Cognitive Distortions as Barriers to Seeking Smoking Cessation Treatment: A Comparative Study
Selim Arpacıoğlu1, Erkal Erzincan2, Mine Ergelen3
1Psychiatry Department, Faculty of Medicine, Altınbaş University, Istanbul 34147, Turkey.
Many smokers avoid evidence-based cessation treatment due to cognitive distortions. Identifying these barriers, like "all-or-nothing thinking" and "labeling," is key to improving smoking cessation interventions.
Area of Science:
- Psychology
- Public Health
- Addiction Medicine
Background:
- Despite effective treatments, many smokers do not seek help for tobacco use disorder.
- Cognitive distortions may act as barriers to accessing evidence-based smoking cessation interventions.
Purpose of the Study:
- To explore cognitive distortions linked to not seeking smoking cessation treatment.
- To identify cognitive barriers preventing individuals from accessing evidence-based care for tobacco use disorder.
Main Methods:
- Cross-sectional study in Istanbul (Oct-Dec 2017) with 156 treatment-seeking and 78 non-treatment-seeking patients with tobacco use disorder.
- Data collection included sociodemographics, cognitive distortions scale, a smoking-related cognitive distortions interview, and the Fagerström Test for Nicotine Dependence.
Main Results:
- Higher nicotine dependence correlated with increased likelihood of seeking treatment.
- Treatment-seeking group showed more "all-or-nothing thinking" related to smoking cessation.
- Non-treatment-seeking group exhibited higher levels of "labeling," "mental filtering," "should statements," and "minimizing the positive" regarding treatment.
Conclusions:
- Understanding cognitive distortions is vital for targeted interventions and public health campaigns to encourage smoking cessation treatment.
- Addressing specific cognitive distortions can improve smoking cessation program effectiveness and reduce tobacco-related mortality.
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