1. Smoking Tobacco
Dr Neeta Gupta
Practitioner Of CBT,REBT & EFT
Associate Professor
Department of Psychology
DAV (PG) College
Dehradun
2. SmokingTobacco:
The smoke from tobacco elicits
carcinogenic effects on the tissues of the
body that are exposed to the smoke.
3. Tobacco is made from the leaves of tobacco plants. It contains nicotine,
which is an addictive drug. When you smoke tobacco in cigarettes, cigars
or pipes, you absorb toxic and cancer-causing chemicals that affect your
health. Tobacco is made by drying leaves from tobacco plants.
Nicotine is the main chemical in tobacco. It is:
1.Toxic
2.Highly addictive
3.A stimulant this means it speeds up the messages that travel between
your brain and your body
4.Nicotine is a dangerous chemical for a number of reasons.
4. Tobacco smoke is a complex mixture of over
7,000 toxic chemicals, several of which 98 are
associated with an increased risk of
cardiovascular disease and 69 of which are
known to be carcinogenic. Tobacco kills up to
half of its users.Tobacco kills more than 8 million
people each year. More than 7 million of those
deaths are the result of direct tobacco use while
around 1.2 million are the result of non-smokers
being exposed to second-hand smoke.
Over 80% of the world's 1.3 billion tobacco
users live in low- and middle-income countries.
5. What is smoking?
When people smoke tobacco, they burn it
so they can breathe it in or taste the
smoke. All forms of tobacco are harmful,
and there is no safe level of exposure to
tobacco. Cigarette smoking is the most
common form of tobacco use worldwide.
Other tobacco products include waterpipe
tobacco, various smokeless tobacco
products, cigars, cigarillos, roll-your-own
tobacco, pipe tobacco, etc.
6. Smoking, the act of inhaling and exhaling the fumes
of burning plant material. A variety of plant
materials are smoked,
including marijuana and hashish, but the act is most
commonly associated with tobacco as smoked in
a cigarette, cigar, or pipe. Tobacco contains nicotine,
an alkaloid that is addictive and can have both
stimulating and tranquilizing psychoactive effects.
7. People smoke tobacco in different ways:
1.Cigarettes
Tobacco wrapped in a roll of paper. You can buy
cigarettes ready-made or you can roll your own.
When you smoke a cigarette, you breathe in the
smoke.
8. Cigars
Tobacco wrapped in a tobacco leaf or paper made
from tobacco pulp.
Pipes
Loose-leaf tobacco smoked in a pipe.
Tobacco smoking is the largest preventable cause of
death and disease in Australia. It
affects your health, even if you don’t breathe in the
smoke
affects the people around you through your second-
hand smoke
9. Many people also find it hard to quit
tobacco smoking, and one of the reasons
for this is because nicotine is so addictive.
Research shows that:
1.First-time smokers are more likely to
become addicted compared to first-time
users of cocaine or alcohol
2.If a person starts smoking as a teenager,
he/she is more likely to become a life-long
smoker compared to those who start as
an adult.
10. The harmful effects of smoking are not limited to the smoker.
The toxic components of tobacco smoke are found not only in
the smoke that the smoker inhales but also in environmental
tobacco smoke, or second hand smoke—that is, the smoke
exhaled by the smoker (mainstream smoke) and the smoke
that rises directly from the smoldering tobacco (sidestream
smoke). Nonsmokers who are routinely exposed to
environmental tobacco smoke are at increased risk for some
of the same diseases that afflict smokers, including lung
cancer and cardiovascular disease.
11. Smoking & Health:
1.Addiction
A major health effect common to all forms
of tobacco use is addiction, or, more
technically, dependence. Addiction
contributes to tobacco-
caused death and disease, since it spurs
smokers to continue their habit, which
repeatedly exposes them to the toxins in
tobacco smoke.
12. 2.Cancer: It is estimated that approximately one-third
of all cancer deaths worldwide are attributable
to tobacco. Cigarette smoke contains more than 60
known carcinogens. Although certain of the body’s
enzymes metabolize carcinogens and cause them to
be excreted, these enzymes sometimes function
inadequately, allowing carcinogens to bind to
cellular DNA and damage it. When cells with damaged
DNA survive, replicate, and accumulate, cancers
occur.
13. 3.Lung disease
It is not surprising that smokers suffer from many respiratory
diseases other than lung cancer. One such disease is chronic
obstructive pulmonary disease, or COPD, which is one of the
major causes of debilitation and eventual death in cigarette
smokers. Greater number of women dying from COPD than
men. COPD is a general term that refers to respiratory
diseases in which airflow is obstructed. Women’s airways
appear to be more sensitive to the effect of cigarette smoke.
14. 4.Heart disease
Smoking has long been recognized as a major risk factor
in cardiovascular disease. The carbon monoxide present in
cigarette smoke binds to haemoglobin in the blood, making
fewer molecules available for oxygen transport. In addition,
coronary blood flow is reduced, forcing the heart to work
harder to deliver oxygen to the body. Such strain places
smokers at significantly greater risk for heart attack,
and stroke.
15. Treatment:
1.Behavioral intervention: CBT, REBT
2.PMT model(The Protection Motivation Theory).
Rogers developed this model. According to this
behaviour is a product of 4 component :
a. Severity-Lung cancer is a serious illness
b. Susceptibility-my chances of getting lung cancer
are high.
c. Response Effectiveness-changing my habit would
improve my life.
d. Self-Efficacy- I am confident that I can change it.
16. Stages of Change:
The stages of change are
1.Initiation
2.Maintenance
3.Cessation
a.Pre Contemplation: Not seriously considering
quitting. In this stage there is no intention to
change behaviour in the near future
b.Contemplation: People are aware that a
problem exists and are seriously thinking to
overcome but not made a commitment to
take action.
17. c. Preparation: It combines intention and
behavioural criteria. People in this stage are
intending to take action in the next month and
have unsuccessfully taken action in the past
year.
d. Action: Initial behaviour change is the stage
in which individual modify their behaviour,
experiences, or environment in order to
overcome their problems. Action involves the
most overt behavioural changes and requires
considerable commitment of time and energy.
18. Maintenance: Maintaining behaviour change for a
period of time is the stage in which people work to
prevent relapse and consolidate the gains attained
during action.
4. Relapse:
a.Addiction behaviour are learn and can be
unlearned.
b.Addictions are Not’ all /Nothing but exist in
continuum.
c.Lapses from abstinence are likely and acceptable.
d.Believing that ‘One drink-a drunk’ is a self
fulfilling prophecy.
19. 3.Marlalt and Gordan-Relapse Prevention
Programme:
1.Self Monitoring: What do I do in high risk
situation.
2.Relapse Fantasies: what it be like to relapse
3.Relaxation training / stress management.
4.Skill Training.
5.Cognitive restructuring: factors such as self-
image, problem-solving behaviour, coping
mechanisms and attribution also contribute
to the acquisition of an addictive behaviour.
20. 4. Nicotine replacement therapy
Nicotine replacement therapy
delivers nicotine to the body in controlled,
relatively small doses, typically by means of
a transdermal patch, chewing gum, a nasal
spray, an inhaler, or tablets. These products
do not contain the tar, carbon monoxide,
or other toxic ingredients that are largely
responsible for the health hazards
of smoking.
21. 5.Nicotine patch
Nicotine patches are available without a prescription in many
countries. A new patch is applied to the skin every day and is
left in place for a recommended amount of time (usually 16
to 24 hours) while it delivers a controlled amount of nicotine
to the body through the skin. The patches are used over a
period of six to eight weeks or longer. Patches with the
highest dosage of nicotine (15 or 21 mg) are generally used
for the first few weeks; patches with lower doses are used
thereafter.
22. 6.Nicotine gum and lozenges
Nicotine gum, usually available in 2- and 4-mg formulations, is
available in many countries without a physician’s prescription.
The gum is chewed a few times and then placed between the
cheek and gums to allow the nicotine to be absorbed through
the mouth’s mucous membrane. These actions are repeated
for up to about 30 minutes. Achieving success with gum as a
cessation aid depends largely on using it consistently. At least
one piece of nicotine gum should be used every one to two
hours over a period of one to three months.
23. 7.Nicotine nasal spray
Nicotine nasal spray was designed to deliver nicotine
more rapidly than is possible with a patch or gum. It is
available by prescription only because it appears to
carry a somewhat higher cardiovascular risk and a
potentially higher risk for abuse than other nicotine
medications do.
24. 8.Nicotine inhaler
The nicotine inhaler, which consists of a nicotine-
filled cartridge and a mouthpiece, was developed in order to
imitate the behavioral and sensory characteristics
of smoking without mimicking the actual delivery of nicotine
to the lungs. The user inhales nicotine vapour into the mouth.
Most of the nicotine is absorbed through the oral mucosa.
The amount of nicotine delivered depends on the number of
inhalations and their intensity.
25. 9.Sublingual nicotine tablets
The sublingual nicotine tablet is approved for
use in several European countries. Each tablet
commonly contains 2 mg of nicotine and is
placed under the tongue until it dissolves; the
nicotine is absorbed through the oral mucosa.