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戒烟中的自我启动、线索消退和隐蔽致敏程序。

Self-initiated, cue extinction, and covert sensitization procedures in smoking cessation.

作者信息

Lowe M R, Green L, Kurtz S M, Ashenberg Z S, Fisher E B

出版信息

J Behav Med. 1980 Dec;3(4):357-72. doi: 10.1007/BF00845290.

DOI:10.1007/BF00845290
PMID:7230259
Abstract

Two studies tested the utility of self-control procedures and covert sensitization as alternatives to rapid smokers in smoking cessation. Subjects were at least 21 years old and had smoked at least one pack per day for at least 5 years. Relaxation training and discussion of goals were given in three meetings per week for 2 weeks prior to subject-chosen quit dates. A total of 10 sessions was held during the 90 days following cessation. In Study I, both groups received self-control strategies. One group also received covert sensitization. At 3-month follow-up, 33% of those without and 27% of those with covert sensitization were abstinent. At 6-month follow-up these percentages were 33 and 13, respectively. Covert sensitization apparently added nothing to the effects of the self-control package. In Study II, one group received the same combination of self-control manual and the basic package as in Study I. A second group received the basic package with cue extinction procedures designed to extinguish associations between desires for cigarettes and cues paired with previous smoking. A third group received a combination of both sets of procedures. At 3-month follow-up, 71 and 60%, respectively, of the first two groups were abstinent, while only 31% of the combination group was abstinent. At 6-month follow-up, these percentages were 29, 27, and 8, respectively. The low abstinence rate for the combination group likely reflects problems associated with presenting too much material in the 2 weeks prior to cessation.

摘要

两项研究测试了自我控制程序和内隐致敏法作为快速吸烟法戒烟替代方法的效用。受试者年龄至少21岁,且每天至少吸一包烟至少5年。在受试者选定的戒烟日期前两周,每周进行三次会面,提供放松训练并讨论目标。戒烟后的90天内共进行了10次疗程。在研究I中,两组均接受自我控制策略。一组还接受内隐致敏法。在3个月随访时,未接受内隐致敏法的人中33%戒烟,接受内隐致敏法的人中27%戒烟。在6个月随访时,这些百分比分别为33%和13%。内隐致敏法显然并未增强自我控制方案的效果。在研究II中,一组接受与研究I中相同的自我控制手册和基础方案的组合。第二组接受基础方案及旨在消除对香烟的欲望与先前吸烟时配对线索之间关联的线索消退程序。第三组接受两组程序的组合。在3个月随访时,前两组分别有71%和60%的人戒烟,而组合组只有31%的人戒烟。在6个月随访时,这些百分比分别为29%、27%和8%。组合组的低戒烟率可能反映了在戒烟前两周提供过多材料所带来的问题。

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