RT Journal Article
T1 Cognitive-behavioral treatment with behavioral activation for smoking cessation: Randomized controlled trial
A1 Martínez Vispo, Carmela
A1 Rodríguez Cano, Rubén Agustín
A1 López Durán, Ana
A1 Senra Rivera, María del Carmen
A1 Fernández del Río, Elena
A1 Becoña Iglesias, Elisardo
AB IntroductionBehavioral Activation is a behavioral-based treatment that has been proposed as suitable for smoking cessation, as it simultaneously addresses reinforcement-related variables and also mood management. The aim of this study was to compare the effects of a cognitive-behavioral smoking cessation treatment with components of behavioral activation (SCBSCT-BA) with a standard cognitive-behavioral treatment (SCBSCT), and a wait-list control group (WL).MethodThe sample was comprised of 275 adults smokers (61.4% females, mean age = 45.36, SD = 10.96). After baseline assessment sessions, participants were randomized (ratio: 2.2.1.) to SCBSCT-BA, SCBSCT, or WL. Active groups received 8 weekly 1-hour face-to-face group sessions. Biochemically verified smoking abstinence and depressive symptoms were assessed at the end of treatment, and at 3-, 6-, and 12-month follow-ups.ResultsSignificant treatment effects in 7-dayspoint prevalence abstinence rates were found for both active groups at the end of treatment. Abstinence rates at 12-months follow-up were 30% for SCBSCT-BA, and 18% for SCBSCT. Using Multiple Imputation for missing data, regression analysis showed significantly greater ORs for the SCBSCT-BA condition (vs. SCBSCT) at the end of treatment and at 3-months follow-up. At 6-, and 12-months follow-ups, ORs for the SCBSCT-BA condition, although greater, did not reach statistical significance. Multilevel analysis showed that abstinence was related to reductions in depressive symptoms.ConclusionsSCBSCT-BA obtained positive results at short and medium term. Participants who quit smoking experienced a significant reduction in depressive symptoms. Findings support the benefit of adding BA to a cognitive-behavioral smoking cessation treatment
PB PLOS
YR 2019
FD 2019
LK http://hdl.handle.net/10347/21033
UL http://hdl.handle.net/10347/21033
LA eng
NO Martínez-Vispo C, Rodríguez-Cano R, López-Durán A, Senra C, Fernández del Río E, Becoña E (2019) Cognitive-behavioral treatment with behavioral activation for smoking cessation: Randomized controlled trial. PLoS ONE 14(4): e0214252. https://doi.org/10.1371/journal.pone.0214252
NO This research was supported by the Spanish Ministry of Economy and Competiveness (Project reference: PSI2015-66755-R) and co-financed by FEDER (European Regional Development Fund; pluri-annual plan 2014-2020)
DS Minerva
RD 28 abr 2026