2016 年 28 巻 Special_issue 号 p. 121-128
Varenicline is a popular smoking-cessation drug used in medical facilities in Japan. In this article, we have described our smoking-cessation treatments, and indicated five possible roles for health psychologists in clinical settings. (1). Smoking-cessation increases benefits and reduces disadvantages. It is important for health psychologist to inform patients about cognitive changes resulting from continued treatment, because continuing with smoking-cessation gradually increases benefits and reduces disadvantages. (2). Receiving praise by health psychologists, nurses and doctors is effective for patients to maintain behaviors leading to smoking-cessation. (3). Health psychologists could help patients enhance smoking-cessation behaviors by exploring preceding conditions of such behaviors using a smoking diary, and teach patients how to avoid these preceding events. (4). Health psychologists could conduct relaxation training, which is a recommended treatment for stress management that is known to be effective for suppressing nicotine withdrawal symptoms. (5). When a patient is invited to smoke, assertion skills are useful for refusing the invitation. Health psychologists could provide assertion skills training to maintain smoking-cessation behaviors. It is also suggested that a multicenter study of smoking-cessation be conducted in the future to assess the effectiveness of treatment by health psychologists.