认知行为疗法对戒烟的有效性:系统性审查和元分析
Jinyoung Chang1, Jimin Kim1, Eon Sook Lee2
1Division of Healthcare Research, National Evidence-based Healthcare Collaborating Agency, Seoul, Republic of Korea.
Journal of behavioral medicine
|October 5, 2025
概括
认知行为疗法 (CBT) 显著提高了长期戒烟率. 这种疗法单独或与药物一起有效,特别是对于患有现有健康状况的患者.
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:
- 戒烟干预措施对公共健康至关重要.
- 认知行为疗法 (CBT) 是一种被广泛认可的方法.
- 在戒烟方面,CBT的长期有效性数据需要综合.
研究的目的:
- 系统地审查和元分析CBT在戒烟方面的长期有效性.
- 评估干预后六个月或更长时间的戒断率.
- 为了比较CBT干预与最小护理.
主要方法:
- 16项随机对照试验 (RCT) 的系统综述和元分析.
- 包括标准:比较CBT与最小护理的研究,英语/韩语出版物,成年人.
- 排除标准:接受和承诺疗法 (ACT),基于正念的疗法.
主要成果:
- 认知行为疗法 (CBT) 显著改善了长期戒烟率.
- 单独的CBT和与药物治疗相结合的CBT都显示出与最小护理相比的有效性.
- 在患有COPD和心血管疾病等吸烟相关疾病的患者中,CBT显示出增强的疗效.
结论:
- 认知行为疗法 (CBT) 是一种临床上有用的干预措施,用于持续戒烟.
- 将CBT与药物治疗结合起来,可以提高药物治疗的有效性.
- 建议将CBT定制为高风险人群,特别是那些患有吸烟相关并发病的人群.
相关概念视频
Cognitive Therapy
895
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
895
CNS Depressants: Alcohol and Nicotine
1.0K
Ethanol, a clear colorless alcohol, has been consumed by humans for millennia, but its effects on the body are far from benign. At lower doses, it induces decreased inhibitions and loquaciousness, leading to its social appeal. However, it can cause severe consequences at higher doses, such as coma and respiratory depression, due to its zero-order elimination kinetics. Chronic ethanol abuse wreaks havoc on multiple organ systems, particularly the CNS and the liver. Abrupt cessation of ethanol...
1.0K
Rational Emotive Behavior Therapy
353
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
353
Stress Prevention and Stress Management Techniques IV
228
Stress often leads to unhealthy habits like smoking, excessive drinking, and overeating, which offer short-term relief but ultimately increase long-term health risks. These behaviors create a cycle that temporarily lowers stress levels but can result in severe long-term health consequences. Breaking these habits is essential to reduce the risk of chronic diseases and improve overall well-being. Three primary changes that support better health include quitting smoking, reducing alcohol intake,...
228
Behavior Therapy
633
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
633
Statistical Methods for Analyzing Epidemiological Data
896
Epidemiological data primarily involves information on specific populations' occurrence, distribution, and determinants of health and diseases. This data is crucial for understanding disease patterns and impacts, aiding public health decision-making and disease prevention strategies. The analysis of epidemiological data employs various statistical methods to interpret health-related data effectively. Here are some commonly used methods:
896


