Ponciano-Rodríguez G, Morales-Ruiz A

Language: Spanish
References: 28
Page: 280-289
PDF size: 181.60 Kb.

ABSTRACT

Objective. To show the importance and usefulness of emotional writing as a part of the psychological smoking treatment. Material and Methods. The clinical records of all patients who attended the Tobacco Cessation Clinic from 2001 to 2006 were reviewed, ten letters written by the smokers were selected as a way to support intervention to finish with the addiction, the psychologist on charge of the group asked the patients to write this type of letter the day when they have to stop smoking. Results. The content of ten letters written by smokers included in the treatment at the Tobacco Cessation Clinic are shown, these letters were selected based on their representativeness of complexity and deep intensity of the psychological dependence developed by smokers. The content of these letters emphasized the importance of an adequate treatment of this dependence. Conclusions. The emotional writing has shown to be an important and powerful tool in the psychological treatment of smoking, it allows the expression of smokers´ deep, intense and intimate thoughts and beliefs and how they associate smoking with their lives.

REFERENCES

1. Health Consequences of Smoking: Nicotine addiction: A report of the Surgeon General. Atlanta, Ga: Centers for Disease Control and Prevention, US Department of Health and Human Services, 1998.

2. Ponciano RG. Conceptos actuales sobre tabaquismo. México, Trillas. Documento no publicado.

3. The American Psychiatric Association. Diagnostic and Statistic Manual of Mental Dissorders. 4th edition DSMIV. Washington DC: American Psychiatric Association, 1994.

4. Balfour DJK. The neurobiology of tobacco dependence: a preclinical perspective on the role of the dopamine projections to the nucleus accumbens. Nicotine Tob Res 2004;6:899-912.

5. The tobacco use and dependence clinical practice guideline panel staff and consortium representatives. A clinical practice guideline for treating tobacco use and dependence: A US Public Health Service Report. JAMA 2000;283:3244-3254.

6. Lerman C, Berrettini W. Treating tobacco dependence. State of the science and new directions. J Clin Oncol 2005;23(2):311-323.

7. Jorenby ED, Leischow JS, Nides M, Rennard S, Jhonston AJ, Hughes RA, et al. A controlled trial of sustained release bupropion, a nicotine patch or both for smoking cessation. N Engl J Med 1999;340:685-691.

8. Gonzales D, Rennard SI, Nides M, Oncken Ch, Azoulay S, Billing BC et al. Varenicline, an 4 2 nicotinic acetylcholine receptor partial agonist, vs sustained release Bupropion and placebo for smoking cessation. A randomized controlled trial. JAMA 2006;296(1):47-55.

9. Tonstad S, Tonnesen P, Hajek P, Williams EK, Billing BC, Reeves K et al. Effect of maintenance therapy with Varenicline on smoking cessation. A randomized controlled trial. JAMA 2006;296(1):64-71.

10. Jorenby ED, Hays TJ, Rigotti AN, Azoulay S, Watsky JR, Williams EK et al. Efficacy of Varenicline, an 4 2 nicotinic acetylcholine receptor partial agonist, vs placebo or sustained-release Bupropion for smoking cessation. A randomized controlled trial. JAMA 2006;296:56-63.

11. Ponciano RG, Morales RA. Manual para el tratamiento integral del tabaquismo. México, Trillas. Documento inédito.

12. Quintas AM. El consumo de tabaco como un proceso. En: Calvo FJR, López CA. eds. El Tabaquismo. España; Universidad de Palmas de Gran Canaria, 2003:157-175.

13. Marin TD. Detección, diagnóstico y tratamiento en la clínica del fumador. En: Calvo FJR, López CA. eds. El Tabaquismo. España; Universidad de Palmas de Gran Canaria, 2003:457-487.

14. 14.Tapper AR, McKinney SL, Nashmi R, Schwatz J, Deshpande P, labarca C, et al. Nicotine activation of 4 receptors: sufficient for reward, tolerance and sensitization. Science 2004;306:1029-1032.

15. King SL, Caldarone BJ, Picciotto MR. Beta2-subunit-containing nicotinic acetylcholine receptors are critical for dopamine-dependent locomotor activation following repeated nicotine administration. Neuropharmacology 2004;(I):132-139.

16. Fagerström KO, Groman E. Dependencia en la nicotina: desarrollo, mecanismos y diferencias. En: Calvo FJR, López CA, eds. El Tabaquismo. España; Universidad de Palmas de Gran Canaria, 2003:177-190.

17. Fowler JS, Wang GJ, Volkow ND, Pappas N, Logan J, Mac Gregor RR et al. Inhibition of monoamine oxidase B in the brain of smokers. Nature 1996;379:733-736.

18. Fowler JS, Volkow ND, Wang GJ, Pappas N, Logan J, Shea C, et al. Brain monoamine oxidase inhibition in cigarette smokers. Proc Nat Acad Sci NY 1996;93:14065-14069.

19. Di Chiara G. Behavioral pharmacology and neurobiology of nicotine reward and dependence. In: Clement F, Fornasari D and Gotti C, eds. Neuronal Nicotinic Receptors. Berlin: Springer-Verlag, 2000.

20. Carreras CJM, Sánchez AL, Quesada LM. Estructura del tratamiento multicomponente del tabaquismo. En: Calvo FJR, López CA, eds. El Tabaquismo. España, Universidad de Palmas de Gran Canaria. 2003:523-556.

21. Ellis A, Murphy R. A bibliography of articles and books on Racional Emotive Therapy and Cognitive-Behavior Therapy. New York: Institute for Rational Living, 1975.

22. Beck AT. Cognitive therapy and the emocional disorders. New York: Meridian, 1976.

23. Beck AT, Wright FD, Newman FC, Liese SB. Terapia cognitiva de las drogodependencias. Madrid: Paidós, 1999.

24. White M. Reescribir la vida. Entrevistas y Ensayos. Madrid: Gedisa, 1995.

25. White M, Epston D. Medios narrativos para fines terapéuticos. Madrid: Paidós, 1993.

26. Guidano VF. Desarrollo de la Terapia Cognitiva Post-Racionalista. Santiago de Chile: Instituto de Terapia Cognitiva, 1995.

27. Guiza CVM, Quintanilla BJ, Lovaco SM, Torres AA, Ponciano RG, Morales RA. Clínicas contra el tabaquismo en México. Primer Informe sobre el combate al tabaquismo. En: Valdés-Salgado R, Lazcano-Ponce EC, Hernández-Ávila M. Primer informe sobre el combate al tabaquismo. México ante el Convenio Marco para el Control del Tabaco. Cuernavaca, Morelos: Instituto Nacional de Salud Pública, 2005:223-233.

28. Bucay J. El camino de las lágrimas. México: Océano, 2006.