This study aims to compare the effect of CBT (cognitive behavior therapy) and NRT (nicotine replacement therapy) centered intervention for smoking cessation, and investigate the abstention factors. Participants were 123 male smokers, employees of Deawoo Electronics and Iljin Electric whose mean age was 35.15 (SD=6.62), who participated in smoking cessation program brought by Mapo-Gu community health center. Both CBT and NRT centered smoking interventions performed for 3 months and followed them for 6 months to identify participants' abstention. To analyse the abstention factors, smoking behavior, nicotine dependence, smoking types, motivation to quit smoking, efficacy for quitting smoking, general self-efficacy, stress, physical symptoms experienced first 5 weeks after quitting, drinking habits, perceived health, self-esteem, and subjective well-being were measured. Fifty six (45.5%) out of a hundred twenty three had successfully abstained for 6 months. While 53.0% of smokers who received CBT centered smoking intervention abstained for 6 months, 36.8% of smokers who received NRT centered intervention abstained. Results revealed that people who abstained for 6 months had smoked little amount of cigarettes and showed lower level of nicotine dependence than those who failed to abstain. People who failed to abstain were less likely to control their impulse to smoke in daily life before trying to quit smoke, while people who abstained for 6 months showed dynamic motivation and efficacy to quit smoking and experienced more physical symptoms at first 5 weeks after quitting. These findings might contribute to establish the policy for the health promotion through smoking cessation.
김미리혜, (2005) 금연프로그램에 관한 최신지견, 한국심리학회지: 건강
이동욱 ; 성낙진 ; 박기흠 ; 김재수 ; 임세훈, (2004) 흡연 유형과 금연성공률, Korean Journal of Family Medicine
류준범, (2000) 분노의 다차원적 특성과 신체 건강간의 관계,
보건복지부, (2006) 2006 흡연예방및금연사업안내, 보건복지부
보건복지부, (2007) 2007 건강생활실천사업안내, 보건복지부
이흥표, (2004) 5요인 도박동기의 검증과 도박동기가 도박 심각도에 미치는 영향, 한국심리학회지: 건강
서경현 ; 이경순, (2002) 금연프로그램 참여 후의 금연 경험, 한국심리학회지: 건강
서경현, (2004) 금연 프로그램에 참여자들의 장?단기금연성공과 관련된 요인 탐색, 대한보건교육ㆍ건강증진학회지
송선희, (2002) 성인 남성의 흡연과 관련된 심리사회적 변인:종합병원 건강증진센터 내원자를 대상으로, 한국심리학회지:건강
신성례, (1997) 흡연 청소년을 위한 자기효능감 증진 프로그램 개발과 효과에 관한 연구,
(2007) SBS 스페셜 (2007, 3, 4,). 정골초씨, 금연세상에 말을 걸다. 75회,
임지혁, (1996) 외래용 스트레스량 측정도구로서 한국어판 BEPSI 설문서(수정판)의 타당성, 가정의학회지
지선하, (2000) 흡연에 의한 질병 부담 in : 흡연과 건강, 한국금연운동협의회
(2008) 한국경제신문 (2008, 4, 24). 담배 피다 해고될라: 월풀, 직원 39명 업무정지. 32면,
한국금연운동협의회, (2000) 흡연과 건강, 한국금연운동협의회
한국금연운동협의회, (2003) 성인 흡연율 조사, 한국금연운동협의회
한국금연운동협의회, (2007) 흡연율 조사집계표, 한국금연운동협의회
한덕웅 ; 장은영, (2003) 사회비교 동기와 강요된 사회비교가 주관안녕과 건강지각에 미치는 영향, 한국심리학회지: 건강
한덕웅, (2002) 정서 경험에 따른 주관안녕,건강지각 및 신체질병 예측, 한국심리학회지:건강
American Academy of Family Physicians, (2004) The Why Test,
American Cancer Society, (2003) Cancer Facts & Figures 2003,
American Psychiatric Association, (1994) Diagnostic and Statistical Manual, Fourth Edition, Author
Babor, T. F., (1989) AUDIT-the alcohol use disorders identification test: Guidelines for use in primary heath care, World Health Organization, Division of Mental Health
Borland, R., (1991) Predicting attempts and sustained cessation of smoking after the introduction of workplace smoking bans, Health Psychology
Brannon, L., (2007) Health psychology: An introduction to behavior and health, Wordsworth
Cambell,A., (1981) The sense of well-being in America, McGraw-Hill
Earles, J., (2002) Clinical effectiveness of sustained-release Bupropion and behavior therapy for tobacco dependence in a clinical setting, Military Medicine
Etter,J.F., (2001) Attitudes toward nicotine replacement therapy in smokers and ex-smokers in the general public, Clinical Pharmacology Therapy
Fagerstrom,K.O., (1991) Towards better diagnoses and more individual treatment of tobacco dependence, British Journal of Medicine
Farkas, A., (1996) Addiction versus stages of change models in predicting smoking cessation, Addiction
Fiore, M. C., (1994) The effectiveness of the nicotine patch for smoking cessation: A meta-analysis, Journal of the American Medical Association
Frank, S. H., (1988) Stress in the Clinical Setting: The Brief Encounter Psychosocial Instrument, Journal of Family Practice
Garcia, M. E., (1990) A fine-grained analysis of the role of self-efficacy in self-initiated attempts to quit smoking, Journal of Consulting and Clinical Psychology
Geist,C.R., (1990) A comparison of the psychological characteristics of smokers, ex-smokers, and nonsmokers, Journal of Clinical Psychology
Gourlay, S., (1994) Prospective study of factors predicting outcome of transdermal nicotine treatment in smoking cessation, British Medical Journal
Gulliver,S., (1995) An investigation of self-efficacy, partner support and daily stress as predictors of relapse to smoking in self-quitters, Addiction
Henningfield,J.E., (1995) Nicotine medications for smoking cessation, New England Journal of Medicine
Hetziandreu, E. J., (1990) Quitting smoking in the United States in 1986, Journal of the National Cancer Institute
Hu,S., (1994) The applicability of the theory of planned behavior to the intention to quit smoking across work places in southern Taiwan, Addictive Behaviors
Hughes, J. R., (1992) Smoking cessation among self-quitters, Health Psychology
Jerusalem, M., (1992) Self-efficacy as a resource factor in stress appraisal processes in : Self-efficacy: Thought control of action, Hemisphere
Jorenby, D. E., (1999) A controlled trial of sustained-release bupropion, a nicotine pa,
Kaprio, J., (1988) A prospective study of psychological and socioeconomic characteristics, health behavior and morbidity in cigarette smokers prior to quitting compared to persistent smokers and non-smoker, Journal of Clinical Epidemiolog
Lynn, E., (1994) Perfectionism in an Interpersonal context: A self-regulation analysis of dysphoria and social anxiety, Cognitive Therapy and Research
McCuller, K. J., (2005) Motivation to quit as a mediator of tobacco cessation among at-risk youth, Addictive Behaviors
Peto,R., (1994) Smoking and death: The past 40 years and next 40 years, Behavior Medicine Journal
Pierce, J. P., (1996) Validation of susceptibility as a predictor of which adolescents take up smoking in the United States, Health Psychology
Rabois,D., (1997) Cognitive coping, history of depression, and cigarette smoking, Addictive Behaviors
Richmond, R., (1993) Multivariate models for predicting abstention following intervention to stop smoking by general practitioners, Addiction
Rohren, C., (1994) Predicting smoking cessation outcome in a medical center from readiness: contemplation versus action, Preventive Medicine
Rosenberg,M., (1965) Society and the Adolescent Self-Image, Princeton University Press
Senore, C., (1998) Predictors of smoking cessation following physicians' counselling, Preventive Medicine
Shadel,W.G., (1993) Cigarette smoking under stress: the role of coping expectancies among smokers in a clinic-based smoking cessation program, Health Psychology
Sykes,C.M. , (2001) Effectiveness of a cognitive behavior therapy self-help programme for smoker, Health Promotion International
The News Leader, (2005) A Slippery Slope,
Thompson,E.L., (1978) Smoking education programs 1960-1976, American Journal of Public Health
Thorndike, F. P., (2006) Effect of cognitive behavior therapy on smokers' compensatory coping skills, Addictive Behaviors
Velicer, W., (1985) Decisional balance measure for assessing and predicting smoking status, Journal of Personality and Social Psychology
Wasburton,D.M., (1992) Smoking within reason, Journal of Smoking-Related Disorders
West,R., (1999) Sex and smoking: comparisons between male and female smokers, No Smoking Day
World Health Organization, (2004) Building blocks for tobacco control, WHO Press