Pôle Universitaire d'Addictologie, Limoges, France.
Unité Recherche et Innovation, Limoges, France.
Am J Clin Hypn. 2022 Jan;64(3):263-276. doi: 10.1080/00029157.2021.1877105.
Smoking cessation is a global public health issue. Nicotine dependence is a dynamic process that is not limited to physical dependence. Hypnosis can be helpful in the global management of smoking cessation. We explored this effect by comparing the effects of hypnosis and nicotine-replacement therapies (NRT) on tobacco withdrawal.Thirty participants were included in this comparative-randomized pilot study in parallel controlled groups after ethical validation. Participants were recruited by a general practitioner and had standardized consultations with addiction and hypnosis specialists and adapted treatment. The evolution of withdrawal symptoms was compared using the Cigarette Withdrawal Scale-21 for one month after smoking cessation in an adult tobacco-addict population wishing to stop smoking and receiving either NRT or hypnosis, both supported by motivational interviews. Craving intensity (French version of the Tobacco Craving Questionnaire), nicotine dependence (Fagerström), tobacco consumption, anxiety (Hamilton scale), and depression (Montgomery-Asberg scale) were also evaluated. Hypnosis appeared to have an influence on reducing the number of smoked cigarettes, whereas NRT appeared to influence markers of both physical and psychic dependence. A complementarity of hypnosis and NRT may be a viable therapeutic alternative to reduce the intensity of withdrawal symptoms after voluntary smoking cessation. A study on a larger population with a longer follow-up is needed to assess the advantages of each method to quit smoking.
戒烟是全球公共卫生问题。尼古丁依赖是一个动态过程，不仅限于身体依赖。催眠在全球戒烟管理中可能会有所帮助。我们通过比较催眠和尼古丁替代疗法（NRT）对戒烟戒断症状的影响来探索这种效果。在伦理验证后，这项平行对照的初步研究纳入了 30 名参与者。参与者由全科医生招募，并与成瘾和催眠专家进行了标准化咨询，并接受了适应性治疗。在希望戒烟的成年烟草成瘾者人群中，使用戒烟后 1 个月的 21 项香烟戒断量表比较戒断症状的演变，同时接受 NRT 或催眠治疗，均辅以动机访谈。还评估了渴望强度（法语版烟草渴望问卷）、尼古丁依赖（Fagerström）、烟草消费、焦虑（汉密尔顿量表）和抑郁（蒙哥马利-阿斯伯格量表）。催眠似乎对减少吸烟数量有影响，而 NRT 似乎对身体和心理依赖的标志物都有影响。催眠和 NRT 的互补性可能是一种可行的治疗选择，可以减轻自愿戒烟后的戒断症状强度。需要对更大的人群进行更长时间的随访研究，以评估每种戒烟方法的优势。
