REVIEW
Dialectical Behavior Therapy Skills Training as a Brief Intervention for Cigarette Smoking by Patients With Cancer: A Scoping Review and Narrative Synthesis of Related Literature
Marcia H. McCall,
Charlotte T. Boyd,
Nicole D. Kerr,
Stephanie S. Daniel,
Erin L. Sutfin,
Corresponding Author
Marcia H. McCall
Department of Psychiatry and Behavior Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA
Correspondence: Marcia H. McCall
Search for more papers by this authorCharlotte T. Boyd
Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA
Search for more papers by this authorNicole D. Kerr
Department of Counseling, Wake Forest University, Winston-Salem, North Carolina, USA
Search for more papers by this authorStephanie S. Daniel
Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA
Search for more papers by this authorErin L. Sutfin
Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA
Search for more papers by this authorMarcia H. McCall,
Charlotte T. Boyd,
Nicole D. Kerr,
Stephanie S. Daniel,
Erin L. Sutfin,
Corresponding Author
Marcia H. McCall
Department of Psychiatry and Behavior Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA
Correspondence: Marcia H. McCall
Search for more papers by this authorCharlotte T. Boyd
Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA
Search for more papers by this authorNicole D. Kerr
Department of Counseling, Wake Forest University, Winston-Salem, North Carolina, USA
Search for more papers by this authorStephanie S. Daniel
Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA
Search for more papers by this authorErin L. Sutfin
Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA
Search for more papers by this authorFirst published: 07 January 2025
ABSTRACT
Objective
Novel behavioral interventions are needed for patients with cancer who smoke cigarettes. Standard tobacco treatment may not effectively address the psychological distress and/or emotion dysregulation that makes quitting smoking difficult for many patients. Dialectical Behavior Therapy–Skills Training (DBT-ST) has demonstrated efficacy as a brief intervention for managing emotions and stress across varied populations but has not been adapted for patients with cancer who smoke. To determine its suitability for this population, we conducted a scoping review of brief DBT-ST with similar populations: people with substance use, breast cancer, or emotion dysregulation.
Methods
We followed PRISMA-ScR (preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews) guidelines. Studies were restricted to English-language publications of DBT-ST as a brief intervention of 20 or fewer sessions. We found 26 publications representing 23 research studies, extracted study details, and narratively synthesized the results.
Results
The 23 studies included 12 quasi-experimental designs, seven pilot randomized controlled trials (RCTs), and four RCTs. All studies found at least one improvement in a main outcome following DBT-ST intervention, with results maintained at follow-up. Qualitative outcomes indicated high satisfaction with DBT-ST and good retention. Studies recruited diverse participants, with some far exceeding population averages. Over half of the studies included only females or males. We found considerable heterogeneity across studies in intervention design, testing, and measurement.
Conclusion
DBT-ST as a brief intervention for people with substance use, cancer, or emotion dysregulation demonstrates sufficient positive outcomes to adapt this approach for patients with cancer who smoke cigarettes.
Conflicts of Interest
The authors declare no conflicts of interest.
Open Research
Data Availability Statement
Data sharing not applicable to this article as no datasets were generated or analyzed during the current study.
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