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瑜伽作为戒烟的辅助治疗:平衡戒烟研究的基本原理、研究设计和参与者特征。

Yoga as a complementary treatment for smoking cessation: rationale, study design and participant characteristics of the Quitting-in-Balance study.

机构信息

Centers for Behavioral and Preventive Medicine, Alpert School of Medicine at Brown University, The Miriam Hospital, Providence, RI 02903, USA.

出版信息

BMC Complement Altern Med. 2010 Apr 29;10:14. doi: 10.1186/1472-6882-10-14.

DOI:10.1186/1472-6882-10-14
PMID:20429895
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2868787/
Abstract

BACKGROUND

Tobacco smoking remains the leading preventable cause of death among American women. Exercise has shown promise as an aid to smoking cessation because it reduces weight gain and weight concerns, improves affect, and reduces nicotine withdrawal symptoms and cigarette craving. Studies have shown that the practice of yoga improves weight control, and reduces perceived stress and negative affect. Yoga practice also includes regulation of breathing and focused attention, both of which may enhance stress reduction and improve mood and well-being and may improve cessation outcomes.

METHODS/DESIGN: This pilot efficacy study is designed to examine the rates of cessation among women randomized to either a novel, 8-week Yoga plus Cognitive Behavioral Therapy (CBT) smoking cessation intervention versus a Wellness program plus the same CBT smoking cessation intervention. Outcome measures include 7-day point prevalence abstinence at end of treatment, 3 and 6 months follow up and potential mediating variables (e.g., confidence in quitting smoking, self-efficacy). Other assessments include measures of mindfulness, spirituality, depressive symptoms, anxiety and perceived health (SF-36).

DISCUSSION

Innovative treatments are needed that address barriers to successful smoking cessation among men and women. The design chosen for this study will allow us to explore potential mediators of intervention efficacy so that we may better understand the mechanism(s) by which yoga may act as an effective complementary treatment for smoking cessation. If shown to be effective, yoga can offer an alternative to traditional exercise for reducing negative symptoms that often accompany smoking cessation and predict relapse to smoking among recent quitters.

TRIAL REGISTRATION

ClinicalTrials NCT00492310.

摘要

背景

吸烟仍然是美国女性的主要可预防死因。运动已被证明是戒烟的辅助手段,因为它可以减少体重增加和体重问题,改善情绪,并减轻尼古丁戒断症状和吸烟欲望。研究表明,瑜伽练习可以改善体重控制,减轻感知压力和负面情绪。瑜伽练习还包括呼吸调节和专注注意力,这两者都可能增强压力缓解,改善情绪和幸福感,并可能改善戒烟效果。

方法/设计:这项初步疗效研究旨在研究随机分配到新的 8 周瑜伽加认知行为疗法(CBT)戒烟干预组与健康计划加相同 CBT 戒烟干预组的女性中戒烟的比例。结果测量包括治疗结束时的 7 天点 prevalence 戒烟率、3 个月和 6 个月随访以及潜在的中介变量(例如,戒烟信心、自我效能)。其他评估包括正念、灵性、抑郁症状、焦虑和感知健康(SF-36)的测量。

讨论

需要创新的治疗方法来解决男性和女性成功戒烟的障碍。选择的研究设计将使我们能够探索干预效果的潜在中介变量,以便我们更好地理解瑜伽如何作为戒烟的有效补充治疗的机制。如果被证明有效,瑜伽可以为减少戒烟后经常出现的负面症状和预测最近戒烟者重新吸烟的传统运动提供替代方法。

试验注册

ClinicalTrials NCT00492310。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2765/2868787/08b58357bb6f/1472-6882-10-14-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2765/2868787/08b58357bb6f/1472-6882-10-14-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2765/2868787/08b58357bb6f/1472-6882-10-14-1.jpg

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