| Titre : | Using Extended Cognitive Behavioral Treatment and Medication to Treat Dependent Smokers. (2011) |
| Auteurs : | Sharon-M HALL ; Gary-L HUMFLEET ; Ricardo-F MUNOZ ; Judith-J PROCHASKA ; Victor-I REUS ; Julie-A Robbins |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 101, n° 12, 2011) |
| Pagination : | 2349-2356 |
| Langues: | Anglais |
| Mots-clés : | Tabagisme ; Fonction cognitive ; Façon fumer ; Comportement ; Thérapeutique ; Médicament ; Thérapeutique médicamenteuse ; Chimiothérapie ; Homme ; Fumeur |
| Résumé : | [BDSP. Notice produite par INIST-CNRS JR0xmHGG. Diffusion soumise à autorisation]. Objectives. We evaluated smoking-cessation efficacy of an extended course of sustained-release bupropion (bupropion SR) and cognitive-behavioral treatment (CBT). Methods. Participants who smoked at least 10 cigarettes per day and who smoked within 30 minutes of arising (n=406) completed a 12-week smoking-cessation treatment including group counseling, nicotine-replacement therapy, and bupropion SR. Participants were then randomly assigned to 1 of 5 conditions : (1) no further treatment, (2) active bupropion SR for 40 weeks, (3) placebo for 40 weeks, (4) active bupropion SR and 11 sessions of CBT for 40 weeks (A-CBT), or (5) placebo and 11 sessions of CBT for 40 weeks. Participants were assessed at baseline and at weeks 12,24,52,64, and 104. Results. A-CBT was not superior to the other 3 extended treatments. From weeks 12 through 104, all extended treatment conditions were superior to standard treatment. At weeks 64 and 104, the 2 CBT conditions produced significantly higher abstinence rates than did the other 3 conditions. Conclusions. Brief contact with providers can increase abstinence during treatment. CBT may increase long-term abstinence after extended treatment is terminated. |
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