In-treatment cigarette demand among treatment-seeking smokers with depressive symptoms
| Autor: | Ángel García-Pérez, Alba González-Roz, Roberto Secades-Villa, Guillermo Vallejo-Seco, Sara Weidberg |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment 030508 substance abuse Medicine (miscellaneous) Toxicology Affect (psychology) Social Environment law.invention Nicotine 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Randomized controlled trial law Behavior Therapy Intervention (counseling) Internal medicine medicine Humans Cotinine Smoking Reduction Depressive symptoms Depressive Disorder Motivation Cognitive Behavioral Therapy business.industry Smoking Middle Aged Patient Acceptance of Health Care Combined Modality Therapy Psychiatry and Mental health Clinical Psychology chemistry Spain Smoking cessation Female Smoking Cessation 0305 other medical science business Reinforcement Psychology 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Scopus RUO. Repositorio Institucional de la Universidad de Oviedo instname |
| ISSN: | 1873-6327 |
| Popis: | Despite previous evidence supporting the use of the Cigarette Purchase Task (CPT) as a valid tool for assessing smoking reinforcement, research assessing how environmental changes affect CPT performance is scarce.This study addressed for the first time the differential effect of treatment condition [Cognitive Behavioral Treatment (CBT) + Behavioral Activation (BA) versus CBT + BA + Contingency Management (CM)] on cigarette demand among treatment seeking smokers with depressive symptoms. It also sought to assess whether reductions in smoking consumption arranged over the course of an intervention for smoking cessation impact on in-treatment cigarette demand.Participants were 92 smokers with depressive symptoms from a randomized clinical trial that received eight weeks of either CBT + BA or CBT + BA + CM. Individuals completed the CPT 8 times; the first during the intake visit and the remaining 7 scheduled once a week in midweek sessions. Cotinine samples were collected in each session.Participants receiving CBT + BA + CM showed higher reduction in cigarette demand across sessions than participants receiving CBT + BA, although this comparison was only significant for the intensity index (p = .004). Cotinine was positively related to cigarette demand (all p values .001), although this association became less prominent across sessions. In-treatment cotinine decreases were associated with demand reductions (all p values .001), but this association was not significant for elasticity.Reductions in nicotine intake arranged over the course of an intervention for smoking cessation impact in-treatment cigarette demand. |
| Databáze: | OpenAIRE |
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