Evidence map›Paper›PMID 29351507›Full record

ArticleJournal of dual diagnosis

"I Smoke Like This to Suppress These Issues That Are Flaws of My Character": Challenges and Facilitators of Cessation Among Smokers With Bipolar Disorder.

Jaimee L Heffner, Noreen L Watson, Jennifer B McClure, Robert M Anthenelli, Sarah Hohl, Jonathan B Bricker

Abstract read
In one paragraph

Article in Journal of dual diagnosis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pilot Randomized Controlled Trial of Web-Delivered Acceptance and Commitment Therapy Versus Smokefree.gov for Smokers With Bipolar Disorder.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
    Trial
  4. Trial
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jaimee L Heffnera Division of Public Health Sciences , Fred Hutchinson Cancer Research Center , Seattle , Washington , USA.
Noreen L Watsona Division of Public Health Sciences , Fred Hutchinson Cancer Research Center , Seattle , Washington , USA.
Jennifer B McClureb Kaiser Permanente Washington Health Research Institute (Formerly Group Health Research Institute) , Seattle , Washington , USA.
Robert M Anthenellic Department of Psychiatry , University of California, San Diego School of Medicine , San Diego , California , USA.
Sarah Hohld Division of Public Health Sciences, Fred Hutchinson Cancer Research Center & Department of Health Services , University of Washington , Seattle , Washington , USA.
Jonathan B Brickere Division of Public Health Sciences, Fred Hutchinson Cancer Research Center & Department of Psychology , University of Washington , Seattle , Washington , USA.

Funding

Web-Delivered Acceptance & Commitment Therapy for Smokers with Bipolar DisorderR34DA040119 · NIDA · FRED HUTCHINSON CANCER RESEARCH CENTER · PI HEFFNER, JAIMEE, OSTACHER, MICHAEL JOSHUA · 2015 to 2017
$748k
Targeted Intervention for Bipolar SmokersK23DA026517 · NIDA · UNIVERSITY OF CINCINNATI · PI HEFFNER, JAIMEE · 2009 to 2013
$654k
Development of a Targeted, Web-Based Intervention for Smokers with Social Anxiety Disorder Using Acceptance and Commitment TherapyF32DA041100 · NIDA · FRED HUTCHINSON CANCER RESEARCH CENTER · PI WATSON, NOREEN · 2016 to 2018
$188k
NIDA NIH HHS F32 DA041100NIDA NIH HHS K23 DA026517NIDA NIH HHS R34 DA040119
6 · The paper itself

Abstract

objectiveSmokers with bipolar disorder (BD) have low rates of successful quitting, yet no prior studies have evaluated the process of quitting among these smokers in the context of a current quit attempt. To facilitate development of more effective interventions, we conducted a qualitative exploration of challenges and facilitators of quitting in an intervention study for smokers with BD.

methodsParticipants were adult daily smokers with BD (n = 10) who completed a 10-week smoking cessation intervention consisting of Acceptance and Commitment Therapy (ACT) and nicotine patch. We administered semistructured interviews focused on the quitting process at the end of treatment and used inductive content analysis to extract themes.

resultsEmergent themes representing challenges of quitting included social impediments, lack of awareness, avoidance, maladaptive beliefs, ambivalence, benefits of smoking, and difficulties with nicotine replacement. Themes representing change facilitators included positive treatment effects (ACT-specific, nonspecific, and nicotine patch-related), coping behaviors, reasons to quit, changes in self-perception, and social benefits.

conclusionsResults suggest a need for assistance with obtaining social support and handling social impediments, interrupting the automaticity of smoking, expanding the behavioral repertoire to handle aversive internal states that tend to be avoided by smoking, preventing maladaptive beliefs from interfering with quitting, taking meaningful action toward change while experiencing ambivalence, either replacing the benefits of smoking or accepting their loss, and troubleshooting difficulties with nicotine replacement. Findings regarding facilitators of quitting supported previous quantitative findings that the ACT intervention impacted theory-based targets and highlighted the importance of the counseling relationship.

Indexed as

Bipolar DisorderTobacco Use Cessation DevicesAcceptance and Commitment TherapyAdultCombined Modality TherapyComorbidityDiagnosis, Dual (Psychiatry)FemaleHumansMaleMiddle AgedSmoking CessationTobacco Use Disorderbipolar disordernicotine dependenceTobacco cessation

Identifiers

PMID29351507
PMCPMC5995156

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.