Influence of acceptance and mindfulness-based intervention on smoking cessation behavior in male patients with schizophrenia

Objective To explore the influence of intervention based on acceptance and mindfulness on smoking cessation behavior in long-term hospitalized male schizophrenic patients.

Methods Fifty long-term hospitalized male patients with schizophrenia were randomly divided into routine group (n=25) and intervention group (n=25). The routine group used conventional smoking cessation intervention, while the intervention group was given intervention based on the theory of acceptance and mindfulness. The smoking status of two groups (taking 300 d as ending time for observation) was observed. Cessation of smoking were taken as the outcome, different intervention methods as the main research factors, the differences in influence of the two intervention methods on the smoking cessation of schizophrenia patients were compared after adjusting the influence of age, education level and other factors.

Results The median time to quit smoking in the routine group was 280 days (95%CI, 158.39 to 401.62), which was longer than 66 days (95%CI, 9.21 to 122.79) in the intervention group. Log-rank test showed that there was a significant difference in the time of quitting smoking between the two groups (χ²=22.633, P < 0.001).

Conclusion Intervention based on acceptance and mindfulness can significantly shorten the time to quit smoking for long-term hospitalized male patients with schizophrenia.