Lutte contre le tabagisme en France. L'indispensable prise en compte de la dépendance comportementale

The prevalence of smoking in France remains very high compared to other developed Western countries. The management of smoking in smokers is often limited to nicotinic substitution, whether medicated or linked to the use of electronic cigarettes or varenicline and advices more or less reliable or helpful. This strategy of aiding smoking cessation, if isolated, leads to a high number of failures. It is therefore necessary to consider behavioral dependence, in the broad sense in three aspects, “behavioral” (the motor Gestures), cognitive (thoughts) and emotional (emotions). Behaviorists distinguish open (motor) and closed behaviors (cognitions and emotions), the latter two, emotions and cognitions, being quite often related. Practical examples of action in this direction are proposed.