Pilot randomized trial on mindfulness training for smokers in young adult binge drinkers

BMC Complementary and Alternative Medicine

Stevens S Smith¹  Matthew R Majeskie²  Alison R Manley²  Kristin A Stankevitz²  David M Mills²  James M Davis¹ 

[1] Department of Medicine, University of Wisconsin School of Medicine and Public Health, 1685 Highland Avenue, 53705 Madison, WI, USA;Center for Tobacco Research and Intervention, University of Wisconsin School of Medicine and Public Health, 1930 Monroe Street, Suite 200, 53711 Madison, WI, USA

关键词: Young adult;    Mindfulness;    Alcohol;    Tobacco;    Smoking;   

Others  :  1221017
DOI  :  10.1186/1472-6882-13-215

 received in 2012-08-14, accepted in 2013-08-30,  发布年份 2013

【 摘 要 】

Background

We report results of a pilot study designed to test a novel smoking cessation intervention, Mindfulness Training for Smokers (MTS), in smokers age 18-29 years with regular episodes of binge drinking. Mindfulness is a cognitive skill of applying close moment-to-moment attention to experience with a mental posture of acceptance and non-reactivity. The MTS intervention consisted of six weekly classes that provided instruction on how to use mindfulness to manage known precursors of smoking relapse including smoking triggers, strong emotions, stressful situations, addictive thoughts, urges, and withdrawal symptoms.

Methods

The MTS intervention was compared to Interactive Learning for Smokers (ILS), a time/intensity matched control group using daily non-directed walking instead of mindfulness meditation. Recruitment was conducted primarily at local technical colleges. Primary outcome measures included biochemically-confirmed smoking abstinence and reduction in alcohol use at the end of treatment (2-weeks post-quit attempt).

Results

The sample (N = 55) was 70.9% male, with a mean age of 21.9 years, and a mean of 11.76 alcoholic drinks consumed per week. Intent-to-treat analysis showed biochemically-confirmed 7-day point prevalence abstinence rates at 2-weeks post-quit for MTS = 20.0% and ILS = 4.0%, p = .08. Secondary analysis showed number of drinks per week in the first 2-weeks post-quit correlated with smoking relapse at 2-weeks post-quit (p < .01).

Conclusions

This pilot study demonstrated that Mindfulness Training for Smokers shows promise for smoking cessation and alcohol use reduction in treating young adult smokers with alcohol abuse. Results suggest the need for a study with larger sample size and methods that reduce attrition.

Trial registration

ClnicalTrial.gov, NCT01679236

【 授权许可】

   
2013 Davis et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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