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Predictors of smoking abstinence following a single-session restructuring intervention with self-hypnosis
D Spiegel1, E J Frischholz, J L Fleiss
1Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, CA 94305.
The American Journal of Psychiatry
|July 1, 1993
Summary
Hypnotizability and prior quit attempts predict smoking cessation success. Self-hypnosis interventions show modest but superior results compared to unaided quitting, aiding in predicting patient response.
Area of Science:
- Behavioral Science
- Clinical Psychology
- Addiction Medicine
Background:
- Smoking cessation remains a significant public health challenge.
- Identifying predictors of success in smoking cessation programs is crucial for optimizing treatment strategies.
Purpose of the Study:
- To investigate the relationship between smoking, medical history, social support, and hypnotizability on the success of a smoking cessation program.
- To determine factors influencing both the initiation and long-term maintenance of smoking abstinence.
Main Methods:
- A cohort of 226 smokers underwent a single-session habit restructuring intervention incorporating self-hypnosis.
- Outcomes were assessed based on total smoking abstinence, with follow-up extending to 2 years post-intervention.
Main Results:
- 52% achieved initial abstinence, with 23% maintaining it for 2 years.
- Hypnotizability and previous successful quit attempts (≥1 month) predicted initial abstinence.
- Hypnotizability and cohabitation with a partner predicted 2-year abstinence maintenance.
Conclusions:
- The self-hypnosis intervention yielded modest but superior results compared to spontaneous quitting.
- Predictive factors like hypnotizability can identify individuals likely to respond to brief cessation interventions.