Pilot randomized trial on mindfulness training for smokers in young adult binge drinkers

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• 作者：James M Davis (1) (2) r> David M Mills (1) r> Kristin A Stankevitz (1) r> Alison R Manley (1) r> Matthew R Majeskie (1) r> Stevens S Smith (1) (2) r>
• 关键词：Smoking ; Tobacco ; Alcohol ; Mindfulness ; Young adult
• 刊名：BMC Complementary and Alternative Medicine
• 出版年：2013
• 出版时间：December 2013
• 年：2013
• 卷：13
• 期：1
• 全文大小：248KB
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• 作者单位：James M Davis (1) (2) r> David M Mills (1) r> Kristin A Stankevitz (1) r> Alison R Manley (1) r> Matthew R Majeskie (1) r> Stevens S Smith (1) (2) r>r>1. Center for Tobacco Research and Intervention, University of Wisconsin School of Medicine and Public Health, 1930 Monroe Street, Suite 200, 53711, Madison, WI, USA r> 2. Department of Medicine, University of Wisconsin School of Medicine and Public Health, 1685 Highland Avenue, 53705, Madison, WI, USA r>

文摘

Background We report results of a pilot study designed to test a novel smoking cessation intervention, Mindfulness Training for Smokers (MTS), in smokers age 18-29?years with regular episodes of binge drinking. Mindfulness is a cognitive skill of applying close moment-to-moment attention to experience with a mental posture of acceptance and non-reactivity. The MTS intervention consisted of six weekly classes that provided instruction on how to use mindfulness to manage known precursors of smoking relapse including smoking triggers, strong emotions, stressful situations, addictive thoughts, urges, and withdrawal symptoms. Methods The MTS intervention was compared to Interactive Learning for Smokers (ILS), a time/intensity matched control group using daily non-directed walking instead of mindfulness meditation. Recruitment was conducted primarily at local technical colleges. Primary outcome measures included biochemically-confirmed smoking abstinence and reduction in alcohol use at the end of treatment (2-weeks post-quit attempt). Results The sample (N--5) was 70.9% male, with a mean age of 21.9?years, and a mean of 11.76 alcoholic drinks consumed per week. Intent-to-treat analysis showed biochemically-confirmed 7-day point prevalence abstinence rates at 2-weeks post-quit for MTS--0.0% and ILS--.0%, p--08. Secondary analysis showed number of drinks per week in the first 2-weeks post-quit correlated with smoking relapse at 2-weeks post-quit (p-lt;-01). Conclusions This pilot study demonstrated that Mindfulness Training for Smokers shows promise for smoking cessation and alcohol use reduction in treating young adult smokers with alcohol abuse. Results suggest the need for a study with larger sample size and methods that reduce attrition. Trial registration ClnicalTrial.gov, NCT01679236