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

Authors

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

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

Abstract

Background: Substance abuse is one of the most important problems nowadays that has found the world range. A disaster that destroys millions 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 reducing smoking among addicts in Tehran.

Methods: The method 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 treatment. Convenience sampling method was used to choose samples from statistical 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 persons were randomly assigned to the control group and 15 ones to the experimental group (mindfulness). The Selfmade questionnaire for smoking rate was used in this study. Using SPSS software, obtained data from questionnaires were 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 that mindfulness 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.

Keywords


Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/

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].
 
2. 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].
https://doi.org/10.1136/tc.12.1.79
PMid:12612368 PMCid:PMC1759096
 
3. 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. [PubMed: 22662398].
https://doi.org/10.2466/02.06.13.18.PR0.110.2.445-460
PMid:22662398
 
4. Falkenstrom F. Studying mindfulness in experienced meditators: A quasi-experimental approach. Pers Indiv Diff. 210;48(3):305-10.
https://doi.org/10.1016/j.paid.2009.10.022
 
5. 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.. [PubMed: 25846954].
https://doi.org/10.3758/s13415-015-0354-7
PMid:25846954 PMCid:PMC4526594
 
6. 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. [PubMed: 24466175].
https://doi.org/10.1371/journal.pone.0086622
PMid:24466175 PMCid:PMC3899282
 
7. Garland EL, Hanley A, Farb NA, Froeliger BE. State Mindfulness During Meditation Predicts Enhanced Cognitive Reappraisal. Mindfulness (N Y). 2015;6(2):234-42. [PubMed: 26085851].
https://doi.org/10.1007/s12671-013-0250-6
PMid:26085851 PMCid:PMC4465118
 
8. 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.
 
9. 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.
 
10. 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.
 
11. 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. .
 
12. 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.
 
13. Witkiewitz K, Bowen S, Douglas H, Hsu SH. Mindfulness-based relapse prevention for substance craving.Addict Behav. 2013;38(2):1563-71. [PubMed: 22534451].
https://doi.org/10.1016/j.addbeh.2012.04.001
PMid:22534451 PMCid:PMC3408809
 
14. 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.
https://doi.org/10.1016/j.paid.2010.11.019
 
15. 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. [PubMed: 20304755].
https://doi.org/10.1080/07448480903540481
PMid:20304755 PMCid:PMC2879280
 
16. 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. [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].
https://doi.org/10.1037/a0028782
PMid:22708977 PMCid:PMC3450431
 
17. 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. [PubMed: 23280067].
https://doi.org/10.1080/1533256X.2012.702638
PMid:23280067 PMCid:PMC3532846
 
18. 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. [PubMed: 21932371].
https://doi.org/10.1002/jclp.20830
PMid:21932371
 
19. 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.
 
20. 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.
https://doi.org/10.3109/0968763080258537