Effects of behavioral and pharmacological treatment on smokeless tobacco users

Dorothy K Hatsukami, Joni Jensen, Sharon S Allen, Mike Grillo, Robin Bliss

Research output: Contribution to journalArticlepeer-review

72 Scopus citations

Abstract

The purpose of this study was to examine the effects of 2 mg of nicotine polacrilex versus placebo gum and of group behavioral treatment versus minimal contact on cessation of smokeless tobacco use. Participants (N = 210) were randomly assigned 1 of the 4 treatment conditions. Withdrawal symptoms were assessed throughout the treatment. Follow-up assessments were made at 1, 6, and 12 months posttreatment. Survival curve analysis showed that any of the 3 treatment groups involving group behavioral therapy or placebo gum were equally effective and superior to the minimal contact plus 2 mg of nicotine gum treatment in terms of abstinence. On the other hand, withdrawal symptoms were significantly reduced by nicotine gum, compared with placebo during the initial phases of cessation. The ineffectiveness of nicotine gum on treatment outcome may be attributed to its similarity with smokeless tobacco.

Original languageEnglish (US)
Pages (from-to)153-161
Number of pages9
JournalJournal of consulting and clinical psychology
Volume64
Issue number1
DOIs
StatePublished - Feb 1 1996

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