Effectiveness of Mindfulness-Based Cognitive Therapy on Reducing Smoking among Addicts


1 Assistant Professor, Department of General Psychology, College of Psychology and Education, Allama Tabatabai University, Tehran, Iran

2 General Psychology, College of Humanities and Social Sciences, Islamic Azad University, Science and Research Branch, Tehran, Iran


Abstract Background: Substance abuse is one of the most important problems nowadays that has found the world range. A disaster that destroysmillions of lives, and big national funds are spent to fight or compensate its damages. Objectives: This study was conducted with the aim of examining the effectiveness of mindfulness-based cognitive therapy on re- ducing smoking among addicts in Tehran. Methods: Themethod used in this study in terms of the applied purpose and data collection, was quasi-experimental design with pretest-posttest group and control group. Statistical population of the present study consisted of all male smokers aged 20 to 40 years living in Tehran, who had been referred to the stop smoking clinic in Tehran municipality and Javanmardan park for treat- ment. Convenience samplingmethod was used to choose samples fromstatistical population. In this way, 30 persons who smoked cigarette daily were chosen and referred for treatment; they were randomly divided into one experimental group and one control group. Thus, 15 personswere randomly assigned to the control group and 15 ones to the experimental group (mindfulness). The Self- made questionnaire for smoking ratewas used in this study. Using SPSS software, obtained data fromquestionnaireswere analyzed and divided into two parts, descriptive and inferential. Results: According to the obtained results, there was a significant difference between the experimental and control groups (P < 0.05).The results showed thatmindfulness is effective in reducing smoking in the persons aged 20 to 40 years. Conclusions: Based on the findings of this study, it can be stated that some solutions should be considered in order to conduct the mindfulness-based cognitive therapy in counseling centers.


  1. 1.Crockford D, Fleury G, Milin R, Buckley L, Charney D, George TP, et al. Training in Substance-Related and Addictive Disorders, Part 2: Updated Curriculum Guidelines. Can J Psychiatry. 2015;60(12):1–12. [PubMed: 26720815].

    1. Ezzati M, Lopez AD. Measuring the accumulated hazards of smoking: global and regional estimates for 2000. Tob Control. 2003;12(1):79–85. [PubMed: 12612368].
    2. Mantler T, Irwin JD, Morrow D. Motivational interviewing and smoking behaviors: a critical appraisal and literature review of selected cessation initiatives. Psychol Rep. 2012;110(2):445–60. doi: 10.2466/ [PubMed: 22662398].
    3. Falkenstrom F. Studying mindfulness in experienced meditators: A quasi-experimental approach. Pers Indiv Diff. 210;48(3):305–10.
    4. Sanger KL, Dorjee D. Mindfulness training for adolescents: A neurodevelopmental perspective on investigating modifications in attention and emotion regulation using event-related brain potentials. Cogn Affect Behav Neurosci. 2015;15(3):696–711. doi: 10.3758/s13415-015-0354-7. [PubMed: 25846954].
    5. Soler J, Cebolla A, Feliu-Soler A, Demarzo MM, Pascual JC, Banos R, et al. Relationship between meditative practice and self-reported mindfulness: the MINDSENS composite index. PLoS One. 2014;9(1):e86622. doi: 10.1371/journal.pone.0086622. [PubMed: 24466175].
    6. Garland EL, Hanley A, Farb NA, Froeliger BE. State Mindfulness During Meditation Predicts Enhanced Cognitive Reappraisal. Mindfulness (N Y). 2015;6(2):234–42. doi: 10.1007/s12671-013-0250-6. [PubMed: 26085851].
    7. Pakizeh A, Nazari M. The effects of mindfulness training and emotion regulation on public health among the school students in Yasoj city [in Persian]. J Med Educ Dev Center. 2015;6(2):158–64.
    8. Dehghani Firuzabadi S, Ghasemi H, Safari S, Ebrahimi A, Etemadi E. The effectiveness of motivational interviewing group meetings on promoting self-esteem and self-efficacy among women [in Persian]. J Substance Abuse Addiction Studies. 2013;26:145–8.
    9. Hamedi A, Shahidi SH, Khademi A. Effectiveness of mindfulness and harm reduction counseling on prevention of relapse of drug abuse. J Addiction, Substance Abuse Research. 2013;2(28):101–18. 11. Golpour Chamarkuhi R, Mohammad Amini Z. The effect of training mindfulness on assertiveness techniques among students with anxiety [in Persian]. J School Psychol. 2011;1(3):82–100.
    10. Ahmadvand Z, Heydari Nasab L, Shaeiri M. Psychometric properties of the five-sided mindfulness among the student samples [in Persian]. The sixth Seminar mental health of students. University of Guilan. .
    11. Narimani M, Ariapouran S, Abolghasemi A, Ahadi B. Comparison of the effectiveness of training mindfulness and emotional regulation on physical well-being and psychological among chemical veterans [in Persian]. J Arak Univers Med Sci. 2010;1(2):91–117.
    12. Witkiewitz K, Bowen S, Douglas H, Hsu SH. Mindfulness-based relapse prevention for substance craving.Addict Behav. 2013;38(2):1563–71. doi: 10.1016/j.addbeh.2012.04.001. [PubMed: 22534451].
    13. Sauer S, Walach H, Kohls N. Gray’s behavioural inhibition system as a mediator of mindfulness towards well-being. Pers Individ Dif. 2011;50(4):506–11.
    14. Caldwell K, Harrison M, Adams M, Quin RH, Greeson J. Developing mindfulness in college students through movement-based courses: effects on self-regulatory self-efficacy, mood, stress, and sleep quality. J Am Coll Health. 2010;58(5):433–42. doi: 10.1080/07448480903540481. [PubMed: 20304755].
    15. Kingston J, Chadwick P, Meron D, Skinner TC. A pilot randomized control trial investigating the effect of mindfulness practice on pain tolerance, psychological well-being, and physiological activity. J Psychosom Res. 2007;62(3):297–300. doi: 10.1016/j.jpsychores.2006.10.007. [PubMed: 17324679]. 18. McManus F, Surawy C, Muse K, Vazquez-Montes M, Williams JM. A randomized clinical trial of mindfulness-based cognitive therapy versus unrestricted services for health anxiety (hypochondriasis). J Consult Clin Psychol. 2012;80(5):817–28. doi: 10.1037/a0028782. [PubMed: 22708977].
    16. Garland EL, Schwarz NM, Kelly A, Whitt A, Howard MO. MindfulnessOriented Recovery Enhancement for Alcohol Dependence: Therapeutic Mechanisms and Intervention Acceptability. J Soc Work Pract Addict. 2012;12(3):242–63. doi: 10.1080/1533256X.2012.702638. [PubMed: 23280067].
    17. Wupperman P, Marlatt GA, Cunningham A, Bowen S, Berking M, Mulvihill-Rivera N, et al. Mindfulness and modification therapy for 4 Razavi Int J Med. 2017; 5(4):e12199. Shahyar H and Jomehri F behavioral dysregulation: results from a pilot study targeting alcohol use and aggression in women. J Clin Psychol. 2012;68(1):50–66. doi: 10.1002/jclp.20830. [PubMed: 21932371].
    18. Agha Yousefi AR, Oraki M, Mohammad Z, Imani S. Mindfulness and addiction: effectiveness of mindfulness-based stress, anxiety and depression reduction in substance abusers [in Persian]. J Thought and Behavior. 2010;7(27):15–27.
    19. Treloar C, Laybutt B, Carruthres S. Using mindfulness to develop health education strategies for blood borne virus prevention in injection drug use. Drugs (Abingdon Engl). 2010;17(4):431–42.