认知行为治疗对健康吸烟者戒烟的影响:随机对照试验的系统审查和元分析
Rajesh Kumar1, Priyanka Malhotra1, Vishwas As1
1College of Nursing, All India Institute of Medical Sciences, Rishikesh, India.
Osong public health and research perspectives
|June 9, 2025
概括
认知行为疗法 (CBT) 在治疗后立即显著增加了吸烟戒断率的四倍. 虽然效果随着时间的推移而减弱,但CBT在戒烟3个月和6个月后仍然有效.
科学领域:
- 行为科学 行为科学
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 戒烟仍然是一个重大的公共卫生挑战.
- 认知行为疗法 (CBT) 是一种广泛用于各种心理健康状况和行为改变的干预方法.
- 基于CBT的禁烟干预措施的有效性需要严格的评估.
研究的目的:
- 与标准护理相比,批判性地评估基于CBT的干预措施对吸烟戒断的有效性.
- 为了确定治疗后3个月和6个月的戒烟率.
主要方法:
- 2001年至2024年间发表的随机对照试验 (RCT) 的系统综述和元分析.
- 搜索了主要的电子数据库,包括PubMed,Cochrane图书馆,PsycINFO,Embase和临床试验.gov.gov.
- 包括的研究集中在12岁及以上健康个体戒烟的CBT干预措施上.
主要成果:
- 在最终分析中,包括了7项研究,包括17个分支和1438名参与者.
- CBT显著增加了戒烟率,比对照条件有效率高四倍 (OR,4.04).
- 在3个月 (OR, 1.62) 和6个月 (OR, 2.19) 的随访期间,CBT对戒烟产生了显著的影响.
结论:
- CBT有效促进戒烟,最强效应是在治疗后立即观察到的.
- 在3个月和6个月后,CBT在戒烟方面的有效性得到了持续,尽管减少了.
- 建议对更大的样本大小和多样化的群体进行进一步的研究,以巩固CBT的疗效.
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