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What Happens When You Smoke a Cigarette Mindfully? A Deductive Qualitative Study.

Min-Jeong Yang1, Dana Ketcher2, Katie Witkiewitz3,4

  • 1Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA.

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Summary

Mindful smoking exercises increase awareness of automatic smoking behaviors, revealing unpleasant aspects that may help change one's relationship with smoking. This study explored smokers' experiences with mindful smoking in a cessation trial.

Keywords:
cigarette smokingmindful smokingmindfulnessqualitative analysissmoking cessation

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Area of Science:

  • Behavioral Psychology
  • Clinical Psychology
  • Addiction Research

Background:

  • Mindfulness- and Acceptance and Commitment Therapy (ACT)-based interventions often include mindful smoking exercises.
  • The empirical utility of mindful smoking exercises in smoking cessation has not been thoroughly examined.
  • Mindful smoking aims to modify the automatic smoking process by increasing attention to experiences.

Purpose of the Study:

  • To qualitatively examine smokers' lived experiences with mindful smoking.
  • To explore the utility of mindful smoking within a telehealth group-based smoking cessation and alcohol modification trial.

Main Methods:

  • Qualitative analysis of transcribed session recordings and follow-up interviews from a smoking cessation trial.
  • Thematic content analysis was used to identify key themes from participant experiences.

Main Results:

  • Participants reported heightened awareness of automatic smoking behaviors.
  • Noticing unpleasant aspects of smoking was a prominent theme, potentially facilitating behavior change.
  • Key themes included attention/awareness, decentering, and cognitive-affective-behavioral responses to mindful smoking.

Conclusions:

  • Intentionally paying attention during smoking can heighten awareness of automatic behaviors.
  • Mindful smoking may facilitate a change in an individual's relationship with smoking by highlighting negative aspects.
  • Findings support the theoretical value of mindful smoking in addiction treatment.