Resumo

ROSAS, Manuel  e  BAPTISTA, Filipa. Desenvolvimento de estratégias de intervenção psicológica para a cessação. Aná. Psicológica [online]. 2002, vol.20, n.1, pp.45-56. ISSN 0870-8231.

The risk of diseases associated to tobacco consume is nowadays one of the most important problems of public health. Beyond physiological dependence caused by nicotine, smoking is also related with psychosocial variables that reinforce and sustain the smoking act, making it repetitive and automatic in the most different contexts and situations. Most of the smokers who want to quit smoking by themselves, have only 5% of exit. Lately, it has been noticed, a diversified number of intervention strategies, whether pharmacological or psychological to face this problem. On this last perspective we present the first data of a psychological intervention program that follows the model proposed by E. Becoña (1993) in a cognitive-comportamental approach. The treatment protocol follows three steps (evaluation, intervention and follow-up), being composed by 6 sessions of individual or group treatment and 4 sessions of follow-up. This treatment program was conduced by the Psychological Service in Pedro Hispano Hospital, in Matosinhos, Portugal. The preliminary data presented here correspond to a sample of 107 persons. The ones who completed the treatment, 43% were abstinent at the end of the treatment and the others 57% reduced the cigarettes consume per day and the nicotine levels in a significative way. The present data reveals the efficacy of this kind of multimodal intervention, that includes not only the physiological aspects of the smoking act, but also the behaviour and psychosocial dimensions of it. So, we consider important the spread and implementation of this kind of treatment facilities on community health services.

Palavras-chave : Tobacco; smoking cessation; cardiovascular risk factors; psychological intervention; non-pharmacological strategies.

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