L’influenza della mindfulness e del benessere generale nel trattamento clinico dei fumatori di tabacco in un programma di disassuefazione. Una valutazione a breve e lungo termine

Titolo Rivista RICERCHE DI PSICOLOGIA
Autori/Curatori Olimpia Pino, Giuliano Giucastro, Roberta Crespi
Anno di pubblicazione 2020 Fascicolo 2020/3 Lingua Italiano
Numero pagine 22 P. 849-870 Dimensione file 279 KB
DOI 10.3280/RIP2020-003004
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Il fumo di sigaretta è un fenomeno complesso e le sue conseguenze per il cor-po umano sono sempre più note. Sulla base dei risultati di precedenti ricerche sul-la relazione tra Mindfulness e l’astinenza dal fumo, in cui è emerso che i soggetti che riportavano elevati livelli di Mindfulness disposizionale avevano maggiori possibilità di successo in un programma di disassuefazione dal fumo, lo scopo del presente studio era di estendere il ruolo di tale costrutto con un gruppo più ampio di fumatori sottoposti a trattamento farmacologico monitorato sia nelle prime 24 ore di astensione completa sia nel corso di un follow-up. Lo studio è stato condotto su 53 individui che hanno partecipato ad un programma di disas-suefazione dal fumo, compilando il test Fagerström sulla dipendenza da nicotina (FTND), la Mindful Attention Awareness Scale (MAAS) e il General Health Que-stionnaire (GHQ-12). L’astinenza è stata registrata in diverse sessioni attraverso la determinazione quantitativa del valore basale di monossido di carbonio (CO) nell’aria espirata dai polmoni che contribuisce a una maggiore obiettività dell’esito. I dati non hanno confermato il ruolo della Mindfulness come preditto-re dell’astinenza. I punteggi MAAS e GHQ-12 non appaiono correlati all’esito del programma di cessazione dal fumo di sigaretta. L’uso di strumenti più sensibili nella rilevazione della Mindfulness disposizionale potrebbe portare a risultati più accurati. Un trattamento cognitivo comportamentale più strutturato potrebbe contribuire alla cessazione della dipendenza da tabacco.;

Keywords:Dipendenza da nicotina, dipendenza da tabacco, fumo, pro-gramma di cessazione dal fumo di sigaretta, mindfulness.

  1. American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Washington, D.C.: APA. Trad. it.: DSM-5. Manuale diagnostico e statistico dei disturbi mentali. Quinta edizione. Milano: Raffaello Cortina, 2014.
  2. Baer, R.A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 27-45.
  3. Baker, T.B., Piper, M.E., McCarthy, D.E., Majeskie, M.R., & Fiore, M.C. (2004). Addiction motivation reformulated: an affective processing model of negative reinforcement. Psychological Review, 111(1), 33. DOI: 10.1037/0033295X.111.1.33
  4. Baker, M., & Wurgler, J. (2004). Appearing and disappearing dividends: the link to catering incentives. Journal of Financial. Economics, 73(2), 271-288.
  5. Beirut, L. J., Madden, P. A., Breslau, N., Johnson, E. O., Hatsukami, D., Pomerleau, O. F., Swan, G. E., Rutter, J., Fox, L., Fugman, D., Goate, A.M., Hinrichs, A.L., Konvicka, K., Martin, N.G., Montgomery, G.W., Saccone, N.L. Saccone, S.F., Wang, J.C., Chaise, G.A., Rice, J.P., & Ballinger, D.G. (2006). Novel genes identified in a high-density genome wide association study for nicotine dependence. Human Molecular Genetics, 16(1), 24-35.
  6. Bergomi, C., Tschacher, W., & Kupper, Z. (2013). The assessment of mindfulness with self-report measures: Existing scales and open issues. Mindfulness, 4(3), 191-202.
  7. Bevins, R.A., & Palmatier, M.I. (2004). Extending the role of associative learning processes in nicotine addiction. Behavioral and Cognitive. Neuroscience Reviews, 3(3), 143-158.
  8. Bishop, S.R., Lau, M., Shapiro, S., Carlson, L., Anderson, N.D., Carmody, J., Segal, Z.V., Abbey, S., Speca, M., Velting, D., & Devins, G. (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230-241.
  9. Bowen, S., Chawla, N., & Marlatt, G.A. (2011). Mindfulness-based relapse prevention for addictive behaviors: A clinician’s guide. New York, NY, US: Guilford Press.
  10. Brewer, J.A., Mallik, S., Babuscio, T.A., Nich, C., Johnson, H.E., Deleone, C.M., Minnix-Cotton, C.A., Byrne, S.A., Kober, H., Weinstein, A.J., Carroll, K.M., & Rounsaville, B.J. (2011). Mindfulness training for smoking cessation: results from a randomized controlled trial. Drug and Alcohol Dependence, 119(1-2), 72-80.
  11. Brown, K.W., & Ryan R.M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822-848. DOI: 10.1037/0022-3514.84.4.822
  12. Cardaciotto, L., Herbert, J.D., Forman, E.M., Moitra, E., & Farrow, V. (2008). The assessment of present moment awareness and acceptance: the Philadelphia Mindfulness Scale. Assessment, 15, 204-223. DOI: 10.1177/1073191107311467
  13. Chiesa, A. (2013). The difficulty of defining mindfulness: current thought and critical issues. Mindfulness, 4(3), 255-268.
  14. Coffey, K.A., & Hartman, M. (2008). Mechanisms of action in the inverse relationship between mindfulness and psychological distress. Complementary Health Practice Review, 13(2), 79-91.
  15. Davidson, R.J., & Kaszniak, A.W. (2015). Conceptual and methodological issues in research on mindfulness and meditation. American Psychologist, 70(7), 581.
  16. Davis, J.M., Fleming, M.F., Bonus, K.A., & Baker, T.B. (2007). A pilot study on mindfulness based stress reduction for smokers. BMC Complementary and Alternative Medicine, 7 (1), 1-7. DOI: 10.1186/1472-6882-7-2
  17. De Souza, I.C.W., de Barros, V.V., Gomide, H.P., Miranda, T.C.M., de Paula Menezes, V., Kozasa, E.H., & Noto, A.R. (2015). Mindfulness-based interventions for the treatment of smoking: a systematic literature review. The Journal of Alternative and Complementary Medicine, 21(3), 129-140.
  18. Doll, R., Peto, R., Wheatley, K., Gray, R., & Sutherland, I. (1994). Mortality in relation to smoking: 40 years’ observations on male British doctors. BMJ, 309(6959), 901-911.
  19. Fidler, J.A., & West, R. (2009). Self-perceived smoking motives and their correlates in a general population sample. Nicotine & Tobacco Research, 11(10), 1182-1188.
  20. File, S.E., Cheeta, S., & Kenny, P. J. (2000). Neurobiological mechanisms by which nicotine mediates different types of anxiety. European Journal of Pharmacology, 393(1-3), 231-236. DOI: 10.1016/S00142999(99)00889-4
  21. Free, C., Phillips, G., Galli, L., Watson, L., Felix, L., Edwards, P., Patel, V., & Haines, A. (2013). The effectiveness of mobile-health technology-based health behaviour change or disease management interventions for health care consumers: A systematic review. PLoS Medicine, 10(1), e1001362.
  22. Froeliger, B., Mathew, A.R., McConnell, P.A. et al. (2017). Restructuring reward mechanisms in nicotine addiction: a pilot fMRI study of Mindfulness-oriented recovery enhancement for cigarette smokers, Evidence-Based Complementary and Alternative Medicine, DOI: 10.1155/2017/7018014
  23. Gellert, C., Schoettker, B., & Brenner, H. (2012). Smoking and all-cause mortality in older people: systematic review and meta-analysis. Archives of Internal Medicine, 172(11), 837-844.
  24. Giovannini, C., Giromini, L., Bonalume, L., Tagini, A., Lang, M., & Amadei, G. (2014). The Italian five facet mindfulness questionnaire: a contribution to its validity and reliability. Journal of Psychopathology and Behavioral Assessment, 36(3), 415-423.
  25. Giucastro, G., Pelosi, A. & Pino, O. (2016). Dimensioni temperamentali ed effetti della terapia farmacologica sull’astensione dal fumo. Tabaccologia, 3, 20-28.
  26. Grossman, P. (2011). Defining Mindfulness by how poorly I think I pay attention during everyday awareness and other intractable problems for psychology’s (re) invention of Mindfulness: comment on Brown Et Al. (2011). Psychological Assessment, 23(4), 1034-1040.
  27. Heatherton, T.F., Kozlowski, L.T., Frecker, R.C. & Fagerström, K.O. (1991). The Fagerström Test for Nicotine Dependence: a revision of the Fagerström Tolerance Questionnaire. British Journal of Addiction, 86, 1119-1127.
  28. Japuntich, S.J., Piper, M.E., Leventhal, A.M., Bolt, D.M., & Baker, T.B. (2011). The effect of five smoking cessation pharmacotherapies on smoking cessation milestones. Journal of Consulting and Clinical Psychology, 79(1), 34-42. DOI: 10.1037/2332-2136.1.S.58
  29. Jha, P., Ramasundarahettige, C., Landsman, V., Rostron, B., Thun, M., Anderson, R.N., McAfee, T., & Peto, R. (2013). 21st-century hazards of smoking and benefits of cessation in the United States. New England Journal of Medicine, 368(4), 341-350.
  30. Kabat/Zinn, J. (2003). Mindfulness/based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144-156.
  31. Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. New York: Hyperion.
  32. Kannel, W.B. (1981). Update on the role of cigarette smoking in coronary artery disease. American Heart Journal, 101(3), 319-328. DOI: 10.1016/0002-8703(81)90197-6
  33. Lietz, M., Berges, A., Lebrun, S., Meurrens, K., Steffen, Y., Stolle, K., Schueller, J., Boue, S., Vuillaume, G., Vanscheeuwijck, P., Moehring, M., Schlage, W., De Leon, H., Hoeng, J., & Peitsch, M. (2013). Cigarette-smoke-induced atherogenic lipid profiles in plasma and vascular tissue of apolipoprotein E-deficient mice are attenuated by smoking cessation. Atherosclerosis, 229(1), 86-93.
  34. MacKillop, J., Mattson, R.E., Anderson, Mackillop, E.J., Castelda, B.A. & Donovick, P.J. (2007). Multidimensional assessment of impulsivity in undergraduate hazardous drinkers and controls. Journal of Study of Alcohol and Drugs, 68, 785-788.
  35. Marino, L., Latini, R., & Barbano, G. (1999). Definition of a reliable threshold value for detecting current smokers by CO measurement: Preliminary results. Communication presented at The Society for Research on Nicotine and Tobacco. Second European Conference on Tobacco Addiction. London: England November 5th-26th. pp. 59.
  36. Mathis, C., Poussin, C., Weisensee, D., Gebel, S., Hengstermann, A., Sewer, A., Belcastro, V., Xiang, Y., Ansari, S., Wagner, S., Hoeng, J., & Peitsch, M. (2013). Human bronchial epithelial cells exposed in vitro to cigarette smoke at the air-liquid interface resemble bronchial epithelium from human smokers. American Journal of Physiology Lung Cellular and Molecular Physiology, 304(7): 489-503.
  37. Milton, A.L., & Everitt, B.J. (2012). The persistence of maladaptive memory: Addiction, drug memories and anti-relapse treatments. Neuroscience & Biobehavioral Reviews, 36(4), 1119-1139.
  38. Patnode, C.D., Henderson, J.T., Thompson, J.H., Senger, C.A., Fortmann, S.P., & Whitlock, E.P. (2015). Behavioral counseling and pharmacotherapy interventions for tobacco cessation in adults, including pregnant women: a review of reviews for the US Preventive Services Task Force. Annals of Internal Medicine, 163(8), 608-621.
  39. Piccinelli, M., Bisoffi, G., Bon, M.G., Cunico, L. & Tansella, M. (1993). Validity and test-retest reliability of the Italian version of the 12-item General Heath Questionnaire in general practice: a comparison between three scoring methods. Comprehensive Psychiatry, 34, 198-205. DOI: 10.1016/0010-440X(93)90048-9
  40. Pino, O., Girolami, A., & Giucastro, G. (2019). Does the mindful attention awareness predict abstinence from nicotine smoking 24-h into a cessation programme? Italian Journal of Cognitive and Behavioural Psychotherapy, 25(2), 151-164.
  41. Pino, O., Girolami, A., & Giucastro, G. (2018). Mindful attention awareness as a predictor of smoking quitting in nicotine cessation treatment: preliminary data from a pilot study. EC Psychology and Psychiatry, 7(4), 162-168.
  42. Pino, O., Giucastro, G. & Pelosi, A. (2015). Personality dimensions, smoking behavior and drug effects on nicotine dependence: evidence for predicting tobacco withdrawal. International Journal of Neuroscience and Behavior Sciences, 3 (2), 17-24.
  43. Saccone, S.F., Hinrichs, A.L., Saccone, N.L., Chase, G.A., Konvicka, K., Madden, P.A., Breslau, N., Johnson, E.O., Hatsukami, D., Pomerleau, O., Swan, G.E., Goate, A.M., Rutter, J., Bertelsen, S., Fox, L., Fugman, D., Martin, N.G., Montgomery, G.W., Wang, J.C, Ballinger, D.G., Rice, J.P., & Bierut, L.J. (2007). Cholinergic nicotinic receptor genes implicated in a nicotine dependence association study targeting 348 candidate genes with 3713. SNPs. Human Molecular Genetics, 16(1), 36-49.
  44. Sauer, S., Walach, H., Schmidt, S., Hinterberger, T., Lynch, S., Büssing, A., & Kohls, N. (2013). Assessment of mindfulness: Review on state of the art. Mindfulness, 4(1), 3-17.
  45. Shapiro, S.L., Carlson, L.E., Astin, J.A., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62(3), 373-386.
  46. Smallwood, J., McSpadden, M., & Schooler, J.W. (2007). The lights are on but no one’s home: Metaawareness and the decoupling of attention when the mind wanders. Psychonomic Bulletin & Review, 14(3), 527-533. DOI: 10.3758/BF03194102
  47. Sullivan, P.F., & Kendler, K.S. (1999). The genetic epidemiology of smoking. Nicotine & Tobacco Research, 1(Suppl_2), S51-S57. DOI: 10.1080/14622299050011811
  48. Swan, G.E., McClure, J.B., Jack, L.M., Zbikowski, S.M., Javitz, H.S., Catz, S.L., Deprey, M., Richards, J., & McAfee, T.A. (2010). Behavioral counseling and varenicline treatment for smoking cessation. American Journal of Preventive Medicine, 38(5), 482-490.
  49. Tang, Y-Y., Tang, R., & Posner, M.I. (2013). Brief meditation training induces smoking reduction. PNAS, 110(34), 13971-1397.
  50. Taylor, G., McNeill, A., Girling, A., Farley, A., Lindson-Hawley, N., & Aveyard, P. (2014). Change in mental health after smoking cessation: systematic review and meta-analysis. BMJ, 348: g1151.
  51. Tomlinson, E.R., Yousaf, O., Vittersø, A.D. & Jones, L. (2018). Dispositional Mindfulness and psychological health: a systematic review. Mindfulness, 9, 23-43.
  52. Tronson, N.C., & Taylor, J.R. (2013). Addiction: A drug-induced disorder of memory reconsolidation. Current Opinion in Neurobiology, 23(4), 573-580.
  53. Van Dam, N.T., Earleywine, M., & Borders, A. (2010). Measuring mindfulness? An item response theory analysis of the Mindful Attention Awareness Scale. Personality and Individual Differences, 49(7), 805-810.
  54. Veneziani, C.A., & Voci, A. (2015). The Italian adaptation of the Mindful Awareness Attention Scale and its relation with individual differences and quality of life indexes. Mindfulness, 6(2), 373-381.
  55. Vidrine, J.I., Businelle, M.S., Reitzel, L.R., Cao, Y., Cinciripini, P.M., Marcus, M. T., Li, Y., & Wetter, D.W. (2015). Coping mediates the association of mindfulness with psychological stress, affect, and depression among smokers preparing to quit. Mindfulness, 6(3), 433-443.
  56. Weik, K.E., & Sutcliffe, K.M. (2007). Managing the unexpected: resilient performance in an age of uncertainty. San Francisco: John Wiley & Sons.
  57. Williams, J.M., Foulds, J., Dwyer, M., Order-Connors, B., Springer, M., Gadde, P., & Ziedonis, D.M. (2005). The integration of tobacco dependence treatment and tobacco-free standards into residential addictions treatment in New Jersey. Journal of Substance Abuse Treatment, 28(4), 331-340.
  58. World Health Organization. (2015). WHO report on the global tobacco epidemic, 2015: Raising taxes on tobacco. Geneva: World Health Organization. -- https://www.who.int/tobacco/global_report/2015/report/en/.

Olimpia Pino, Giuliano Giucastro, Roberta Crespi, L’influenza della mindfulness e del benessere generale nel trattamento clinico dei fumatori di tabacco in un programma di disassuefazione. Una valutazione a breve e lungo termine in "RICERCHE DI PSICOLOGIA " 3/2020, pp 849-870, DOI: 10.3280/RIP2020-003004