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Related Experiment Videos

Behavior therapy and the transdermal nicotine patch: effects on cessation outcome, affect, and coping

P M Cinciripini1, L G Cinciripini, A Wallfisch

  • 1Department of Behavioral Science, University of Texas M. D. Anderson Cancer Center, Houston 77030, USA.

Journal of Consulting and Clinical Psychology
|April 1, 1996
PubMed
Summary

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Behavior therapy plus the nicotine patch (BTP) significantly improved smoking cessation rates compared to behavior therapy alone (BT). BTP also reduced participant distress and enhanced self-efficacy for quitting smoking.

Area of Science:

  • Behavioral science
  • Addiction medicine
  • Psychology

Background:

  • Smoking cessation is a major public health goal.
  • Behavioral interventions are key components of smoking cessation programs.
  • Nicotine replacement therapy can augment behavioral interventions.

Purpose of the Study:

  • To compare the efficacy of behavior therapy alone (BT) versus behavior therapy plus the nicotine patch (BTP) for smoking cessation.
  • To assess the impact of these interventions on participant distress and self-efficacy.

Main Methods:

  • A randomized controlled trial involving 64 participants undergoing a structured smoking cessation program.
  • Interventions included cognitive-behavior therapy, stress management, and behavioral rehearsal.
  • Participants were assigned to either BT or BTP, with follow-up at 3, 6, and 12 months.

Related Experiment Videos

Main Results:

  • Higher abstinence rates were observed in the BTP group compared to the BT group at the end of treatment (79% vs. 63%) and 3-month follow-up (p < .01).
  • The difference in abstinence rates diminished at 6-month (p = .06) and 12-month (p = 38% vs. 22%) follow-ups.
  • The BTP group reported less general distress and higher self-efficacy compared to the BT group.

Conclusions:

  • Combining behavior therapy with the nicotine patch is more effective for short-term smoking cessation than behavior therapy alone.
  • The BTP intervention may lead to more effective coping mechanisms and higher self-efficacy in individuals attempting to quit smoking.
  • While short-term benefits are clear, long-term cessation maintenance requires further investigation for both interventions.