particularly among individuals with weight concerns.
- Weight management interventions may inadvertently impact smoking cessation efforts.
- Cognitive behavioral therapy (CBT) is a recognized approach for behavioral change.
Purpose of the Study:
- To compare the efficacy of CBT for body image concerns versus CBT for weight management in promoting smoking abstinence among female smokers concerned about their weight.
- To evaluate the adjunctive effects of bupropion SR, exercise, and behavioral counseling on smoking cessation in this population.
Main Methods:
- A pilot randomized controlled trial involving 41 female weight-concerned smokers.
- Participants were assigned to either 12 group sessions of CBT for body image or 12 group sessions for weight management.
- All participants received open-label bupropion SR (300 mg daily), exercise instruction, and weekly tobacco cessation counseling.
Main Results:
- At 12 weeks, 35% of the body image CBT group achieved 7-day point prevalence smoking abstinence.
- In comparison, 24% of the weight management CBT group achieved smoking abstinence (p=0.505).
- While not statistically significant, the body image group demonstrated a higher abstinence rate.
Conclusions:
- CBT targeting body image concerns may offer a promising alternative or adjunct for smoking cessation in weight-concerned female smokers.
- Further research with larger sample sizes is warranted to confirm these findings and explore the underlying mechanisms.
- Integrated approaches addressing both weight concerns and smoking cessation are crucial for this demographic.
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