The objective of this study is to adapt and test an enhanced smoking cessation treatment for World Trade Center (WTC) responders burdened with post-traumatic stress disorder (PTSD) symptoms. We will recruit 100 smokers who have significant PTSD symptoms from the population monitored at the Long Island site of the WTC-Health Program and other responders in the NY metropolitan area with PTSD symptoms. We will over-sample patients with lower respiratory illness to ensure that at least two thirds have these symptoms. Participants are randomly assigned to either: (1) standard smoking cessation or (2) enhanced smoking cessation that addresses PTSD and other anxiety symptoms. Nicotine replacement therapy is administered to both groups.
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