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- Original article Effects of psychological conditions and changes on smoking cessation success after a residential smoking cessation therapy program: a retrospective observational study
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Gyu Lee Kim1,2
, Yu Hyeon Yi1,2, Jeong Gyu Lee1,2, Young Jin Tak1,2, Seung Hun Lee1,2, Young Jin Ra1,2, Sang Yeoup Lee1,3, Young Hye Cho1,4, Eun Ju Park1,4, Youngin Lee1,4, Jung In Choi1,4 -
Journal of Yeungnam Medical Science 2025;42:20.
DOI: https://doi.org/10.12701/jyms.2025.42.20 [Epub ahead of print]
Published online: January 2, 2025
1Department of Family Medicine, Busan Tabacco Control Center, and Medical Research Institute, Pusan National University Hospital, Busan, Korea
2Department of Family Medicine, Pusan National University School of Medicine, Yangsan, Korea
3Family Medicine Clinic and Obesity, Metabolism and Nutrition Center, Pusan National University Yangsan Hospital, Yangsan, Korea
4Department of Family Medicine and Biomedical Research Institute, Pusan National University Yangsan Hospital, Yangsan, Korea
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Corresponding author:
Yu Hyeon Yi,
Email: eeugus@hanmail.net
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Abstract
Background
Residential smoking cessation therapy programs offer intensive treatment for heavy smokers who struggle to quit independently, particularly those with high nicotine dependence and health conditions that necessitate urgent cessation. While previous studies have established the effectiveness of such programs and identified various factors influencing smoking cessation success, it remains unclear how changes in smokers’ thoughts and attitudes following residential therapy correlate with their ability to quit smoking. We investigated the relationship between smoking cessation-related characteristics, smoking-related psychological status, and participants’ smoking cessation success after a residential smoking cessation therapy program.
Methods
From January 2017 to December 2018, 291 participants completed the program. All participants completed questionnaires on smoking cessation-related characteristics and smoking-related psychological status before the program and on the 5th day. Six months later, smoking cessation success was assessed using a urine cotinine test.
Results
After 6 months, 222 participants successfully quit smoking, while 69 failed. The success and failure groups exhibited statistically significant differences in age, marital status, total smoking duration, stress, and emotion regulation strategies. Participants who used ineffective emotion regulation strategies more frequently had a lower rate of smoking cessation success (odds ratio [OR], 0.969; 95% confidence interval [CI], 0.948–0.991). Moreover, an increase in the perception of the negative effects of smoking cessation (OR, 0.982; 95% CI, 0.967–0.997) and smoking temptation (OR, 0.960; 95% CI, 0.929–0.993) was associated with higher cessation success.
Conclusion
Emotion regulation strategies, perceptions of the effects of smoking cessation, and smoking temptation were associated with successful smoking cessation.
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