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KMID : 1231220230140020049
Journal of the Korean Society for Research on Nicotine and Tobacco
2023 Volume.14 No. 2 p.49 ~ p.57
Long Term Smoking Cessation Rate according to Mindfulness Level
Kim Keum-Ji

Noh Hye-Mi
Park Mi-Jeong
Song Hong-Ji
Park Kyung-Hee
Seo Young-Gyun
Ahn Hye-Ji
Lee Eon-Sook
Paek Yu-Jin
Abstract
Background: The degree of mindfulness affects the success and maintenance of smoking cessation. This study aimed to investigate the relationship between the state of mindfulness scored using Korean mindfulness attention awareness scale (K-MAAS) and smoking cessation success rate.

Methods: Of total 506 participants enrolled in smoking cessation program at the camp from November 23, 2015 to July 24, 2017, we studied 290 participants who completed the K-MAAS and The Center for Epidemiologic Studies Depression Scale (CES-D) questionnaires before the start of the program. The urine cotinine qualitative test or self-report was used to identify smoking cessation at 3rd and 6th month after discharge. The K-MAAS score was divided into tertile groups. A lower K-MAAS score indicates a higher level of mindfulness. The relationship between the K-MAAS score and success rate of smoking cessation was analyzed using multivariate logistic regression after adjusting for the confounding factors.

Results: After the adjustment for age, sex, education level, alcohol intake, psychiatric illness, pack-years of smoking, nicotine dependency, and smoking cessation medication status, the success rate of smoking cessation at 3 months was not associated with mindfulness status. However, the success rate of smoking cessation at 6th month showed significant association with mindfulness status. The odds ratio for the intermediate and lowest tertile groups of K-MAAS score were 1.64 (95% confidence interval [CI]: 0.86-3.11) and 1.98 (95% [CI): 1.01-3.91), respectively, as compared with the highest tertile group of K-MAAS score.

Conclusion: Conclusively, the higher mindfulness states were associated with successful smoking cessation after 6 months of the camp.
KEYWORD
Mindfulness, Smoking cessation, Awareness
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