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Published in: BMC Complementary Medicine and Therapies 1/2007

Open Access 01-12-2007 | Research article

A pilot study on mindfulness based stress reduction for smokers

Authors: James M Davis, Michael F Fleming, Katherine A Bonus, Timothy B Baker

Published in: BMC Complementary Medicine and Therapies | Issue 1/2007

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Abstract

Background

Mindfulness means paying attention in the present moment, non-judgmentally, without commentary or decision-making. We report results of a pilot study designed to test the feasibility of using Mindfulness Based Stress Reduction (MBSR) (with minor modifications) as a smoking intervention.

Methods

MBSR instructors provided instructions in mindfulness in eight weekly group sessions. Subjects attempted smoking cessation during week seven without pharmacotherapy. Smoking abstinence was tested six weeks after the smoking quit day with carbon monoxide breath test and 7-day smoking calendars. Questionnaires were administered to evaluate changes in stress and affective distress.

Results

18 subjects enrolled in the intervention with an average smoking history of 19.9 cigarettes per day for 26.4 years. At the 6-week post-quit visit, 10 of 18 subjects (56%) achieved biologically confirmed 7-day point-prevalent smoking abstinence. Compliance with meditation was positively associated with smoking abstinence and decreases in stress and affective distress.

Discussions and conclusion

The results of this study suggest that mindfulness training may show promise for smoking cessation and warrants additional study in a larger comparative trial.
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Literature
1.
go back to reference Goldstein J, Kornfield J: Seeking the heart of wisdom. 1987, Boston, MA: Shambhala Publications Goldstein J, Kornfield J: Seeking the heart of wisdom. 1987, Boston, MA: Shambhala Publications
2.
go back to reference Kabat-Zinn J: Full catastrophe living. 1990, New York: Dell Publishing Kabat-Zinn J: Full catastrophe living. 1990, New York: Dell Publishing
3.
go back to reference Segal ZV, Williams JMG, Teasdale JD: Mindfulness based cognitive behavioral therapy. 2002, New York: Guilford Press Segal ZV, Williams JMG, Teasdale JD: Mindfulness based cognitive behavioral therapy. 2002, New York: Guilford Press
4.
go back to reference Siahpush M, Carlin JB: Financial stress, smoking cessation and relapse: results from a prospective study of an Australian national sample. Addiction. 2006, 101: 121-127. 10.1111/j.1360-0443.2005.01292.x.CrossRefPubMed Siahpush M, Carlin JB: Financial stress, smoking cessation and relapse: results from a prospective study of an Australian national sample. Addiction. 2006, 101: 121-127. 10.1111/j.1360-0443.2005.01292.x.CrossRefPubMed
5.
go back to reference Niaura R, Shadel WG, Britt DM, Abrams DB: Response to social stress, urge to smoke, and smoking cessation. Addict Behav. 2002, 27: 241-250. 10.1016/S0306-4603(00)00180-5.CrossRefPubMed Niaura R, Shadel WG, Britt DM, Abrams DB: Response to social stress, urge to smoke, and smoking cessation. Addict Behav. 2002, 27: 241-250. 10.1016/S0306-4603(00)00180-5.CrossRefPubMed
6.
go back to reference Speca M, Carlson LE, Goodey E, Angen M: A randomized, wait-list controlled clinical trial: the effect of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients. Psychosom Med. 2000, 62: 613-622.CrossRefPubMed Speca M, Carlson LE, Goodey E, Angen M: A randomized, wait-list controlled clinical trial: the effect of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients. Psychosom Med. 2000, 62: 613-622.CrossRefPubMed
7.
go back to reference Baker TB, Piper ME, McCarthy DE, Majeskie MR, Fiore MC: Addiction motivation reformulated: An affective processing model of negative reinforcement. Psychological Review. 2004, 111: 33-51. 10.1037/0033-295X.111.1.33.CrossRefPubMed Baker TB, Piper ME, McCarthy DE, Majeskie MR, Fiore MC: Addiction motivation reformulated: An affective processing model of negative reinforcement. Psychological Review. 2004, 111: 33-51. 10.1037/0033-295X.111.1.33.CrossRefPubMed
8.
go back to reference Kenford SL, Smith SS, Wetter DW, Jorenby DE, Fiore MC, Baker TB: Predicting relapse back to smoking: Contrasting affective and physical models of dependence. Journal of Consulting and Clinical Psychology. 2002, 70: 216-227. 10.1037/0022-006X.70.1.216.CrossRefPubMed Kenford SL, Smith SS, Wetter DW, Jorenby DE, Fiore MC, Baker TB: Predicting relapse back to smoking: Contrasting affective and physical models of dependence. Journal of Consulting and Clinical Psychology. 2002, 70: 216-227. 10.1037/0022-006X.70.1.216.CrossRefPubMed
9.
go back to reference Piasecki TM, Jorenby DE, Smith SS, Fiore MC, Baker TB: Smoking withdrawal dynamics: I. Abstinence distress in lapsers and abstainers. Journal of Abnormal Psycholog. 2003, 112: 3-13. 10.1037/0021-843X.112.1.3.CrossRef Piasecki TM, Jorenby DE, Smith SS, Fiore MC, Baker TB: Smoking withdrawal dynamics: I. Abstinence distress in lapsers and abstainers. Journal of Abnormal Psycholog. 2003, 112: 3-13. 10.1037/0021-843X.112.1.3.CrossRef
10.
go back to reference Fiore MC, Bailey WC, Cohen SJ: 2000, Rockville, MD: U.S. Department of Health and Human Services, U.S. Public Health Service Fiore MC, Bailey WC, Cohen SJ: 2000, Rockville, MD: U.S. Department of Health and Human Services, U.S. Public Health Service
11.
go back to reference Brown KW, Ryan RM: The benefits of being present: mindfulness and its role in psychological well-being. J Pers Soc Psychol. 2003, 84: 822-848. 10.1037/0022-3514.84.4.822.CrossRefPubMed Brown KW, Ryan RM: The benefits of being present: mindfulness and its role in psychological well-being. J Pers Soc Psychol. 2003, 84: 822-848. 10.1037/0022-3514.84.4.822.CrossRefPubMed
12.
go back to reference Carlson LE, Speca M, Patel KD, Goodey E: Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress and levels of cortisol, dehydroepiandrosterone sulfate (DHEAS) and melatonin in breast and prostate cancer outpatients. Psychoneuroendocrinology. 2004, 29: 448-474. 10.1016/S0306-4530(03)00054-4.CrossRefPubMed Carlson LE, Speca M, Patel KD, Goodey E: Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress and levels of cortisol, dehydroepiandrosterone sulfate (DHEAS) and melatonin in breast and prostate cancer outpatients. Psychoneuroendocrinology. 2004, 29: 448-474. 10.1016/S0306-4530(03)00054-4.CrossRefPubMed
13.
go back to reference Kabat-Zinn J, Massion AO, Kristeller J, Peterson LG, Fletcher KE, Pbert L, Lenderking WR, Santorelli SF: Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. Am J Psychiatry. 1992, 149: 936-943.CrossRefPubMed Kabat-Zinn J, Massion AO, Kristeller J, Peterson LG, Fletcher KE, Pbert L, Lenderking WR, Santorelli SF: Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. Am J Psychiatry. 1992, 149: 936-943.CrossRefPubMed
14.
go back to reference Weiss M, Nordlie JW, Siegel EP: Mindfulness-based stress reduction as an adjunct to outpatient psychotherapy. Psychother Psychosom. 2005, 74: 108-112. 10.1159/000083169.CrossRefPubMed Weiss M, Nordlie JW, Siegel EP: Mindfulness-based stress reduction as an adjunct to outpatient psychotherapy. Psychother Psychosom. 2005, 74: 108-112. 10.1159/000083169.CrossRefPubMed
15.
go back to reference Beddoe AE, Murphy SO: Does mindfulness decrease stress and foster empathy among nursing students?. J Nurs Educ. 2004, 43: 305-312.PubMed Beddoe AE, Murphy SO: Does mindfulness decrease stress and foster empathy among nursing students?. J Nurs Educ. 2004, 43: 305-312.PubMed
16.
go back to reference Rosenzweig S, Reibel DK, Greeson JM, Brainard GC, Hojat M: Mindfulness-based stress reduction lowers psychological distress in medical students. Teach Learn Me. 2003, 15: 88-92. 10.1207/S15328015TLM1502_03.CrossRef Rosenzweig S, Reibel DK, Greeson JM, Brainard GC, Hojat M: Mindfulness-based stress reduction lowers psychological distress in medical students. Teach Learn Me. 2003, 15: 88-92. 10.1207/S15328015TLM1502_03.CrossRef
17.
go back to reference Shapiro SL, Schwartz GE, Bonner G: Effects of mindfulness-based stress reduction on medical and premedical students. J Behav Med. 1998, 21 (6): 581-599. 10.1023/A:1018700829825.CrossRefPubMed Shapiro SL, Schwartz GE, Bonner G: Effects of mindfulness-based stress reduction on medical and premedical students. J Behav Med. 1998, 21 (6): 581-599. 10.1023/A:1018700829825.CrossRefPubMed
18.
go back to reference Ma SH, Teasdale JD: Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. J Consult Clin Psychol. 2004, 72: 31-40. 10.1037/0022-006X.72.1.31.CrossRefPubMed Ma SH, Teasdale JD: Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. J Consult Clin Psychol. 2004, 72: 31-40. 10.1037/0022-006X.72.1.31.CrossRefPubMed
19.
go back to reference Teasdale JD, Moore RG, Hayhurst H, Pope M, Williams S, Segal ZV: Metacognitive awareness and prevention of relapse in depression: empirical evidence. J Consult Clin Psychol. 2002, 70: 275-287. 10.1037/0022-006X.70.2.275.CrossRefPubMed Teasdale JD, Moore RG, Hayhurst H, Pope M, Williams S, Segal ZV: Metacognitive awareness and prevention of relapse in depression: empirical evidence. J Consult Clin Psychol. 2002, 70: 275-287. 10.1037/0022-006X.70.2.275.CrossRefPubMed
20.
go back to reference Teasdale JD, Segal ZV, Williams JM, Ridgeway VA, Soulsby JM, Lau MA: Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. J Consult Clin Psycho. 2000, 68: 615-623. 10.1037/0022-006X.68.4.615.CrossRef Teasdale JD, Segal ZV, Williams JM, Ridgeway VA, Soulsby JM, Lau MA: Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. J Consult Clin Psycho. 2000, 68: 615-623. 10.1037/0022-006X.68.4.615.CrossRef
21.
go back to reference Marcus BH, Lewis BA, King TK, Albrecht AE, Hogan J, Bock B, Parisi AF, Abrams DB: Rationale, design, and baseline data for Commit to Quit II: An evaluation of the efficacy of moderate-intensity physical activity as an aid to smoking cessation in women. Preventive Medicine. 2003, 36: 479-492. 10.1016/S0091-7435(02)00051-8.CrossRefPubMed Marcus BH, Lewis BA, King TK, Albrecht AE, Hogan J, Bock B, Parisi AF, Abrams DB: Rationale, design, and baseline data for Commit to Quit II: An evaluation of the efficacy of moderate-intensity physical activity as an aid to smoking cessation in women. Preventive Medicine. 2003, 36: 479-492. 10.1016/S0091-7435(02)00051-8.CrossRefPubMed
23.
go back to reference Pearce MS, Hayes L: Self-reported smoking status and exhaled carbon monoxide: results from two population-based epidemiologic studies in the North of England. Chest. 2005, 128: 1233-1238. 10.1378/chest.128.3.1233.CrossRefPubMed Pearce MS, Hayes L: Self-reported smoking status and exhaled carbon monoxide: results from two population-based epidemiologic studies in the North of England. Chest. 2005, 128: 1233-1238. 10.1378/chest.128.3.1233.CrossRefPubMed
24.
go back to reference Derogatis LR, Rickels K, Rock AF: The SCL-90-R and the MMPI: a step in the validation of a new self-report scale. Br J Psychiatry. 1976, 128: 280-289.CrossRefPubMed Derogatis LR, Rickels K, Rock AF: The SCL-90-R and the MMPI: a step in the validation of a new self-report scale. Br J Psychiatry. 1976, 128: 280-289.CrossRefPubMed
25.
go back to reference Aben I, Verhey F, Lousberg R, Lodder J, Honig A: Validity of the beck depression inventory, hospital anxiety and depression scale, SCL-90-R, and Hamilton depression rating scale as screening instruments for depression in stroke patients. Psychosomatics. 2002, 43: 386-393. 10.1176/appi.psy.43.5.386.CrossRefPubMed Aben I, Verhey F, Lousberg R, Lodder J, Honig A: Validity of the beck depression inventory, hospital anxiety and depression scale, SCL-90-R, and Hamilton depression rating scale as screening instruments for depression in stroke patients. Psychosomatics. 2002, 43: 386-393. 10.1176/appi.psy.43.5.386.CrossRefPubMed
26.
go back to reference Barker-Collo SL: Culture and validity of the Symptom Checklist-90-Revised and Profile of Mood States in a New Zealand student sample. Cultur Divers Ethnic Minor Psycho. 2003, 9: 185-196. 10.1037/1099-9809.9.2.185.CrossRef Barker-Collo SL: Culture and validity of the Symptom Checklist-90-Revised and Profile of Mood States in a New Zealand student sample. Cultur Divers Ethnic Minor Psycho. 2003, 9: 185-196. 10.1037/1099-9809.9.2.185.CrossRef
27.
go back to reference Brophy CJ, Norvell NK, Kiluk D: An examination of the factor structure and convergent and discriminant validity of the SCL-90-RR in an outpatient clinic population. J Pers Assess. 1988, 52: 334-340. 10.1207/s15327752jpa5202_14.CrossRefPubMed Brophy CJ, Norvell NK, Kiluk D: An examination of the factor structure and convergent and discriminant validity of the SCL-90-RR in an outpatient clinic population. J Pers Assess. 1988, 52: 334-340. 10.1207/s15327752jpa5202_14.CrossRefPubMed
28.
go back to reference Kim SW, Dysken MW, Kuskowski M: The Symptom Checklist-90: Obsessive-Compulsive Subscale: A reliability and validity study. Psychiatry Res. 1992, 41 (1): 37-44. 10.1016/0165-1781(92)90016-V.CrossRefPubMed Kim SW, Dysken MW, Kuskowski M: The Symptom Checklist-90: Obsessive-Compulsive Subscale: A reliability and validity study. Psychiatry Res. 1992, 41 (1): 37-44. 10.1016/0165-1781(92)90016-V.CrossRefPubMed
29.
go back to reference Kinney RK, Gatchel RJ, Mayer TG: The SCL-90-RR evaluated as an alternative to the MMPI for psychological screening of chronic low-back pain patients. Spine. 1991, 16: 940-942. 10.1097/00007632-199108000-00013.CrossRefPubMed Kinney RK, Gatchel RJ, Mayer TG: The SCL-90-RR evaluated as an alternative to the MMPI for psychological screening of chronic low-back pain patients. Spine. 1991, 16: 940-942. 10.1097/00007632-199108000-00013.CrossRefPubMed
30.
go back to reference Morgan CD, Wiederman MW, Magnus RD: Discriminant validity of the SCL-90-R dimensions of anxiety and depression. Assessment. 1998, 5: 197-201.CrossRefPubMed Morgan CD, Wiederman MW, Magnus RD: Discriminant validity of the SCL-90-R dimensions of anxiety and depression. Assessment. 1998, 5: 197-201.CrossRefPubMed
31.
go back to reference Schmitz N, Hartkamp N, Kiuse J, Franke GH, Reister G, Tress W: The Symptom Check-List-90-R (SCL-90-R-R): a German validation study. Qual Life Re. 2000, 9: 185-193. 10.1023/A:1008931926181.CrossRef Schmitz N, Hartkamp N, Kiuse J, Franke GH, Reister G, Tress W: The Symptom Check-List-90-R (SCL-90-R-R): a German validation study. Qual Life Re. 2000, 9: 185-193. 10.1023/A:1008931926181.CrossRef
32.
go back to reference Canter PH, Ernst E: The cumulative effects of Transcendental Meditation on cognitive function – a systematic review of randomised controlled trials. Wien Klin Wochenschr. 2003, 115: 758-766.CrossRefPubMed Canter PH, Ernst E: The cumulative effects of Transcendental Meditation on cognitive function – a systematic review of randomised controlled trials. Wien Klin Wochenschr. 2003, 115: 758-766.CrossRefPubMed
33.
go back to reference Jorenby DE, Leishow SJ, Mides MA, Rennard SI, Johnston JA, Hughes AR, Smith SS, Muramoto ML, Daughton DM, Doan K, Fiore MC, Baker TB: A Controlled Trial of Sustatined – Release Bupropion, a Nicotine Patch or Both for Smoking Cessation. New England Journal of Medicine. 1999, 9: 685-691. 10.1056/NEJM199903043400903.CrossRef Jorenby DE, Leishow SJ, Mides MA, Rennard SI, Johnston JA, Hughes AR, Smith SS, Muramoto ML, Daughton DM, Doan K, Fiore MC, Baker TB: A Controlled Trial of Sustatined – Release Bupropion, a Nicotine Patch or Both for Smoking Cessation. New England Journal of Medicine. 1999, 9: 685-691. 10.1056/NEJM199903043400903.CrossRef
34.
go back to reference Cohen S, Kamarck T, Mermelstein R: A global measure of perceived stress. J Health Soc Behavior. 1983, 24: 385-396. 10.2307/2136404.CrossRef Cohen S, Kamarck T, Mermelstein R: A global measure of perceived stress. J Health Soc Behavior. 1983, 24: 385-396. 10.2307/2136404.CrossRef
Metadata
Title
A pilot study on mindfulness based stress reduction for smokers
Authors
James M Davis
Michael F Fleming
Katherine A Bonus
Timothy B Baker
Publication date
01-12-2007
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2007
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/1472-6882-7-2

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