Acceptance and Commitment Therapy for Smoking Cessation: A Preliminary Study of Its Effectiveness in Comparison With Cognitive Behavioral Therapy

This controlled preliminary trial determined the feasibility and initial effectiveness of a promising behavioral intervention for smoking: Acceptance and Commitment Therapy (ACT). In a quasi-experimental design, the ACT intervention condition used metaphors and experiential exercises focused on pers...

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Bibliographic Details
Published in:Psychology of addictive behaviors 2009-12, Vol.23 (4), p.723-730
Main Authors: Hernández-López, Mónica, Luciano, M. Carmen, Bricker, Jonathan B, Roales-Nieto, Jesús G, Montesinos, Francisco
Format: Article
Language:English
Subjects:
Acceptance
Acceptance and Commitment Therapy
Addictive behaviors
Adult
Adult and adolescent clinical studies
Aged
Behavior Therapy - methods
Biological and medical sciences
Cessation
Chi-Square Distribution
Cognitive Behavior Therapy
Cognitive behaviour therapy
Desintoxication. Drug withdrawal
Female
Human
Humans
Male
Medical sciences
Middle Aged
Motivation
Odds Ratio
Patient Selection
Pilot Projects
Prevalence
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Randomized controlled trials
Regression Analysis
Smoking
Smoking Cessation
Smoking Cessation - methods
Surveys and Questionnaires
Tobacco smoking
Tobacco, tobacco smoking
Toxicology
Treatment Effectiveness Evaluation
Treatment Outcome
Treatments
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Summary:This controlled preliminary trial determined the feasibility and initial effectiveness of a promising behavioral intervention for smoking: Acceptance and Commitment Therapy (ACT). In a quasi-experimental design, the ACT intervention condition used metaphors and experiential exercises focused on personal values to motivate quitting smoking and enhancing the willingness to experience internal cues to smoke (e.g., urges) and abstinence-related internal distress. The comparison condition was cognitive behavioral therapy (CBT)-the current standard in behavioral intervention for smoking cessation. Each treatment was delivered in seven weekly 90-min sessions in a group format to 81 (43 in ACT; 38 in CBT) adult smokers. Results show that the ACT treatment was as feasible as the CBT treatment. They also demonstrate promising evidence of ACT's effectiveness: 30.2% intent-to-treat biochemically-supported 30-day point prevalence at twelve month follow-up, compared with 13.2% in the CBT condition (odds ratio = 5.13; p = .02). Replication in a well-powered, randomized, controlled trial is now needed.
ISSN:0893-164X
1939-1501
DOI:10.1037/a0017632