Use this URL to cite or link to this record in EThOS: http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.576459
Title: A randomised controlled study of the relative efficacy and mechanisms of action of cognitive-behavioural coping skills training CBST) and acceptance and commitment therapy (ACT) for smoking abstinence
Author: Russell, Christopher
Awarding Body: University of Strathclyde
Current Institution: University of Strathclyde
Date of Award: 2013
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Abstract:
Cognitive-behavioural Coping Skills Training (CBST) and Acceptance and Commitment Therapy (ACT) both conceptualise smoking relapse as prototypically motivated by a desire to avoid negative affect and associated cognitions and environments. However, they specify contrasting techniques for increasing smokers' abilities to forgo the powerful negative reinforcement of affect reduction that is available through smoking. Whereas CBST focuses on developing smokers' skills for avoiding and coping with negative affect, ACT aims to reduce smokers' avoidance of cues to negative affect instead foster' their willingness to fully experience these cues. A separate line of research suggests that individual differences in smokers' tendencies to suffer paradoxical effects of experiential avoidance may be an important determinant of CBST's therapeutic impact. This study compared the efficacy of group CBST (n = 37) and ACT (n = 42) for long-term smoking abstinence in motivated-to-quit, nicotine-depende nt smokers, and examined mediation of abstinence outcomes by each models' putative mechanisms of action. Moderation of abstinence outcomes by participants' paradoxical behaviour tendencies, as measured on four computer tasks prior to random assignment to CBST or ACT, was also examined. Efficacy analyses showed that CBST and ACT produced high and statistically equivalent rates of past 30-day abstinence at three month follow-up (37% vs. 52%). However at six month follow-up, ACT participants were 3.47 times more likely to report no smoking in the past 30 days, when controlling for other possible explanatory variables (15% vs. 39%). In support of the ACT model, 30-day abstinence outcomes following ACT were mediated by reductions in avoidance of internal smoking cues. In contrast, CBST outcomes were neither mediated by increased use of coping strategies, nor moderated by paradoxical behaviour tendencies. Overall, results suggest that rationalising and training acceptance-based respoonding to smoking cues may provide efficient alternative to traditional cognitive-behavioural interventions in the treatment of nicotine dependence.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID: uk.bl.ethos.576459  DOI: Not available
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