Posttraumatic stress disorder (PTSD) and cigarette smoking are both associated with
significant impairment in Veterans and cost to the Veterans' Affairs (VA) system. Though
research suggests smoking is linked with PTSD symptoms, existing smoking cessation treatments
targeting PTSD smokers do not include PTSD treatment. The purpose of this study is to examine
a treatment that combines evidence based treatment for PTSD (cognitive processing therapy, or
CPT) with smoking cessation treatment for PTSD and a mobile text messaging program. The study
objectives are to evaluate feasibility of the treatment and to examine effectiveness of CPT
and smoking cessation treatment combined compared to smoking cessation treatment without CPT.
Fifty Veteran smokers with PTSD will participate in fourteen study sessions, ending with the
final follow-up session six months after the scheduled quit date.