Brandon T H, Copeland A L, Saper Z L
Department of Psychology, State University of New York at Binghamton, NY 13902-6000, USA.
Health Psychol. 1995 Jan;14(1):41-7. doi: 10.1037//0278-6133.14.1.41.
Maintaining treatment gains remains a challenge to smoking cessation programs. Smokers prone to negative affect are most likely to relapse. In an effort to improve maintenance, a standard cognitive-behavioral treatment was supplemented with the provision of computer-controlled audiotape players containing personalized therapeutic messages. Either the standard treatment alone, or the standard treatment plus 2 months use of the tape player were provided to 41 smokers. No outcome difference was found between the 2 conditions during the 1-year follow-up. (The combined 1-year abstinence rate was 61%, with 34% continuously abstinent.) The frequency with which participants used the device predicted both posttreatment coping skill use and smoking rate. Most notable was an interaction between treatment condition and negative affect. Provision of the devices negated or reversed the usual association between negative affect and poorer outcome.
维持戒烟成果仍然是戒烟项目面临的一项挑战。容易产生消极情绪的吸烟者最有可能复吸。为了提高维持率，在标准认知行为疗法的基础上，增加了提供装有个性化治疗信息的电脑控制录音带播放器。41名吸烟者被给予单独的标准治疗，或标准治疗加上使用2个月的录音带播放器。在1年的随访期间，两种情况之间未发现结果差异。（1年的综合戒烟率为61%，其中34%持续戒烟。）参与者使用该设备的频率预测了治疗后应对技能的使用和吸烟率。最值得注意的是治疗条件和消极情绪之间的相互作用。提供这些设备消除或扭转了消极情绪与较差结果之间通常的关联。
