Evidence map›Paper›PMID 39838329›Full record

ArticleBMC psychiatry2025

Relapse prevention among Iranian people who smoke through cognitive behavioral intervention: application of Marlatt's model.

Shahnaz Hajisahneh, Sakineh Rakhshanderou, Yadollah Mehrabi, Emran Mohammad Razzaghi, Leili Mazar, Mohtasham Ghaffari

Abstract read
In one paragraph

Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

6 authors.

Shahnaz HajisahnehDepartment of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Sakineh RakhshanderouDepartment of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Yadollah MehrabiDepartment of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Emran Mohammad RazzaghiDepartment of Psychiatry, Tehran University of Medical Sciences, Tehran, Iran.
Leili MazarDepartment of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mohtasham GhaffariDepartment of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran. MohtashamGhaffari@sbmu.ac.ir.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRelapse is by far the most likely outcome of any smoking cessation attempt. The present study aimed to assess the effectiveness of cognitive-behavioral intervention based on Marlatt's model on relapse prevention of people who smoke.

methodsThis interventional study was conducted among 265 people who smoke who referred to smoking cessation centers in Kurdistan province in Iran (intervention group = 129, control group = 136). The intervention group received cognitive behavioral therapy smoking cessation based on the Marlatt's model for 8 sessions and each session was one hour weekly, and the control group received routine smoking cessation treatment trough 7 one-hour weekly sessions. The data were collected by using a researcher-made questionnaire. The follow-ups were performed immediately, 1 week and 3 months after the intervention.

resultsWe found that 42.6% of the intervention group consumed more than 20 cigarettes daily before the intervention, reaching to 13.7% immediately, 10.2% one week and 6.2% three months after the intervention. There was a significant difference in the mean scores of internal and external high-risk situations, internal and external self-efficacy, coping skills, positive and negative outcome expectations, and abstinence violation effect between the intervention and control groups at immediately, one week, and three months after the intervention (P < 0.0001). A significant difference between the lapse and relapse rate in the intervention group compared to the control group immediately, one week and three months after the intervention was observed (P < 0.001).

conclusionCognitive-behavioral intervention is effective in reducing cigarette smoking, high-risk situations of smoking, abstinence violation effect, positive outcome expectation of smoking lapse and relapse and increasing self-efficacy, coping skills, and quitting smoking.

Indexed as

Cognitive Behavioral TherapyModels, PsychologicalSecondary PreventionSmokingSmoking CessationAdaptation, PsychologicalAdultFemaleHumansIranMaleMiddle AgedMiddle Eastern PeopleSelf EfficacyTreatment OutcomeCognitive behavioral therapyEducationRelapseSmoking cessationTobacco use

Identifiers

PMID39838329
PMCPMC11753166

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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.