The effectiveness of cognitive behavioral therapy for smoking cessation: A systematic review and meta-analysis.

IF 2.9 3区医学 Q2 PSYCHOLOGY, CLINICAL

Journal of Behavioral Medicine Pub Date : 2025-10-05 DOI:10.1007/s10865-025-00609-3

Jinyoung Chang, Jimin Kim, Eon Sook Lee, Yu Jin Paek, Hyeon-Jeong Lee, Miyoung Choi, Jin-Kyoung Oh, Eun-Jung Bae, Sang Hwa Shin, Yun Hee Kim, Kyung-Hyun Suh

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Abstract

Cognitive Behavioral Therapy (CBT) is a commonly used intervention for smoking cessation. This PROSPERO-registered systematic review and meta-analysis (CRD42024581823) evaluated the long-term effectiveness of CBT in achieving abstinence for six months or longer. Sixteen randomized controlled trials (RCTs) involving 2,531 adults were included. Studies comparing CBT to minimal care and published in English or Korean were selected; those focusing on Acceptance and Commitment Therapy (ACT) or mindfulness were excluded. Results indicate that CBT significantly improves long-term cessation rates. Subgroup analyses showed that both CBT alone and CBT with pharmacotherapy were effective compared with minimal care. In particular, CBT demonstrated greater effectiveness among patients with smoking-related conditions such as COPD and cardiovascular disease. Risk of bias was generally rated as "some concerns," and the certainty of evidence was moderate. These findings support CBT's clinical utility, especially when integrated with pharmacological treatments or tailored to high-risk populations.

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认知行为疗法对戒烟的有效性：系统回顾和荟萃分析。

认知行为疗法（CBT）是一种常用的戒烟干预方法。这项在prospero注册的系统评价和荟萃分析（CRD42024581823）评估了CBT在实现6个月或更长时间戒断方面的长期有效性。纳入16项随机对照试验（RCTs），涉及2531名成年人。选择以英语或韩语发表的比较CBT与最低限度护理的研究；那些专注于接受和承诺治疗（ACT）或正念的研究被排除在外。结果表明，CBT显著提高长期戒烟率。亚组分析显示，与最小护理相比，单独CBT和CBT联合药物治疗均有效。特别是，CBT在患有吸烟相关疾病（如COPD和心血管疾病）的患者中表现出更大的有效性。偏倚风险通常被评为“一些问题”，证据的确定性是中等的。这些发现支持CBT的临床应用，特别是当与药物治疗相结合或针对高危人群时。

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来源期刊

Journal of Behavioral Medicine PSYCHOLOGY, CLINICAL-

CiteScore

5.70

自引率

3.20%

发文量

112

期刊介绍： The Journal of Behavioral Medicine is a broadly conceived interdisciplinary publication devoted to furthering understanding of physical health and illness through the knowledge, methods, and techniques of behavioral science. A significant function of the journal is the application of this knowledge to prevention, treatment, and rehabilitation and to the promotion of health at the individual, community, and population levels.The content of the journal spans all areas of basic and applied behavioral medicine research, conducted in and informed by all related disciplines including but not limited to: psychology, medicine, the public health sciences, sociology, anthropology, health economics, nursing, and biostatistics. Topics welcomed include but are not limited to: prevention of disease and health promotion; the effects of psychological stress on physical and psychological functioning; sociocultural influences on health and illness; adherence to medical regimens; the study of health related behaviors including tobacco use, substance use, sexual behavior, physical activity, and obesity; health services research; and behavioral factors in the prevention and treatment of somatic disorders. Reports of interdisciplinary approaches to research are particularly welcomed.