Anxiety Sensitivity as a Predictor of Acute Subjective Effects of Smoking

Wong, Matthew; Krajisnik, Andrea; Truong, Lauren; Lisha, Nadra E.; Trujillo, Michael A.; Greenberg, Jodie; Kahler, Christopher W.; Zvolensky, Michael J.; Leventhal, Adam M.

doi:10.1093/ntr/nts208

Cited by 28 publications

(26 citation statements)

References 30 publications

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“…Importantly, high anxiety sensitivity is related to greater odds of early smoking lapse (12) and relapse during quit attempts (13). These observed anxiety sensitivity-smoking relations are not better explained by smoking rate, sex, other concurrent substance use, panic attack history, or trait-like negative mood propensity (6,7). …”

Section: Introductionmentioning

confidence: 71%

“…Specifically, anxiety sensitivity is positively correlated with smoking motives to reduce negative affect (5) and beliefs that smoking will reduce negative affect (6). Similarly, higher levels of anxiety sensitivity are associated with increases in positive affect after smoking (7), and smoking reduces anxiety in high anxiety sensitivity smokers who smoked during stress exposure (8). Moreover, smokers higher in anxiety sensitivity, relative to those with lower anxiety sensitivity, perceive quitting as more difficult (9) and experience more intense nicotine withdrawal during early phases in quitting (10).…”

Section: Introductionmentioning

confidence: 99%

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The Efficacy of Vigorous-Intensity Exercise as an Aid to Smoking Cessation in Adults With High Anxiety Sensitivity

Smits

Zvolensky

Davis

et al. 2016

Psychosomatic Medicine

119

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Objective High anxiety sensitivity predicts poor smoking cessation outcomes. Aerobic exercise reduces anxiety sensitivity and aspects of the risk conferred by anxiety sensitivity. In the current study, we examined whether exercise can aid smoking cessation in adults with high anxiety sensitivity. Method Participants were sedentary and low activity adult daily smokers (N = 136) with elevated prescreen anxiety sensitivity. Participants received 15 weeks of standard smoking cessation treatment (ST: cognitive behavioral therapy plus nicotine replacement therapy). Additionally, participants were simultaneously randomized to 15 weeks of either an exercise intervention (ST+EX; n = 72) or a wellness education control condition (ST+CTRL; n = 64). Self-reported smoking abstinence was assessed weekly during the intervention, at the end of treatment (10 weeks following the target quit date), and at 4 and 6 months following the target quit date. Abstinence was verified by expired carbon monoxide readings and saliva cotinine. Results Results indicated that point prevalence abstinence (PPA) and prolonged abstinence (PA) rates were significantly higher for ST+EX than for ST+CTRL at each of the major end points among persons with high anxiety sensitivity (PPA: b=−.91, SE=.393, t(1171)=−2.33, p=.020; PA: b=−.98, SE=.346, t(132)=−2.84, p=.005), but not among those with low anxiety sensitivity (PPA: b=−.23, SE=.218, t(1171)=−1.06, p=..29; PA: b=−.31, SE=.306, t(132)=−1.01, p=.32) Conclusions The present results suggest that exercise faciliates the odds of quit success for smokers with high levels of anxiety sensitivity, and therefore, may be a useful therapeutic tactic for this high-risk segment of the smoking population.

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Section: Introductionmentioning

confidence: 71%

Section: Introductionmentioning

confidence: 99%

The Efficacy of Vigorous-Intensity Exercise as an Aid to Smoking Cessation in Adults With High Anxiety Sensitivity

Smits

Zvolensky

Davis

et al. 2016

Psychosomatic Medicine

119

View full text Add to dashboard Cite

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“…Consistent with this possibility, one experimental study reported that AS was related to smoking-induced increases in PA during tobacco non-abstinence. [63] …”

Section: Discussionmentioning

confidence: 99%

Anxiety sensitivity facets in relation to tobacco use, abstinence-related problems, and cognitions in treatment-seeking smokers

Guillot

Leventhal

Raines

et al. 2016

Addictive Behaviors

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Anxiety sensitivity (AS)—fear of anxiety-related experiences—has been implicated in smoking motivation and maintenance. In a cross-sectional design, we examined AS facets (physical, cognitive, and social concerns) in relation to tobacco use, abstinence-related problems, and cognitions in 473 treatment-seeking smokers. After controlling for sex, race, age, educational attainment, hypertension status, and neuroticism, linear regression models indicated that AS physical and cognitive concerns were associated with tobacco dependence severity (β = .13–.14, p < .01), particularly the severity of persistent smoking regardless of context or time of day (β = .14–.17, p < .01). All three AS facets were related to more severe problems during past quit attempts (β = .23–.27, p < .001). AS cognitive and social concerns were related to negative affect reduction smoking motives (β = .14, p < .01), but only the social concerns aspect of AS was related to pleasurable relaxation smoking motives and positive and negative reinforcement-related smoking outcome expectancies (β = .14–.17, p < .01). These data suggest that AS physical and cognitive concerns are associated with negative reinforcement-related smoking variables (e.g., abstinence-related problems), whereas the social concerns aspect of AS is associated with positive and negative reinforcement-related smoking variables. Together with past findings, current findings can usefully guide AS-oriented smoking cessation treatment development and refinement.

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“…Greater interoceptive awareness in AS and GAD could result in increased awareness of internal sensations produced by the acute pharmacological (e.g., stimulation, arousal enhancement) and sensory (e.g., sensations of inhaling smoke or imbibing alcohol) effects of self-administering drugs of abuse, which could in turn alter the profile of subjective drug effects. Although this hypothesis has not been tested, one study in adult regular smokers found that AS was associated with greater subjective positive effects from acute cigarette administration (Wong, et al, 2013). Additionally, some work in emerging adults has negatively correlated AS with cannabis use, which could theoretically be due to greater negative subjective effects of cannabis in high-AS individuals (S.…”

Section: Introductionmentioning

confidence: 99%

Associations of anxiety sensitivity and emotional symptoms with the subjective effects of alcohol, cigarettes, and cannabis in adolescents

Pang

Guillot

Zvolensky

et al. 2017

Addictive Behaviors

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Maladaptive emotional traits (anxiety sensitivity [AS], fear of anxiety-related sensations and consequences) and symptoms (major depressive disorder [MDD] and generalized anxiety disorder [GAD] symptoms) could play a role in altering sensitivity to the subjective effects of drugs of abuse in adolescents. Data were drawn from a longitudinal study of high school students in Los Angeles, CA, USA who completed surveys and reported past six-month use of alcohol (n=1054), cigarettes (n=297), or cannabis (n=706). At each of the four semi-annual waves during mid-adolescence (14–16 years old), students reported positive and negative subjective drug effects experienced in the prior six-months. Controlling for covariates and the simultaneous covariance across the three domains of emotional dysfunction, AS was associated with more positive and negative cannabis effects (βs=.09–.16, ps<.05), and MDD symptoms were associated with fewer negative cigarette effects (β= −.13, p=.04) and more negative cannabis effects (β=.10, p=.004). The acceleration of positive alcohol and cannabis effects over time was slower among adolescents with higher baseline MDD (MDD × time: β= −.04, p=.044) and GAD (GAD × time: β= −.05, p=.03) symptoms, respectively. These findings suggest that emotional dysfunction factors show differential and overlapping effects on subjective drug effects, which may vary across time. Future research should investigate emotional dysfunctions and subjective drug effects in relation to substance use across adolescence and emerging adulthood.

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Anxiety Sensitivity as a Predictor of Acute Subjective Effects of Smoking

Cited by 28 publications

References 30 publications

The Efficacy of Vigorous-Intensity Exercise as an Aid to Smoking Cessation in Adults With High Anxiety Sensitivity

The Efficacy of Vigorous-Intensity Exercise as an Aid to Smoking Cessation in Adults With High Anxiety Sensitivity

Anxiety sensitivity facets in relation to tobacco use, abstinence-related problems, and cognitions in treatment-seeking smokers

Associations of anxiety sensitivity and emotional symptoms with the subjective effects of alcohol, cigarettes, and cannabis in adolescents

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