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Abstract

Cigarette smoking remains the largest preventable cause of death in the United States. More than 390,000 Americans die each year due to cigarette smoking, accounting for 22% of all deaths among men and 11% of deaths among women.1 The annual costs associated with smoking are estimated to be $47.5 billion in medical care, absenteeism, decreased work productivity, and early retirement or death.2 This figure does not include the cost of illness for exposed nonsmokers from involuntary or passive smoking, which has now been established as a cause of disease, including lung cancer.1 These facts provide compelling reasons for the development and delivery of effective and economical smoking-cessation programs.

This chapter was supported in part by the National Cancer Institute Grant No. CA50108 and Biomedical Research Support Grant funds to Karen M. Emmons.

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References

  1. U.S. Department of Health and Human Services. Reducing the health consequences of smoking: 25 Years of progress (a report of the Surgeon General). Rockville, MD: Public Health Service, Office on Smoking and Health, 1989.

    Google Scholar 

  2. Schwartz JL. Review and evaluation of smoking cessation methods: The United States and Canada, 1978–1985. NIH Publication No. 87–2940. Bethesda, MD: U.S. Department of Health and Human Services, Public Health Service, National Institutes of Health, National Cancer Institute, Division of Cancer Prevention and Control, 1987.

    Google Scholar 

  3. Fiore MC, Novotny TE, Pierce JP, et al. Methods used to quit smoking in the United States: Do cessation programs help? JAMA 1990; 263: 2760–2765.

    Article  PubMed  CAS  Google Scholar 

  4. Pierce JP, Fiore MC, Novotny TE, Hatziandreu EJ, Davis RM. Trends in smoking in the United States: Projections to the year 2000. JAMA 1989; 261: 61–65.

    Article  PubMed  CAS  Google Scholar 

  5. Cohen S, Lichtenstein E, Prochaska JO, et al. Debunking myths about self-quitting: Evidence from 10 prospective studies of persons who attempt to quit smoking by themselves. Am Psychol 1989; 44: 1355–1365.

    Article  PubMed  CAS  Google Scholar 

  6. Killen J, Fortmann S, Telch M, Newman B. Are heavy smokers different from light smokers? A comparison after 48 hours without cigarettes. JAMA 1988; 260: 1581–1585.

    Article  PubMed  CAS  Google Scholar 

  7. Abrams DB, Emmons KM, Niaura RS, Goldstein MG, Sherman CB. Tobacco dependence. In: Nathan PE, Langenbucher JW, Mrady BS, Frankenstein W, eds. The annual review of addictions treatment and research. Vol. 1. New York: Pergamon Press, 1990.

    Google Scholar 

  8. Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychol Rev 1977; 84: 191–215.

    Article  PubMed  CAS  Google Scholar 

  9. Prochaska JO, Dlemente CC. Stages and processes of self-change of smoking: Toward an integrative model of change. J of Consult Clin Psychol 1983; 5: 390–395.

    Article  Google Scholar 

  10. DiClemente CC, Prochaska JO. Processes and stages of self-change: Coping and competence in smoking behavior change. In: Shiffman S, & Wills T, eds. Coping and substance use. Orlando, FL: Academic Press, 1985: 319–341.

    Google Scholar 

  11. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 3rd ed, rev. Washington, DC: Author, 1987.

    Google Scholar 

  12. U.S. Department of Health and Human Services. The health consequences of smoking: Nicotine addiction (a report of the Surgeon General). Rockville, MD: Public Health Service, Office on Smoking and Health, 1988.

    Google Scholar 

  13. Kozlowski LT, Wilkinson DA, Skinner W, Kent C, Franklin T, Pope M. Comparing tobacco cigarette dependence with other drug dependencies: Greater or equal “difficulty quitting” and “urges to use,” but less “pleasure” from cigarettes. JAMA 1989; 261: 898–901.

    Article  PubMed  CAS  Google Scholar 

  14. Lichtenstein E, Brown RA. Current trends in the modification of cigarette dependence. In: Bellack AS, Hersen M, Kazdin AE, eds. International handbook of behavior modification and therapy. New York: Plenum, 1982.

    Google Scholar 

  15. Killen JD, Maccoby N, Taylor CB. Nicotine gum and self-regulation training in smoking relapse prevention. Behav Ther 1984; 15: 234–248.

    Article  Google Scholar 

  16. Wei H, Young D. Effect of clonidine on cigarette cessation and in the alleviation of withdrawal symptoms. Brit J Addict 1988; 83: 1221–1226.

    Article  Google Scholar 

  17. Pechachek TF, Danaher BG. How and why people quit smoking: A cognitive-behavioral analysis. In: Kendall PC, Hollon SD, eds. Cognitive-behavioral interventions: Theory, research, and procedures. New York: Academic Press, 1979.

    Google Scholar 

  18. Fishbein, M. Consumer beliefs and behavior with respect to cigarette smoking: A critical analysis of the public literature. In: Federal Trade Commission, report to Congress: Pursuant to the Public Health Cigarette Smoking Act, for the year 1976. Washington, DC: Federal Trade Commission, May 1977.

    Google Scholar 

  19. Lichtenstein E, Brown RA. Smoking cessation methods: Review and recommendations. In: Miller WR, ed. The addictive behaviors: Treatment of alcoholism, drug abuse, smoking, and obesity. Oxford: Pergamon Press, 1980.

    Google Scholar 

  20. Velicer W, Dlemente C, Prochaska J, Brandenburg N. A decisional balance measure for predicting smoking cessation. J of Pers and Soc Psychol 1985; 48: 1279–1289.

    Article  CAS  Google Scholar 

  21. Levinson BL, Shapiro D, Schwartz GE, Tursky B. Smoking elimination by gradual reduction. Behav Ther 1971; 2: 477–487.

    Article  Google Scholar 

  22. Marlatt GA, Gordon JR, eds. Relapse prevention. New York: Guilford Press, 1985.

    Google Scholar 

  23. Shiffman S. Relapse following smoking cessation: A situational analysis. J of Consult Clin Psychol 1982; 50: 71–86.

    Article  CAS  Google Scholar 

  24. Lichtenstein E, Mermelstein RJ. Review of approaches to smoking treatment: Behavior modification strategies. In: Matarazzo JD, Weiss SM, Herd JA, Miller NE, Weiss SM, eds. Behavioral health: A handbook of health enhancement and disease prevention. New York: Wiley, 1984.

    Google Scholar 

  25. Shiffman S. Coping with temptations to smoke. In: Shiffman S, Wills T, eds. Coping and substance abuse. Orlando, FL: Academic Press, 1985.

    Google Scholar 

  26. Abrams DB, Monti PM, Pinto RP, Elder JP, Brown RA, Jacobus SI. Psychological stress and coping in smokers who relapse or quit. Health Psychol 1987; 6: 289–303.

    Article  PubMed  CAS  Google Scholar 

  27. Best JA, Owen LE, Trentadue L. Comparison of satiation and rapid smoking in self-managed smoking cessation. Addict Behav 1978; 3: 71–78.

    Article  PubMed  CAS  Google Scholar 

  28. Lando H. Successful treatment of smokers with a broad-spectrum behavioral approach. J of Consult Clin Psychol 1977; 44: 361–366.

    Article  Google Scholar 

  29. Lichtenstein E, Harris DE, Birchler GR, Wahl JM, Schmahl DP. Comparison of rapid smoking, warm, smoky air, and attention placebo in the modification of smoking behavior. J of Consult Clin Psychol 1973; 40: 92–98.

    Article  CAS  Google Scholar 

  30. Schmahl DP, Lichtenstein E, Harris DE. Successful treatment of habitual smokers with warm, smoky air and rapid smoking. J of Consult Clin Psychol 1972; 105–111.

    Google Scholar 

  31. Hall SM. Rugg D. Tunstall C, Jones R. Preventing relapse to cigarette smoking by behavioral skill training. J of Consult Clin Psychol 1984; 52: 372–382.

    Article  CAS  Google Scholar 

  32. Brandon TH, Zelman DC, Baker TB. Effects of maintenance sessions on smoking relapse: Delaying the inevitable? J of Consult Clin Psychol 1987; 55: 780–782.

    Article  CAS  Google Scholar 

  33. Lichtenstein E, Glascow RE. Rapid smoking: Side effects and safeguards. J of Consult Clin Psychol 1977; 45: 815–821.

    Google Scholar 

  34. Kopel SA, Suckerman KR, Baksht A. Smoke holding: An evaluation of physiological effects and treatment efficacy of a new nonhazardous aversive smoking procedure. Paper presented at the annual meeting of the Association for Advancement of Behavior Therapy, December, 1979, San Francisco, CA.

    Google Scholar 

  35. Erickson LM, Tiffany ST, Martin EM, Baker TB. Aversive smoking therapies: A conditioning analysis of therapeutic effectiveness. Behav Res and Ther 1983; 21: 595–611.

    Article  CAS  Google Scholar 

  36. Russell MAH, Wilson C, Patel UA, Feyerabend C, Cole PV. Plasma nicotine levels after smoking cigarettes with high, medium, and low nicotine yields. Brit Med J 1975; 2: 414–416.

    Article  PubMed  CAS  Google Scholar 

  37. Foxx RM, Brown RA. Nicotine fading and self-monitoring for cigarette abstinence or controlled smoking. J of Applied Behav Anal 1979; 12:111–125.

    Article  CAS  Google Scholar 

  38. Beaver C, Brown RA, Lichtenstein E. Effects of monitored nicotine fading and anxiety management training on smoking reduction. Addict Behav 1981; 6: 301–305.

    Article  Google Scholar 

  39. Brown RA, Lichtenstein E. Effects of a cognitive-behavioral relapse prevention program for smokers. Paper presented at the annual meeting of the American Psychological Assication, September 1980, Montreal.

    Google Scholar 

  40. Brown RA, Lichtenstein E, Mclntyre KO, Harrington-Kostur J. Effects of nicotine fading and relapse prevention on smoking cessation. J of Consult Clin Psychol 1984; 52: 307–308.

    Article  CAS  Google Scholar 

  41. Lando HA, Movern PG. Nicotine fading as a nonaversive alternative in a broad-spectrum treatment for eliminating smoking. Addict Behav 1985; 10: 153–161.

    Article  PubMed  CAS  Google Scholar 

  42. Etringer BD, Gregory VR, Lando HA. Influence of group cohesion on the behavioral treatment of smoking. J of Consult Clin Psychol 1984; 52: 1080–1086.

    Article  CAS  Google Scholar 

  43. Lando HA. Long-term modification of chronic smoking behavior: A paradigmatic approach. Bull of the Soc of Psychol in Addict Behav 1986; 5: 5–17.

    Google Scholar 

  44. Glasgow RE, Lichtenstein E. Long-term effects of behavioral smoking cessation interventions. Behav Ther 1987; 18: 297–324.

    Article  Google Scholar 

  45. Hunt WA, Bespalec DA. An evaluation of current methods of modifying smoking behavior. J of Clin Psychol 1974; 30: 431–438.

    Article  CAS  Google Scholar 

  46. Marlatt GA, Gordon JR. Determinants of relapse: Implications for the maintenance of behavior change. In: Davidson PO, Davidson SM, eds. Behavioral medicine: Changing health lifestyles. New York: Brunner/Mazel, 1980.

    Google Scholar 

  47. Hall SM, Tunstall C, Rugg D, Jones RT, Benowitz N. Nicotine gum and behavioral treatment in smoking cessation. J of Consult Clin Psychol 1985; 53: 256–258.

    Article  CAS  Google Scholar 

  48. Hall SM, Tunstall C, Ginsberg D, Benowitz NL, Jones RT. Nicotine gum and behavioral treatment: A placebo controlled trial. J of Consult Clin Psychol 1987; 55: 603–605.

    Article  CAS  Google Scholar 

  49. Colletti G, Brownell K. The physical and emotional benefits of social support: Applications to obesity, smoking and alcoholism. In: Hersen M, Eisler R, Miller P, eds. Progress in behavior modification. Vol. 13. New York: Academic Press, 1982.

    Google Scholar 

  50. Horwitz MB, Hindi-Alexander M, Wagner TJ. Psychosocial mediators of abstinence, relapse, and continued smoking: A one-year follow-up of a minimal intervention. Addict Behav 1985; 1: 29–39.

    Article  Google Scholar 

  51. Mermelstein R, Cohen S, Lichtenstein E, Baer JS, Kamarck T. Social support and smoking cessation and maintenance. J of Consult Clin Psychol 1986; 54: 447–453.

    Article  CAS  Google Scholar 

  52. Coppotelli HC, Orleans CT. Partner support and other determinants of smoking cessation maintenance among women. J of Consult Clin Psychol 1985; 53: 455–460.

    Article  CAS  Google Scholar 

  53. Ockene JW, Benfari RC, Nuttall RL, Jurwitz I, Ockene IS. Relationship of psychosocial factors to smoking behavior change in an integrative program. Preed 1982; 11: 13–28.

    CAS  Google Scholar 

  54. West DW, Graham S, Swanson M, Wilkinson G. Five year follow-up of a smoking withdrawal clinic population. Am J of Public Health 1977; 67: 536–544.

    Article  CAS  Google Scholar 

  55. McIntyre-Kingsolver K, Lichtenstein E, Mermelstein RJ. Spouse training in a multicomponent smoking-cessation program. Behav Ther 1986; 51: 67–74.

    Article  Google Scholar 

  56. Malott JM, Glasgow RE, O’Neill HK, Klesges RC. Co-worker social support in a worksite smoking program. J of Applied Behav Anal 1984; 17: 485–496.

    Article  CAS  Google Scholar 

  57. Abrams DB, Pinto RP, Monti PM, Jacobus S, Brown RA, Elder JP. Health education vs. cognitive stress management vs. social support training for relapse prevention in worksite smoking cessation. Paper presented at the annual meeting of the Society of Behavioral Medicine, March, 1985, New Orleans, LA.

    Google Scholar 

  58. Lichtenstein E, Glasgow RE, Abrams DB. Social support in smoking cessation: In search of effective interventions. Behav Ther 1986; 17: 607–619.

    Article  Google Scholar 

  59. Colletti G, Kopel SA. Maintaining behavior change: An investigation of three maintenance strategies and the relationship of self-attribution to the long-term reduction of cigarette smoking. J of Consult Clin Psychol 1979; 47: 614–617.

    Article  CAS  Google Scholar 

  60. Colletti G, Stern L. Two-year follow-up of a nonaversive treatment for cigarette smoking. J of Consult Clin Psychol 1980; 48: 292–293.

    Article  CAS  Google Scholar 

  61. Colletti G, Supnick J A. Continued therapist contact as a maintenance strategy for smoking reduction. J of Consult Clin Psychol 1980; 48: 665–667.

    Article  CAS  Google Scholar 

  62. Niaura RS, Rohsenow DJ, Binkoff JA, Monti PM, Pedraza M, Abrams DB. Relevance of cue reactivity to understanding alcohol and smoking relapse. J of Abn Psychol 1988; 97: 133–152.

    Article  CAS  Google Scholar 

  63. Abrams DB, Monti PM, Carey KB, Pinto RP, Jacobus SI. Reactivity to smoking cues and relapse: Two studies of discriminant validity. Behav Res and Ther 1988; 26: 223–25.

    Article  Google Scholar 

  64. Shiffman S. Coping with temptations to smoke. J of Consult and Clin Psychol 1984; 52: 261–267.

    Article  CAS  Google Scholar 

  65. Russell PO, Epstein LH, Johnston JJ, Block DR, Blair E. The effects of physical activity as maintenance for smoking cessation. Addict Behav 1988; 13: 215–218.

    Article  PubMed  CAS  Google Scholar 

  66. Taylor CB, Houston-Miller N, Haskell WL, Dusk RF. Smoking cessation after acute myocardial infarction: The effects of exercise training. Addict Behav 1988; 13: 331–335.

    Article  PubMed  CAS  Google Scholar 

  67. Goldstein MG, Niaura R, Abrams DB. Medical and behavioral treatment of nicotine dependence. In: Stoudemire A, Fogel BS, eds. Advances in medical-psychiatric practice. Washington, DC: American Psychiatric Press, in press.

    Google Scholar 

  68. Hughes JR, Miller SA. Nicotine gum to help stop smoking. JAMA 1984; 252: 2855–2858.

    Article  PubMed  CAS  Google Scholar 

  69. Harackiewicz JM, Blair LW, Sansone C, Epstein JA, Stuchell RN. Nicotine gum and self-help manuals in smoking cessation: An evaluation in a medical context. Addict Behav 1988; 13: 319–390.

    Article  PubMed  CAS  Google Scholar 

  70. Goldstein MG, Niaura R, Follick MJ, Abrams DB. Schedule of nicotine gum administration and smoking cessation treatment outcome. Am J of Psychi 1989; 146: 56–60.

    CAS  Google Scholar 

  71. Abelin T, Muller P, Buehler A, Vesanen K, Imhof PR. Controlled trial of transdermal nicotine patch in tobacco withdrawal. Lancet 1989; 1: 7–10.

    Article  PubMed  CAS  Google Scholar 

  72. Ornish SA, Zisook S, Mdams LA. Effects of transdermal clonidine treatment on withdrawal symptoms associated with smoking cessation. Arch of Internal Med 1988; 148: 2027–2031.

    Article  CAS  Google Scholar 

  73. Glassman AH, Stetner F, Walsh BT, et al. Heavy smokers, smoking cessation and clonidine: Results of a double-blind, randomized trial. JAMA 1988; 259: 2863–2866.

    Article  PubMed  CAS  Google Scholar 

  74. Edwards NB, Murphy JK, Downs AD, Ackerman BJ, Rosenthal TL. Doxepin as an adjunct to smoking cessation: A double-blind pilot study. Am J of Psychi 1989; 146: 373–376.

    CAS  Google Scholar 

  75. Klesges RC, Meyers AW, Klesges LM, Vasque ME. Smoking, body weight, and their effects on smoking behavior: A comprehensive review of the literature. Psychol Bull 1989; 106: 204–230.

    Article  PubMed  CAS  Google Scholar 

  76. Rodin J. Weight change following smoking cessation: The role of food intake and exercise. Addict Behav 1987; 12: 303–317.

    Article  PubMed  CAS  Google Scholar 

  77. Klesges RC, Brown K, Pascale RW, Murphy M, Williams E, Cigrang JA. Factors associated with participation, attrition, and outcome in a smoking cessation program at the workplace. Health Psychol 1987; 7: 575–589.

    Article  Google Scholar 

  78. Hall SM, Ginsberg D, Jones RT. Smoking cessation and weight gain. J of Consult Clin Psychol 1986; 54: 342–346.

    Article  CAS  Google Scholar 

  79. Streator JA, Sargent RC, Ward DC. A study of factors associated with weight change in women who attempt smoking cessation. Addict Behav 1989; 14: 523–530.

    Article  Google Scholar 

  80. Carmody TP. Affect regulation, nicotine addiction, and smoking cessation. J of Psychoactive Drugs 1989; 21: 331–342.

    CAS  Google Scholar 

  81. Glassman AH, Covey LS, Stetner F. Smoking cessation and depression. Presented at the annual meeting of the American Psychiatric Association, May, 1989, San Francisco, CA.

    Google Scholar 

  82. Hall SM. Smoking, sweets, and sadness: Dependence, treatment failure, and regulatory systems. Paper presented at the annual meeting of the American Psychological Association, August 1988, Atlanta.

    Google Scholar 

  83. Hughes JR. Clonidine, depression and smoking cessation. JAMA 1988; 254: 2901–2902.

    Article  Google Scholar 

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Brown, R.A., Emmons, K.M. (1991). Behavioral Treatment of Cigarette Dependence. In: Cocores, J.A. (eds) The Clinical Management of Nicotine Dependence. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-9112-8_9

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