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The Effect of Cognitive Behavioral Therapy and Nicotine Replacement Therapy Centered Smoking Intervention and Abstention Factors

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2008, v.13 no.3, pp.705-726
https://doi.org/10.17315/kjhp.2008.13.3.009



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Abstract

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.

keywords
smoking, smoking cessation, cognitive behavior therapy, nicotine replacement therapy, counselor for smoking cessation, smoking, smoking cessation, cognitive behavior therapy, nicotine replacement therapy, counselor for smoking cessation, 흡연, 금연, 인지행동치료, 니코틴대체요법, 금연상담사

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