Acceptance-based treatment for smoking cessation

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Authors

Gifford, Elizabeth V.
Kohlenberg, Barbara S.
Hayes, Steven C.
Antonuccio, David O.
Piasecki, M. M.
Rasmussen-Hall, M. L.
Palm, Kathleen M.

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2004

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Abstract

This pilot study applied a theoretically derived model of acceptance-based treatment process to smoking cessation, and compared it to a pharmacological treatment based on a medical dependence model. Seventy-six nicotine-dependent smokers were randomly assigned to one of two treatments: Nicotine Replacement Treatment (NRT), or a smoking-focused version of Acceptance and Commitment Therapy (ACT). There were no differences between conditions at posttreatment; however, participants in the ACT condition had better long-term smoking outcomes at 1-year follow-up. As predicted by the acceptance process model, ACT outcomes at 1 year were mediated by improvements in acceptance-related skills. Withdrawal symptoms and negative affect neither differed between conditions nor predicted outcomes. Results were consistent with the functional acceptance-based treatment model.

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0005-7894

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