Evidence map›Paper›PMID 30391774›Full record

ArticleAddictive behaviors2019

Contingency management and cognitive behavioral therapy for trauma-exposed smokers with and without posttraumatic stress disorder.

Sandra J Japuntich, Lewina O Lee, Suzanne L Pineles, Kristin Gregor, Celina M Joos, Samantha C Patton, Suchitra Krishnan-Sarin, Ann M Rasmusson

Abstract read
In one paragraph

Article in Addictive behaviors, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.4field-weighted citation impact, top 35% of its field
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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
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

8 authors at 3 institutions in 1 country.

Sandra J JapuntichCenters for Behavioral and Preventive Medicine, The Miriam Hospital, Coro West, Suite 309, 164 Summit Ave., Providence, RI 02906, United States; Department of Psychiatry and Human Behavior, The Warren Alpert Medical School of Brown University, United States; VA Boston Healthcare System, 150 S. Huntington Ave., Boston, MA 02130, United States; Department of Psychiatry, Boston University School of Medicine, Boston, MA, United States. Electronic address: sandra.japuntich@lifespan.org.
Lewina O LeeVA Boston Healthcare System, 150 S. Huntington Ave., Boston, MA 02130, United States; Department of Psychiatry, Boston University School of Medicine, Boston, MA, United States.
Suzanne L PinelesVA Boston Healthcare System, 150 S. Huntington Ave., Boston, MA 02130, United States; Department of Psychiatry, Boston University School of Medicine, Boston, MA, United States; National Center for PTSD, Women's Health Sciences Division, Department of Veterans Affairs, United States.
Kristin GregorVA Boston Healthcare System, 150 S. Huntington Ave., Boston, MA 02130, United States; Department of Psychiatry, Boston University School of Medicine, Boston, MA, United States.
Celina M JoosVA Boston Healthcare System, 150 S. Huntington Ave., Boston, MA 02130, United States; National Center for PTSD, Women's Health Sciences Division, Department of Veterans Affairs, United States.
Samantha C PattonVA Boston Healthcare System, 150 S. Huntington Ave., Boston, MA 02130, United States; National Center for PTSD, Women's Health Sciences Division, Department of Veterans Affairs, United States.
Suchitra Krishnan-SarinDepartment of Psychiatry, Yale University School of Medicine, Boston, MA, Connecticut Mental Health Center, 34 Park Street, New Haven, CT 06519, United States.
Ann M RasmussonVA Boston Healthcare System, 150 S. Huntington Ave., Boston, MA 02130, United States; Department of Psychiatry, Boston University School of Medicine, Boston, MA, United States; National Center for PTSD, Women's Health Sciences Division, Department of Veterans Affairs, United States.
Boston University · USVA Boston Healthcare System · USYale University · US

Funding

Lifespan Effects of Biologically Embedded Stress on HealthK08AG048221 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI LEE, LEWINA ONYI · 2015 to 2019
$645k
Tobacco treatment as augmentation to Cognitive Processing Therapy for PTSDIK2CX000918 · VA · VA BOSTON HEALTH CARE SYSTEM · PI JAPUNTICH, SANDRA JANE · 2014 to 2015
–
CSRD VA IK2 CX000918NIA NIH HHS K08 AG048221
6 · The paper itself

Abstract

introductionTrauma-exposed individuals with and without posttraumatic stress disorder (PTSD) are more likely to smoke and less successful in quit attempts than individuals without psychopathology. Contingency management (CM) techniques (i.e., incentives for abstinence) have demonstrable efficacy for smoking cessation in some populations with psychopathology, but have not been well tested in PTSD. This pilot study examined the feasibility of CM plus brief cognitive behavioral therapy (CBT) in promoting smoking cessation among trauma-exposed individuals with and without PTSD.

methodsFifty trauma-exposed smokers (18 with PTSD) were asked to abstain from tobacco and nicotine replacement therapy for one month. During week one of cessation, CBT was provided daily and increasing CM stipends were paid for each continuous day of biochemically-verified abstinence; CM stipends were withheld in response to smoking lapses and reset to the initial payment level upon abstinence resumption. CBT and fixed payments for study visits were provided during the subsequent three weeks.

resultsOf the 50 eligible participants who attended at least one pre-quit visit (49% female, 35% current PTSD), 43 (86%) attended the first post-quit study visit, 32 (64%) completed the first week of CM/CBT treatment, and 26 (52%) completed the study. Post-quit seven-day point prevalence abstinence rates for participants with and without PTSD, respectively, were similar: 39% vs. 38% (1 week), 33% vs. 28% (2 weeks), 22% vs. 19% (3 weeks), and 22% vs. 13% (4 weeks).

conclusionsUse of CM + CBT to support tobacco abstinence is a promising intervention for trauma-exposed smokers with and without PTSD.

Indexed as

AdolescentAdultCognitive Behavioral TherapyFeasibility StudiesFemaleHumansMaleMiddle AgedPilot ProjectsSmokersSmoking CessationStress Disorders, Post-TraumaticTobacco Use DisorderYoung AdultContingency managementPost-traumaticPsychological traumaStress disordersTobacco use cessationTobacco use disorder

Identifiers

PMID30391774
PMCPMC6324961
OpenAlexW2899123583

What OpenQuestion holds

Textmetadata
LicenceTDM
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.