Arpacıoğlu Selim, Erzincan Erkal, Ergelen Mine, Arpacıoğlu Beyza, Paltun Salih Cihat, Yalçın Murat, Bilici Rabia
Psychiatry Department, Faculty of Medicine, Altınbaş University, Istanbul 34147, Turkey.
Psychology Department, Faculty of Economics Administrative and Social Sciences, Gelişim University, Istanbul 34310, Turkey.
J Clin Med. 2024 Jul 7;13(13):3974. doi: 10.3390/jcm13133974.
Despite the availability of effective pharmacotherapy and evidence-based treatments, a substantial proportion of smokers do not seek treatment. This study aims to explore the cognitive distortions associated with not seeking evidence-based smoking cessation treatment and to identify cognitive barriers. The research conducted in Istanbul between October and December 2017 employs a cross-sectional design and includes two groups: a treatment-seeking group comprising 156 patients diagnosed with tobacco use disorder and a non-treatment seeking group of 78 patients with tobacco use disorder who had never sought professional help for smoking cessation. A comprehensive data collection process was used, including sociodemographic information, cognitive distortion assessment using the cognitive distortions scale, a smoking-related cognitive distortions interview and the Fagerström Test for Nicotine Dependence. While no significant sociodemographic differences were observed between the treatment-seeking and non-treatment-seeking groups, the study found that higher nicotine dependence was associated with a higher likelihood of seeking treatment. The treatment-seeking group displayed significantly higher levels of "all-or-nothing thinking" cognitive distortions related to smoking and smoking cessation. Conversely, the non-treatment-seeking group exhibited elevated levels of cognitive distortions such as "labeling", "mental filtering", "should statements" and "minimizing the positive" regarding receiving smoking cessation treatment. Understanding the cognitive distortions associated with treatment-seeking behavior for tobacco use disorder is crucial for developing targeted public-based interventions, public service announcements for tobacco use prevention and encouraging individuals to seek evidence-based treatment. Addressing these cognitive distortions can also potentially enhance the effectiveness of smoking cessation programs and reduce the global burden of tobacco-related diseases and mortality.
尽管有有效的药物治疗和循证治疗方法，但仍有很大一部分吸烟者不寻求治疗。本研究旨在探讨与不寻求循证戒烟治疗相关的认知扭曲，并确定认知障碍。2017年10月至12月在伊斯坦布尔进行的这项研究采用横断面设计，包括两组：一组为寻求治疗组，由156名被诊断为烟草使用障碍的患者组成；另一组为不寻求治疗组，由78名患有烟草使用障碍但从未寻求过专业戒烟帮助的患者组成。采用了全面的数据收集过程，包括社会人口统计学信息、使用认知扭曲量表进行的认知扭曲评估、吸烟相关认知扭曲访谈以及尼古丁依赖的法格斯特罗姆测试。虽然在寻求治疗组和不寻求治疗组之间未观察到显著的社会人口统计学差异，但研究发现，尼古丁依赖程度越高，寻求治疗的可能性就越大。寻求治疗组在与吸烟和戒烟相关的“全或无思维”认知扭曲方面表现出明显更高的水平。相反，不寻求治疗组在接受戒烟治疗方面表现出较高水平的认知扭曲，如“贴标签”、“心理过滤”、“应该陈述”和“忽视积极方面”。了解与烟草使用障碍寻求治疗行为相关的认知扭曲对于制定有针对性的基于公众的干预措施、预防烟草使用的公共服务公告以及鼓励个人寻求循证治疗至关重要。解决这些认知扭曲也可能提高戒烟计划的有效性，并减少烟草相关疾病和死亡率的全球负担。
