The Journal of Turkish Family Physician

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Vol.16 Issue.4 · October-December 2025
Page: 242-255 Research Article 118x viewed
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The relationship between social support and loneliness and relapse in ındividuals who have quit smoking

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Published Online: 29 December 2025 · Accepted: 7 December 2025 · Received: 6 August 2025
Doi: 10.15511/tjtfp.25.00442
Cite Code: The Journal of Turkish Family Physician 2025;16(4):242-255
Authors: Nurcan Akbaş Güneş 1 · Mehtap Kaynak 2
1 Bolu Abant İzzet Baysal University, Department of Family Medicine, MD, Bolu.
2 Inhisar Country State Hospital, Dr., Bilecik. {ORCID:0000-0001-8460-8643}

Cite code: Güneş NA, Kaynak M. The relationship between social support and loneliness and relapse in individuals who have quit smoking. Jour Turk Fam Phy 2025; 16 (4):242-255. doi: 10.15511/tjtfp.25.00442.

Ethical approval: The study was approved by the Ethics Committee of Bolu Abant Izzet Baysal University (2021/63). No conflict of interest.

This article is published online with Open Access and distributed under the terms of the Creative CommonsAttribution Non- Commercial License 4.0 (CC BY-NC 4.0).


Keywords: hopelessness · loneliness · relapse · smoking cessation · Social Support
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Abstract

Objective: This study aims to identify the reasons for smoking relapse, the challenges faced during the smoking cessation process, and the impact of social support on smoking cessation among individuals seeking help at a smoking cessation clinic.

Methods: This cross-sectional and descriptive study was conducted on 120 individuals who applied to the Smoking Cessation Clinic of Bolu İzzet Baysal Training and Research Hospital between April and June 2021. Participants were assessed using the Sociodemographic Data Form, the Fagerström Test for Nicotine Dependence, the Multidimensional Scale of Perceived Social Support, the UCLA Loneliness Scale, and the Beck Hopelessness Scale.

Results: Among the participants, 80% were male, and 70% were married. As the number of smoking cessation attempts increased, the perception of family support also increased (p<0.001). However, loneliness and hopelessness scores also tended to rise with repeated cessation attempts (p<0.001). A significant relationship was found between smoking relapse and social support.

Conclusion: In our study, individuals with multiple quit attempts reported higher levels of perceived social support, loneliness, and hopelessness compared with those who had attempted to quit only once. This highlights the importance of providing targeted psychological and social support interventions for individuals who have experienced multiple unsuccessful quit attempts.

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The Journal of Turkish Family Physician (e-ISSN 2148-550X) is a peer-reviewed national periodical journal published four times a year, quarterly on-line only. The journal can include all scientific, evidence-based articles in both Turkish and English, such as research articles, case reports, reviews, letters to the editor, national and international scientific documents and translations, which are related to general medicine and family medicine and primary health care services.

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