哮喘联盟

   摘要
   目的：本课题旨在研究愤怒管理以及压力控制（行为认知疗法）对戒烟的帮助。
   方法：在2348例吸烟者中，350名被随机分配到试验组和对照组（每组175人）。每个人的戒烟疗法包括结合使用行为咨询、尼古丁替代疗法和/或药物治疗。对照组的试验者进行标准的戒烟疗法，而试验组则同时进行5次行为认知疗法（每次90分钟），使试验者能更好地控制愤怒和缓解自身压力。在试验开始以前，所有的试验者均先完成愤怒状态及特质量表中的愤怒特质量表（TAS）、压力应对方式量表中的分量表（包括自信量表[SCS]以及绝望量表[HS]）。当试验结束时、结束3个月（第一次随访）及结束6个月（第二次随访）后分别两对比两组间试验者的吸烟情况及压力应对技能。
   结果：虽然两组试验者在项目开始以前的愤怒特质量表分数（P = .234）、自信量表分数（P = .130）及绝望量表分数（P = .148）均没有明显差异，试验结束后，试验组愤怒量特质表分数及绝望量表分数明显下降（P < .001），而自信量表的分数则明显上升（P < .001），对照组试验者各量表的分数却均没有明显差异（P > .05）。同时，试验组治疗结束后6个月的戒烟成功率与对照组相比明显升高（44% vs 27.4%； P < .001）。因此，对愤怒的管理和压力的控制疗法对成功戒烟有着显著的积极作用（优势比：2.09；95%可信区间，1.14-3.85）
   结论：对愤怒的管理和压力的控制疗法可能提高戒烟的成功率。
 

（刘国梁 审校）
J Am Board Fam Med. 2014 Sep-Oct;27(5):645-60. doi: 10.3122/jabfm.2014.05.140083.

 

Effects of an anger management and stress control program on smoking cessation: a randomized controlled trial.
 

Yalcin BM1, Unal M2, Pirdal H2, Karahan TF2.
 

ABSTRACT
PURPOSE: The purpose of this study was to investigate the effects of a cognitive behavioral therapy-oriented anger management and stress control program on smokers' quit rates.
METHODS: Of 2348 smokers, 350 were randomly allocated into study and control groups (n = 175 each). An individualized therapy cessation technique was selected for each participant (combination of behavioral counseling, nicotine replacement therapy, and/or pharmacotherapy). The participants in the control group attended a standard quit program, whereas the study group also received an additional 5-session (90 minutes each) cognitive behavioral therapy-oriented program aimed at improving their anger and stress coping skills. At the beginning of the study, both groups were asked to complete the Trait Anger Scale (TAS) of the State and Trait Anger Scale and the Self-Confident (SCS) and Hopeless (HS) subscales of the Stress Coping Styles Inventory; pretest smoking status of both groups and their coping skills were compared with each other as soon as the program ended (post-test results) and after 3 and 6 months (first and second follow-up tests).
RESULTS: Although there was no difference between pretest scores on the TAS (P = .234), SCS (P = .130), and HS (P = .148) subscales, post-test results indicate that the study groups' TAS and HS scores decreased and SCS scores increased (P < .001), whereas there was no change in the control group (P > .05). The study group had a better quit level after 6 months compared with the control group (44% vs 27.4%; P < .001). The anger management and stress control program was found to have a significant effect on cessation (odds ratio, 2.09; 95% confidence interval, 1.14-3.85).
CONCLUSION: The anger and stress coping skills program may increase the success of quitting smoking.
 

J Am Board Fam Med. 2014 Sep-Oct;27(5):645-60. doi: 10.3122/jabfm.2014.05.140083.