A review on strategies for smoking cessation and the management of nicotine dependence

Authors

  • Marwah Y. Abdullah Department of Family Medicine, East Jeddah Hospital, Jeddah, Saudi Arabia
  • Eman H. Alsaleh Emergency Medical Services, Almaarefa University, Riyadh, Saudi Arabia
  • Naima A. Alkhulaiwi Primary Health Care, Ministry of Health, Dammam, Saudi Arabia
  • Mayssan H. Almalki Department of Internal Medicine, King Abdullah Medical Complex, Jeddah, Saudi Arabia
  • Bayan T. Zamil Department of Family Medicine, Mecca Health Cluster, Mecca, Saudi Arabia
  • Abdassalam F. Alenezi Department of Family Medicine, Hail Family Medicine Academy, Hail, Saudi Arabia
  • Abdulaziz K. Alferaih College of Medicine, Dar Al Uloom University, Riyadh, Saudi Arabia
  • Mahir A. Ahmed Emergency Medical Services, King Abdulaziz International Airport, Jeddah, Saudi Arabia
  • Safaa F. Mehawish Department of Psychiatry, Eradah Mental Health Complex, Jeddah, Saudi Arabia
  • Khalid A. Khalifa College of Medicine, Batterjee Medical College, Jeddah, Saudi Arabia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20242900

Keywords:

Smoking cessation, Nicotine dependence, Behavioural therapy, Pharmacotherapy, Cognitive behavioural therapy, Acceptance and commitment therapy

Abstract

This review explores strategies for smoking cessation and the management of nicotine dependence, focusing on behavioural treatments, pharmacotherapies, and the integration of both approaches. Smoking is a major contributor to numerous health conditions, and effective cessation strategies are vital for improving public health outcomes. Current evidence-based treatments include individual, group, and telephone counselling, along with Food and Drug Administration (FDA) - approved pharmacotherapies, which have proven successful across diverse populations, including those with low socioeconomic status or comorbid conditions. Nicotine dependence, recognized as a chronic and relapsing condition, requires systematic treatment approaches in healthcare settings. Behavioural therapies, such as cognitive behavioural therapy (CBT), motivational interviewing, and acceptance and commitment therapy (ACT), show efficacy in addressing both the physiological and psychological aspects of nicotine addiction. Combining these interventions with pharmacotherapies often yields the highest cessation rates. The review highlights the importance of personalized treatment plans that consider individual motivations, socioeconomic factors, and the chronic nature of nicotine dependence, advocating for comprehensive approaches to smoking cessation.

References

United States Public Health Service Office of the Surgeon General; National Center for Chronic Disease Prevention and Health Promotion (US) Office on Smoking and Health. Interventions for Smoking Cessation and Treatments for Nicotine Dependence. Smoking Cessation: A Report of the Surgeon General. Washington (DC): US Department of Health and Human Services. 2020.

Prochaska JJ, Benowitz NL. The past, present, and future of nicotine addiction therapy. Annu Rev Med. 2016;67(1):467-86.

Stead LF, Lancaster T. Behavioural interventions as adjuncts to pharmacotherapy for smoking cessation. Cochrane Database Syst Rev. 2012(12):CD009670.

Stead LF, Koilpillai P, Lancaster T. Additional behavioural support as an adjunct to pharmacotherapy for smoking cessation. Cochrane Database Syst Rev. 2015;10:CD009670.

Steinberg MB, Schmelzer AC, Richardson DL, Foulds J. The case for treating tobacco dependence as a chronic disease. Ann Intern Med. 2008;148(7):554-6.

Foulds J, Schmelzer AC, Steinberg MB. Treating tobacco dependence as a chronic illness and a key modifiable predictor of disease. Int J Clin Pract. 2010;64(2):142-6.

Grant BF, Hasin DS, Chou SP, Stinson FS, Dawson DA. Nicotine dependence and psychiatric disorders in the united states: Results from the national epidemiologic survey on alcohol and related conditions. Archi Gen Psychiatry. 2004;61(11):1107-15.

Fiore M. Treating tobacco use and dependence: 2008 update: clinical practice guideline. Diane Publishing. 2009.

Cosci F, Pistelli F, Lazzarini N, Carrozzi L. Nicotine dependence and psychological distress: outcomes and clinical implications in smoking cessation. Psychol Res Behav Management. 2011;4:119-28.

Hatsukami DK, Stead LF, Gupta PC. Tobacco addiction. The Lancet. 2008;371(9629):2027-38.

Benowitz NL. Pharmacology of nicotine: addiction, smoking-induced disease, and therapeutics. Annu Rev Pharmacol Toxicol. 2009;49(1):57-71.

Osler M, Prescott E. Psychosocial, behavioural, and health determinants of successful smoking cessation: a longitudinal study of Danish adults. Tob Control. 1998;7(3):262-7.

Godtfredsen NS, Prescott E, Osler M, Vestbo J. Predictors of smoking reduction and cessation in a cohort of Danish moderate and heavy smokers. Prev Med. 2001;33(1):46-52.

Broms U, Silventoinen K, Lahelma E, Koskenvuo M, Kaprio J. Smoking cessation by socioeconomic status and marital status: the contribution of smoking behavior and family background. Nicotine Tob Res. 2004;6(3):447-55.

Stephens MAP, Rook KS, Franks MM, Khan C, Iida M. Spouses use of social control to improve diabetic patients' dietary adherence. Fam System Health. 2010;28(3):199.

Hukkanen J, Jacob P, Benowitz NL. Metabolism and disposition kinetics of nicotine. Pharmacol Rev. 2005;57(1):79-115.

Lancaster T, Stead LF. Individual behavioural counselling for smoking cessation. Cochrane Database Syst Rev. 2017;3(3):CD001292.

Webb TL, Sniehotta FF, Michie S. Using theories of behaviour change to inform interventions for addictive behaviours. Addiction (Abingdon, England). 2010;105(11):1879-92.

Foulds J, Gandhi KK, Steinberg MB, et al. Factors associated with quitting smoking at a tobacco dependence treatment clinic. Am J Health Behav. 2006;30(4):400-12.

Kotsen C, Santorelli ML, Bloom EL, Goldstein AO, Ripley-Moffitt C, Steinberg MB, et al. A Narrative Review of Intensive Group Tobacco Treatment: Clinical, Research, and US Policy Recommendations. Nicotine Tob Res. 2019;21(12):1580-9.

Butler AC, Chapman JE, Forman EM, Beck AT. The empirical status of cognitive-behavioral therapy: a review of meta-analyses. Clin Psychol Rev. 2006;26(1):17-31.

Hofmann SG, Asmundson GJ, Beck AT. The science of cognitive therapy. Behav Ther. 2013;44(2):199-212.

Hofmann SG, Asnaani A, Vonk IJ, Sawyer AT, Fang A. The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-analyses. Cognit Ther Res. 2012;36(5):427-40.

García-Vera MP, Sanz J. Analysis of the situation of treatments for smoking cessation based on cognitive-behavioral therapy and nicotine patches.. Psicooncología. 2006;3(2-3):269-89.

Laude JR, Bailey SR, Crew E, Varady A, Lembke A, McFall D, et al. Extended treatment for cigarette smoking cessation: a randomized control trial. Addiction. 2017;112(8):1451-9.

Tudor-Sfetea C, Rabee R, Najim M, Amin N, Chadha M, Jain M, et al. Evaluation of Two Mobile Health Apps in the Context of Smoking Cessation: Qualitative Study of Cognitive Behavioral Therapy (CBT) Versus Non-CBT-Based Digital Solutions. JMIR Mhealth Uhealth. 2018;6(4):e98.

Culbertson CS, Shulenberger S, De La Garza R, Newton TF, Brody AL. Virtual Reality Cue Exposure Therapy For The Treatment Of Tobacco Dependence. J Cyber Ther Rehab. 2012;5(1):57-64.

Amos A, Wiltshire S, Haw S, McNeill A. Ambivalence and uncertainty: experiences of and attitudes towards addiction and smoking cessation in the mid-to-late teens. Health Educ Res. 2006;21(2):181-91.

Bricker JB, Copeland W, Mull KE, Zeng EY, Watson NL, Akioka KJ, et al. Single-arm trial of the second version of an acceptance & commitment therapy smartphone application for smoking cessation. Drug Alcohol Depend. 2017;170:37-42.

Friedman AS, Schpero WL, Busch SH. Evidence Suggests That The ACA's Tobacco Surcharges Reduced Insurance Take-Up And Did Not Increase Smoking Cessation. Health Affairs (Project Hope). 2016;35(7):1176-83.

Reid RD, Pritchard G, Walker K, Aitken D, Mullen KA, Pipe AL. Managing smoking cessation. CMAJ. 2016;188(17-18):484-92.

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Published

2024-09-27

How to Cite

Abdullah, M. Y., Alsaleh, E. H., Alkhulaiwi, N. A., Almalki, M. H., Zamil, B. T., Alenezi, A. F., Alferaih, A. K., Ahmed, M. A., Mehawish, S. F., & Khalifa, K. A. (2024). A review on strategies for smoking cessation and the management of nicotine dependence. International Journal Of Community Medicine And Public Health, 11(10), 4107–4112. https://doi.org/10.18203/2394-6040.ijcmph20242900

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Section

Review Articles