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首页> 外文期刊>Journal of dual diagnosis >Acceptance and Commitment Therapy Smoking Cessation Treatment for Veterans with Posttraumatic Stress Disorder: A Pilot Study
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Acceptance and Commitment Therapy Smoking Cessation Treatment for Veterans with Posttraumatic Stress Disorder: A Pilot Study

机译：创伤后应激障碍退伍军人的接受和承诺疗法戒烟治疗：一项初步研究

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Objective: Veterans with PTSD smoke at rates two to three times higher than the general population, while their quit rate is less than half that of the general population. The present study evaluated the feasibility, acceptability, and preliminary efficacy of Acceptance and Commitment Therapy for Veterans With Posttraumatic Stress Disorder (PTSD) and Tobacco Addiction (ACT-PT), which focuses on helping veterans overcome emotional challenges to quitting smoking. Methods: Veterans with current PTSD who smoked 15 or more cigarettes/day (N = 19) participated in an open trial of ACT-PT. Participants attended nine weekly individual counseling sessions and received eight weeks of nicotine patch therapy. Primary outcomes included feasibility and acceptability of the intervention, and secondary outcomes included expired-air carbon monoxide confirmed seven-day point prevalence abstinence, cravings, and PTSD symptoms. Results: The retention rate for ACT-PT was good (74%) and client satisfaction ratings were high. Participants made multiple quit attempts (M = 3.6, SD = 4.2) during the study period and were significantly more confident that they could quit smoking at three-month follow-up. At the end of treatment, 37% of participants were abstinent from smoking and 16% were abstinent at three-month follow-up. Overall, participants reduced their smoking by 62% at the end of treatment and 43% at three-month follow-up. PTSD symptoms and smoking urges significantly decreased from baseline to the end of treatment and three-month follow-up. Conclusions: ACT-PT appears to be a promising smoking cessation treatment for veterans with PTSD. Future research should evaluate ACT-PT in a randomized controlled trial.
机译：目的：患有PTSD的退伍军人吸烟率是普通人群的2至3倍，而其戒烟率却不到普通人群的一半。本研究评估了创伤后应激障碍（PTSD）和烟草成瘾（ACT-PT）退伍军人的接受和承诺疗法的可行性，可接受性和初步疗效，其重点是帮助退伍军人克服情绪上的挑战以戒烟。方法：每天吸烟15支或更多（N = 19）的当前PTSD的退伍军人参加了ACT-PT的公开试验。参与者参加了每周九次的个人咨询会，并接受了八周的尼古丁贴片疗法。主要结局包括干预措施的可行性和可接受性，次要结局包括过期的空气中一氧化碳证实的七日点患病率戒断，渴望和PTSD症状。结果：ACT-PT的保留率很高（74％），客户满意度很高。在研究期间，参与者进行了多次戒烟尝试（M = 3.6，SD = 4.2），并且对在三个月的随访中可以戒烟的信心大大增强。在治疗结束时，在三个月的随访中，戒烟的参与者为37％，戒烟的为16％。总体而言，参与者在治疗结束时减少了62％的吸烟，在三个月的随访中减少了43％的吸烟。从基线到治疗结束以及三个月的随访，PTSD症状和吸烟欲明显降低。结论：ACT-PT似乎是治疗PTSD退伍军人的有希望的戒烟方法。未来的研究应在一项随机对照试验中评估ACT-PT。

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