Krishnan-Sarin Suchitra, Duhig Amy M, McKee Sherry A, McMahon Thomas J, Liss Thomas, McFetridge Amanda, Cavallo Dana A
Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06519, USA.
Exp Clin Psychopharmacol. 2006 Aug;14(3):306-10. doi: 10.1037/1064-1297.14.3.306.
This pilot study evaluated the use of contingency management (CM) procedures in combination with cognitive-behavioral therapy (CBT) for smoking cessation in adolescents. Twenty-eight treatment-seeking adolescent smokers participated in a 1-month, school-based smoking cessation program and were randomly assigned to receive either CM with weekly CBT or CBT alone. In the CM+CBT group, biochemical verification of abstinence was obtained twice daily during the first 2 weeks, followed by daily appointments during the 3rd week and once every other day during the 4th week. Participants were monetarily reinforced for abstinence on an escalating magnitude schedule with a reset contingency. At the end of 1 week and 1 month of treatment, abstinence verified using quantitative urine cotinine levels was higher in participants in the CM+CBT group (1 week: 76.7%; 1 month: 53.0%) when compared with the CBT-alone group (1 week: 7.2%; 4 weeks: 0%). These preliminary results provide a strong initial signal supporting the utility of CM techniques for smoking cessation in adolescents and demonstrate the feasibility of implementing such a program in a school setting.
这项试点研究评估了将应急管理（CM）程序与认知行为疗法（CBT）相结合用于青少年戒烟的效果。28名寻求治疗的青少年吸烟者参加了一个为期1个月的校内戒烟项目，并被随机分配接受每周一次CBT的CM治疗或仅接受CBT治疗。在CM+CBT组中，在最初2周内每天进行两次戒烟的生化验证，随后在第3周每天预约，第4周每隔一天预约一次。参与者在逐步递增的幅度计划下因戒烟而获得金钱奖励，并设有重置应急措施。在治疗1周和1个月结束时，与仅接受CBT组（1周：7.2%；4周：0%）相比，CM+CBT组中使用定量尿可替宁水平验证的戒烟率更高（1周：76.7%；1个月：53.0%）。这些初步结果提供了一个强有力的初步信号，支持CM技术在青少年戒烟中的效用，并证明了在学校环境中实施此类项目的可行性。
