Does Acceptance and Relationship Focused Behavior Therapy Contribute to Bupropion Outcomes? A Randomized Controlled Trial of Functional Analytic Psychotherapy and Acceptance and Commitment Therapy for Smoking Cessation
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Authors
Gifford, Elizabeth V.
Kohlenberg, Barbara S.
Hayes, Steven C.
Pierson, Heather M.
Piasecki, Melissa P.
Antonuccio, David O.
Palm, Kathleen M.
Issue Date
2011
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Citation
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Keywords
acceptance and commitment therapy , bupropion , functional analytic psychotherapy , smoking cessation treatment , therapeutic relationship
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Abstract
This study evaluated a treatment combining bupropion with a novel acceptance and relationship focused behavioral intervention based on the acceptance and relationship context (ARC) model. Three hundred and three smokers from a community sample were randomly assigned to bupropion, a widely used smoking cessation medication, or bupropion plus functional analytic psychotherapy (FAP) and acceptance and commitment therapy (ACT). Objective measures of smoking outcomes and self-report measures of acceptance and relationship processes were taken at pretreatment, posttreatment, 6-month, and 1-year follow-up. The combined treatment was significantly better than bupropion alone at 1-year follow-up with 7-day point prevalence quit rates of 31.6% in the combined condition versus 17.5% in the medication-alone condition. Acceptance and the therapeutic relationship at posttreatment statistically mediated 12-month outcomes. Bupropion outcomes were enhanced with an acceptance and relationship focused behavioral treatment.
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In Copyright
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ISSN
0005-7894