Success rates in smoking cessation: Psychological preparation plays a critical role and interacts with other factors such as psychoactive substances. Joly, B., Perriot, J., d'Athis , P., Chazard, E., Brousse, G., & Quantin, C. PloS One, 12(10):e0184800, 2017.
Success rates in smoking cessation: Psychological preparation plays a critical role and interacts with other factors such as psychoactive substances [link]Paper  doi  abstract   bibtex   
INTRODUCTION: The aim of this study was to identify factors associated with the results of smoking cessation attempts. METHODS: Data were collected in Clermont-Ferrand from a smoking cessation clinic between 1999 and 2009 (1,361 patients). Smoking cessation was considered a success when patients were abstinent 6 months after the beginning of cessation. Multivariate logistic regression was used to investigate the association between abstinence and different factors. RESULTS: The significant factors were a history of depression (ORadjusted = 0.57, p = 0.003), state of depression at the initial consultation (ORa = 0.64, p = 0.005), other psychoactive substances (ORa = 0.52, p\textless0.0001), heart, lung and Ear-Nose-Throat diseases (ORa = 0.65, p = 0.005), age (ORa = 1.04, p\textless0.0001), the Richmond test (p\textless0.0001; when the patient's motivation went from insufficient to moderate, the frequency of abstinence was twice as high) and the Prochaska algorithm (p\textless0.0001; when the patient went from the 'pre-contemplation' to the 'contemplation' level, the frequency of success was four times higher). A high score in the Richmond test had a greater impact on success with increasing age (significant interaction: p = 0.01). In exclusive smokers, the contemplation level in the Prochaska algorithm was enough to obtain a satisfactory abstinence rate (65.5%) whereas among consumers of other psychoactive substances, it was necessary to reach the preparation level in the Prochaska algorithm to achieve a success rate greater than 50% (significant interaction: p = 0.02). CONCLUSION: The psychological preparation of the smoker plays a critical role. The management of smoking cessation must be personalized, especially for consumers of other psychoactive substances and/or smokers with a history of depression.
@article{joly_success_2017,
	title = {Success rates in smoking cessation: {Psychological} preparation plays a critical role and interacts with other factors such as psychoactive substances},
	volume = {12},
	copyright = {All rights reserved},
	issn = {1932-6203},
	shorttitle = {Success rates in smoking cessation},
	url = {https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0184800&type=printable},
	doi = {10.1371/journal.pone.0184800},
	abstract = {INTRODUCTION: The aim of this study was to identify factors associated with the results of smoking cessation attempts.
METHODS: Data were collected in Clermont-Ferrand from a smoking cessation clinic between 1999 and 2009 (1,361 patients). Smoking cessation was considered a success when patients were abstinent 6 months after the beginning of cessation. Multivariate logistic regression was used to investigate the association between abstinence and different factors.
RESULTS: The significant factors were a history of depression (ORadjusted = 0.57, p = 0.003), state of depression at the initial consultation (ORa = 0.64, p = 0.005), other psychoactive substances (ORa = 0.52, p{\textless}0.0001), heart, lung and Ear-Nose-Throat diseases (ORa = 0.65, p = 0.005), age (ORa = 1.04, p{\textless}0.0001), the Richmond test (p{\textless}0.0001; when the patient's motivation went from insufficient to moderate, the frequency of abstinence was twice as high) and the Prochaska algorithm (p{\textless}0.0001; when the patient went from the 'pre-contemplation' to the 'contemplation' level, the frequency of success was four times higher). A high score in the Richmond test had a greater impact on success with increasing age (significant interaction: p = 0.01). In exclusive smokers, the contemplation level in the Prochaska algorithm was enough to obtain a satisfactory abstinence rate (65.5\%) whereas among consumers of other psychoactive substances, it was necessary to reach the preparation level in the Prochaska algorithm to achieve a success rate greater than 50\% (significant interaction: p = 0.02).
CONCLUSION: The psychological preparation of the smoker plays a critical role. The management of smoking cessation must be personalized, especially for consumers of other psychoactive substances and/or smokers with a history of depression.},
	language = {eng},
	number = {10},
	journal = {PloS One},
	author = {Joly, Bertrand and Perriot, Jean and d'Athis, Philippe and Chazard, Emmanuel and Brousse, Georges and Quantin, Catherine},
	year = {2017},
	pmid = {29020085},
	keywords = {Algorithms, Anxiety, Depression, Female, Heart, Humans, Male, Multivariate Analysis, Nicotine replacement therapy, Patients, Psychotropic Drugs, Smoking Cessation, Smoking habits, Smoking related disorders},
	pages = {e0184800},
}

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