{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:14:28Z","timestamp":1760145268312,"version":"build-2065373602"},"reference-count":48,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2024,7,7]],"date-time":"2024-07-07T00:00:00Z","timestamp":1720310400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Despite the availability of effective pharmacotherapy and evidence-based treatments, a substantial proportion of smokers do not seek treatment. This study aims to explore the cognitive distortions associated with not seeking evidence-based smoking cessation treatment and to identify cognitive barriers. Methods: The research conducted in Istanbul between October and December 2017 employs a cross-sectional design and includes two groups: a treatment-seeking group comprising 156 patients diagnosed with tobacco use disorder and a non-treatment seeking group of 78 patients with tobacco use disorder who had never sought professional help for smoking cessation. A comprehensive data collection process was used, including sociodemographic information, cognitive distortion assessment using the cognitive distortions scale, a smoking-related cognitive distortions interview and the Fagerstr\u00f6m Test for Nicotine Dependence. Results: While no significant sociodemographic differences were observed between the treatment-seeking and non-treatment-seeking groups, the study found that higher nicotine dependence was associated with a higher likelihood of seeking treatment. The treatment-seeking group displayed significantly higher levels of \u201call-or-nothing thinking\u201d cognitive distortions related to smoking and smoking cessation. Conversely, the non-treatment-seeking group exhibited elevated levels of cognitive distortions such as \u201clabeling\u201d, \u201cmental filtering\u201d, \u201cshould statements\u201d and \u201cminimizing the positive\u201d regarding receiving smoking cessation treatment. Conclusions: Understanding the cognitive distortions associated with treatment-seeking behavior for tobacco use disorder is crucial for developing targeted public-based interventions, public service announcements for tobacco use prevention and encouraging individuals to seek evidence-based treatment. Addressing these cognitive distortions can also potentially enhance the effectiveness of smoking cessation programs and reduce the global burden of tobacco-related diseases and mortality.<\/jats:p>","DOI":"10.3390\/jcm13133974","type":"journal-article","created":{"date-parts":[[2024,7,8]],"date-time":"2024-07-08T09:01:19Z","timestamp":1720429279000},"page":"3974","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cognitive Distortions as Barriers to Seeking Smoking Cessation Treatment: A Comparative Study"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1988-506X","authenticated-orcid":false,"given":"Selim","family":"Arpac\u0131o\u011flu","sequence":"first","affiliation":[{"name":"Psychiatry Department, Faculty of Medicine, Alt\u0131nba\u015f University, Istanbul 34147, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erkal","family":"Erzincan","sequence":"additional","affiliation":[{"name":"Psychology Department, Faculty of Economics Administrative and Social Sciences, Geli\u015fim University, Istanbul 34310, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6022-3714","authenticated-orcid":false,"given":"Mine","family":"Ergelen","sequence":"additional","affiliation":[{"name":"Psychiatry Department, Erenk\u00f6y Training and Research Hospital for Mental and Neurological Diseases, University of Health Sciences, Istanbul 34736, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beyza","family":"Arpac\u0131o\u011flu","sequence":"additional","affiliation":[{"name":"Psychiatry Department, Erenk\u00f6y Training and Research Hospital for Mental and Neurological Diseases, University of Health Sciences, Istanbul 34736, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salih Cihat","family":"Paltun","sequence":"additional","affiliation":[{"name":"Psychiatry Department, Erenk\u00f6y Training and Research Hospital for Mental and Neurological Diseases, University of Health Sciences, Istanbul 34736, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1129-8960","authenticated-orcid":false,"given":"Murat","family":"Yal\u00e7\u0131n","sequence":"additional","affiliation":[{"name":"Psychiatry Department, Erenk\u00f6y Training and Research Hospital for Mental and Neurological Diseases, University of Health Sciences, Istanbul 34736, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rabia","family":"Bilici","sequence":"additional","affiliation":[{"name":"Psychology Department, Faculty of Humanities and Social Sciences, Istanbul Ticaret University, Istanbul 34445, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,7,7]]},"reference":[{"key":"ref_1","unstructured":"U.S. Centers for Disease Control and Prevention (2024, June 16). 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