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Encyclopedia > Smoking cessation
A 'No Smoking' sign
A 'No Smoking' sign

Smoking cessation (commonly known as quitting, or kicking the habit) is the effort to stop smoking tobacco products. Nicotine is a psychologically and physically addictive substance although the physical dependency is relatively minor compared to the psychological dependency. Although quitting smoking is commonly considered to be difficult, for some it is very easy once they have made the decision to stop. Psychological and pharmacological aids are available to help people quit smoking, although success rates vary considerably. Approximately 3% of smokers succeed using will power alone and it has been asserted that Nicotine Replacement Therapy (NRT) will double this rate to approximately 6%. However, much more successful are programs that address the psychological dependency, because it is the smoker's psychologically driven feeling of deprivation that is responsible for manifesting a wide range of other so-called "physical withdrawal symptoms". The physical withdrawal from nicotine is in fact very minor and consists of a slight feeling of insecurity, almost identical to the feeling of being hungry. It is this physical feeling which triggers the psychological feeling of needing or wanting a cigarette. Image File history File links Rauchen_Verboten. ... Image File history File links Rauchen_Verboten. ... The cigarette is the most common method of smoking tobacco. ... Shredded tobacco leaf for pipe smoking Tobacco can also be pressed into plugs and sliced into flakes Tobacco is an agricultural product processed from the fresh leaves of plants in the genus Nicotiana. ... This article is about the chemical compound. ... Heroin bottle An addiction is a recurring compulsion by an individual to engage in some specific activity, despite harmful consequences to the individuals health, mental state or social life. ... Nicotine replacement therapy (NRT) is the use of various forms of nicotine delivery methods intended to replace nicotine obtained from smoking or other tobacco usage. ...


As part of the wider tobacco control movement, there have been numerous advertising campaigns, smoking restriction policies, tobacco taxes, and other strategies to encourage people to quit smoking. These campaigns certainly prompt smokers to attempt cessation but there is little evidence to suggest they actually help smokers to achieve permanent cessation. Tobacco use is one of the major causes of death worldwide, according to the World Health Organization.[1] Tobacco advertising is the promotion of tobacco use (typically cigarette smoking) by the tobacco industry through a variety of media. ...

Contents

Outline

Smoking cessation services, which offer group or individual therapy can help people who want to quit. Some smoking cessation programs employ a combination of coaching, motivational interviewing, cognitive behavioral therapy, and pharmacological counseling. Some programmes in the UK are run by the NHS others are run by commercial organisations. However evaluation of the NHS programme has shown disappointing outcomes. A coach is a person who supports people (clients) to achieve their goals, with goal setting, encouragement and questions. ... Motivational interviewing refers to a counseling approach initially developed by clinical psychologists Professor William R Miller, Ph. ... A Cognitive Behavioral Therapy (CBT) is a psychotherapy based on modifying cognitions, assumptions, beliefs and behaviors, with the aim of influencing disturbed emotions. ...


Trials have shown that an effective method for quitting smoking is cognitive behaviour therapy or CBT. For example, the QUIT FOR LIFE Programme (David Marks, 1993, 2005) has produced quit rates that are 5-6 times higher than quitting by willpower alone (Marks & Sykes, 2002). Another notable example is the Allen Carr method (combining CBT with hypnotherapy) which has shown a remarkable success rate of 53% at the one year stage (Hutter et al., 2006) Cognitive therapy or cognitive behavior therapy is a kind of psychotherapy used to treat depression, anxiety disorders, phobias, and other forms of psychological disorder. ... David Marks is a psychologist and professor at City University in London, U.K.. He is founding editor of the Journal of Health Psychology. ... The Easy Way to Stop Smoking by Allen Carr, a famous book teaching smoking cessation Allen Carr (born 2 September 1934), who until 1983 was a chain smoker himself, is most notable as the author of books on how to stop smoking and, as he stresses, escape nicotine addiction. ...


One effective way to assist smokers who want to quit is through a telephone quitline which is easily available to all. Professionally run quitlines may help less dependent smokers but those more heavily dependent on nicotine should seek out their local smoking cessation services, where they exist, or assistance from a knowledgeable health professional, where they do not. Some evidence suggests that better results are achieved when support and medication are used simultaneously. Quitting with a group of other people who want to quit is also a proven method of getting support, available through many organizations. Quitline – a telephone based treatment for tobacco cessation Unfortunately, self reported 12-month abstinence rate for motivated smokers trying to quit without assistance is only approximately 7%. [1] One way to assist smokers who want to quit is to establish telephone helplines (quitlines) easily available to all. ...


A serious commitment to arresting dependency upon nicotine is essential. Medication, such as a nicotine replacement therapy product or Wellbutrin (aka Zyban) have been clinically proven to double a quitter's chances of stopping successfully versus placebo. Nicotine replacement therapy (NRT) is the use of various forms of nicotine delivery methods intended to replace nicotine obtained from smoking or other tobacco usage. ... Bupropion (amfebutamone) is an antidepressant of the aminoketone class, chemically unrelated to tricyclics or SSRIs. ...


However, critics have drawn attention recently to the risks associated with the administration of nicotine, a very powerful poison (used commercially as an insecticide), to pregnant women and adolescents (Ginzel et al., 2007).


Although some are successful, many people fail several times. Many smokers find it difficult to quit, even in the face of serious smoking-related disease in themselves or close family members or friends.


Some studies have concluded that those who do successfully quit smoking can gain weight. "Weight gain is not likely to negate the health benefits of smoking cessation, but its cosmetic effects may interfere with attempts to quit." (Williamson, Madans et al, 1991) Therefore, drug companies researching smoking-cessation medication often measure the weight of the participants in the study.


Tobacco smoking has a laxative effect, smoking cessation may lead to constipation, however this is by no means inevitable and is easily treated. [2] Laxatives are foods, compounds, or drugs taken to induce bowel movements, most often taken to treat constipation. ... Constipation or irregularity, is a condition of the digestive system where a person (or animal) experiences hard feces that are difficult to egest; it may be extremely painful, and in severe cases (fecal impaction) lead to symptoms of bowel obstruction. ...


Women and smoking cessation

Major depression may influence smoking cessation in women. Quitting smoking is especially difficult during certain phases of the reproductive cycle, phases that have also been associated with greater levels of dysphoria, and subgroups of women who have a high risk of continuing to smoke also have a high risk of developing depression. Since many women who are depressed may be less likely to seek formal cessation treatment, practitioners have a unique opportunity to persuade their patients to quit.[3] It is common to feel sad, discouraged , or down once in a while, and anyone in this state might say they are suffering from depression. ... The reproduction of many organisms follows a cyclical pattern, known as the reproductive cycle, which regulates the conception and birth of offspring. ... Look up dysphoria in Wiktionary, the free dictionary. ...


Statistics

  • Seven percent of over-the-counter nicotine patch and gum quitters quit for at least six months
  • A physician's advice to quit can increase quitting odds by 30 percent to ten percent at six months (see Table 11)
  • High intensity counseling of greater than 10 minutes can increase six month quitting rates to 22 percent when added to any quitting method, cold turkey or NRT (see Table 12)
  • Quitting programs involving 91 to 300 minutes of contact time can increase six month quitting rates to 28 percent, regardless of quitting method (see Table 13)
  • Quitting programs involving 8 or more treatment sessions can increase six month quitting rates to 24.7 percent (see Table 14)
  • Bupropion (Zyban/Wellbutrin) use can generate quitting rates 13 percentage points above placebo rates at six months (see Table 25). This fact is stated as such in that all bupropion studies to date have included counseling or support elements (having their own proven efficacy) and bupropion has not been tested in an over-the-counter type setting, as has NRT.
  • Allen Carr method. Allen Carr clinics claim a 90 percent success rate based on their money-back guarantee, in helping smokers stop. An independent scientific study (referred to above) has shown that after twelve months 53 percent remain non-smokers after one year, achieving by far the highest success rate of any smoking cessation method.[4].

The Easy Way to Stop Smoking by Allen Carr, a famous book teaching smoking cessation Allen Carr (born 2 September 1934), who until 1983 was a chain smoker himself, is most notable as the author of books on how to stop smoking and, as he stresses, escape nicotine addiction. ...

Methods

Screening

Health professionals may follow the "five A's" with every smoking patient they come in contact with: The delivery of modern health care depends on an expanding group of highly trained professionals coming together as an interdisciplinary team. ...

  1. Ask about smoking
  2. Advise quitting
  3. Assess current willingness to quit
  4. Assist in the quit attempt
  5. Arrange timely follow-up

Modalities

A 21mg dose Nicoderm CQ patch applied to the right arm
A 21mg dose Nicoderm CQ patch applied to the right arm

Effective[citation needed] techniques to increase smokers chances of successfully quitting are: Image File history File linksMetadata Size of this preview: 800 × 532 pixel Image in higher resolution (3008 × 2000 pixel, file size: 2. ... Image File history File linksMetadata Size of this preview: 800 × 532 pixel Image in higher resolution (3008 × 2000 pixel, file size: 2. ... NicoDerm, also known as NicoDerm CQ (short for Comitted Quit or Comitted Quitter) is a Nicotine Replacement Therapy produced by GlaxoSmithKline. ...

  • Quitting "cold turkey": abrupt cessation of all nicotine use as opposed to tapering or gradual stepped-down nicotine weaning. It is the quitting method used by 80 to 90% of all long-term successful quitters.
  • Smoking-cessation support and counselling, often offered over the internet, over the phone, or in person
  • Nicotine replacement therapy, NRT: pharmacological aids that are clinically proven to help with withdrawal symptoms, cravings, and urges (for example, transdermal nicotine patches, gum, lozenges, sprays, and inhalers)
  • Antidepressant bupropion (Zyban®, contraindicated in epilepsy, psychosis and diabetes) that also helps with withdrawal symptoms, cravings, and urges.
  • Nicotinic receptor antagonist varenicline (Chantix®) (Champix® in the UK)
  • "Five-Day Plan": quitting smoking through acceptance of addiction and realization of smoking's harmfulness
  • Smokeless tobacco Moist snuff is widely used in Sweden, and although it is much healthier than smoking, something which is reflected in the low cancer rates for Swedish men, there are still some concerns about its health impact. [1]
  • Herbal and aromatherapy "natural" program formulations.

Cold turkey is a slang expression describing the actions of a person who gives up a habit or addiction all at once. ... Nicotine replacement therapy (NRT) is the use of various forms of nicotine delivery methods intended to replace nicotine obtained from smoking or other tobacco usage. ... A nicotine patch is a transdermal patch that releases nicotine into the body through the skin. ... Nicotine gum is a type of chewing gum that delivers nicotine to the body. ... An inhaler is a medical device used for delivering medication into the body via the lungs. ... Bupropion (INN; also amfebutamone,[1] brand names Wellbutrin, Zyban, Budeprion and Buproban) is an atypical antidepressant, which acts as a norepinephrine reuptake inhibitor and dopamine reuptake inhibitor,[2] and a nicotinic antagonist. ... For the disease characterized by excretion of large amounts of very dilute urine, see diabetes insipidus. ... Varenicline (trade name Chantix in the USA and Champix in Europe, Mexico and Canada, manufactured by Pfizer, usually in the form of varenicline tartrate) is a prescription medication used to treat smoking addiction. ... See dipping tobacco ...

Alternative techniques

Some 'alternative' techniques which have been used for smoking cessation are:

  • Hypnosis Clinical trials studying hypnosis as a method for smoking cessation have been inconclusive. (The Cochrane Database of Systematic Reviews 2006, Issue 3.)
  • Herbal preparations such as Kava Kava and Chamomile
  • Acupuncture Clinical trials have shown that acupuncture's effect on smoking cessation is equal to that of sham/placebo acupuncture. (See Cochrane Review)
  • Attending a self-help group such as Nicotine Anonymous.[2]
  • Laser therapy based on acupuncture principles but without the needles.
  • Quit meters: Small computer programs that keep track of quit statistics such as amount of "quit-time", cigarettes not smoked, and money saved.
  • Self-help books (Allen Carr etc.) Some of these claim very high success rates but little externally verified evidence of this success exists.
  • Spirituality Spiritual beliefs and practices may help smokers quit.[3]

For the novel by Lucas Hyde, see Hypnosis (novel). ... Dioscorides’ Materia Medica, c. ... Kava is an ancient crop of the western Pacific. ... Chamomile flowers The name Chamomile or Camomile is ambiguous and can refer to several distinct species. ... Acupuncture chart from Hua Shou (fl. ... An incomplete list of 12-Step-Groups: AA Alcoholics Anonymous ACOA - Adult Children of Alcoholics [1] ADD-Anonymous - for people suffering from ADD [2] Al-Anon/Alateen AAA - All Addictions Anonymous [3] Anti-Nutrient*Addicts Anonymous [4] BA - Borderliners Anonymous [5] CA - Cocaine Anonymous CDA - Chemically Dependent Anonymous [6] CEA... Acupuncture chart from Hua Shou (fl. ... Though the term self-help can refer to any case whereby an individual or a group betters themselves economically, intellectually or emotionally, the connotations of the phrase have come to apply particularly to psychological or psychotherapeutic nostrums, often purveyed through the popular genre of the self-help book. ... The Easy Way to Stop Smoking by Allen Carr, a famous book teaching smoking cessation Allen Carr (born 2 September 1934), who until 1983 was a chain smoker himself, is most notable as the author of books on how to stop smoking and, as he stresses, escape nicotine addiction. ... Spirituality, in a narrow sense, concerns itself with matters of the spirit. ...

See also

Nicotine Anonymous (NicA) is a smoking cessation and recovery program for people who wish to live nicotine free. ... Social marketing is the systematic application of marketing alongside other concepts and techniques to achieve specific behavioural goals for a social good. ... Health promotion is the science and art of helping people change their lifestyle to move toward a state of optimal health. ... NicVax is a vaccine to reduce or eliminate physical addiction to nicotine. ... Nicotine replacement therapy (NRT) is the use of various forms of nicotine delivery methods intended to replace nicotine obtained from smoking or other tobacco usage. ... Tobacco Cessation Clinic, is an initiative by The World Health Organization (WHO) and the Ministry of Health, Government of India. ...

References

  • Marks, D.F. & Sykes, C. M. (2002). Randomized controlled trial of cognitive behavioural therapy for smokers living in a deprived area of London: outcome at one-year follow-up

Psychology, Health & Medicine, 7, 17-24.

  • Hutter H.P. et al. (2006). Smoking Cessation at the Workplace:1 year success of short seminars. International Archives of Occupational & Environmental Health, Vol 79 pages 42-48.
  • Marks, D.F. (1993). "The QUIT FOR LIFE Programme:An Easier Way To Quit Smoking and Not Start Again". Leicester: British Psychological Society.
  • Marks, D.F. (2005), Overcoming Your Smoking Habit. London: Robinson.
  1. World Health Organization, Tobacco Free Initiative
  2. Peters MJ, Morgan LC. The pharmacotherapy of smoking cessation. Med J Aust 2002;176:486-490. Fulltext. PMID 12065013.
  3. Williamson, DF, Madans, J, Anda, RF, Kleinman, JC, Giovino, GA, Byers, T Smoking cessation and severity of weight gain in a national cohort N Engl J Med 1991 324: 739-745
  4. Henningfield J, Fant R, Buchhalter A, Stitzer M. "Pharmacotherapy for nicotine dependence.". CA Cancer J Clin 55 (5): 281-99; quiz 322-3, 325. PMID 16166074.  Full text
  5. Zhu S-H, Anderson CM, Tedeschi GJ, et al. Evidence of real-world effectiveness of a telephone quitline$for smokers. N Engl J Med 2002;347(14):1087-93.
  6. Helgason AR, Tomson T, Lund KE, Galanti R, Ahnve S, Gilljam H. Factors related to abstinence in a telephone helpline for smoking cessation. European J Public Health 2004: 14;306-310.

Dr. Shu-Hong Zhu is a Chinese scientist living in the United States. ... Ásgeir R Helgason (b. ...

Notes

  1. ^ World Health Organization, Tobacco Free Initiative
  2. ^ Nicotine withdrawal symptoms:Constipation. helpwithsmoking.com (2005). Retrieved on 2007-06-29.
  3. ^ The impact of depression on smoking cessation in women.
  4. ^ An open letter to Tony Blair from Allen Carr 27/11/06

Year 2007 (MMVII) is the current year, a common year starting on Monday of the Gregorian calendar and the AD/CE era in the 21st century. ... is the 180th day of the year (181st in leap years) in the Gregorian calendar. ...

External links


  Results from FactBites:
 
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