Does Acceptance and Relationship Focused Behavior Therapy Contribute to Bupropion Outcomes? A Randomized Controlled Trial of Functional Analytic Psychotherapy and Acceptance and Commitment Therapy for Smoking Cessation

Authors

Elizabeth V. Gifford, Stanford University School of Medicine
Barbara S. Kohlenberg, University of Nevada School of Medicine
Steven C. Hayes, University of Nevada, Reno
Heather M. Pierson, VA Puget Sound Health Care System
Melissa P. Piasecki, University of Nevada School of Medicine
David O. Antonuccio, University of Nevada School of Medicine
Kathleen M. Palm, Clark UniversityFollow

Document Type

Article

Abstract

This study evaluated a treatment combining bupropion with a novel acceptance and relationship focused behavioral intervention based on the acceptance and relationship context (ARC) model. Three hundred and three smokers from a community sample were randomly assigned to bupropion, a widely used smoking cessation medication, or bupropion plus functional analytic psychotherapy (FAP) and acceptance and commitment therapy (ACT). Objective measures of smoking outcomes and self-report measures of acceptance and relationship processes were taken at pretreatment, posttreatment, 6-month, and 1-year follow-up. The combined treatment was significantly better than bupropion alone at 1-year follow-up with 7-day point prevalence quit rates of 31.6% in the combined condition versus 17.5% in the medication-alone condition. Acceptance and the therapeutic relationship at posttreatment statistically mediated 12-month outcomes. Bupropion outcomes were enhanced with an acceptance and relationship focused behavioral treatment. © 2011.

Publication Title

Behavior Therapy

Publication Date

2011

Volume

42

Issue

4

First Page

700

Last Page

715

ISSN

0005-7894

DOI

10.1016/j.beth.2011.03.002

Keywords

acceptance and commitment therapy, Bupropion, functional analytic psychotherapy, smoking cessation treatment, therapeutic relationship

Repository Citation

Gifford, Elizabeth V.; Kohlenberg, Barbara S.; Hayes, Steven C.; Pierson, Heather M.; Piasecki, Melissa P.; Antonuccio, David O.; and Palm, Kathleen M., "Does Acceptance and Relationship Focused Behavior Therapy Contribute to Bupropion Outcomes? A Randomized Controlled Trial of Functional Analytic Psychotherapy and Acceptance and Commitment Therapy for Smoking Cessation" (2011). Psychology. 590.
https://commons.clarku.edu/faculty_psychology/590