Panic disorder and cigarette smoking behavior

Amering, Michaela; Bankier, Bettina; Berger, Peter; Griengl, H.; Windhaber, J.; Katschnig, H.

doi:10.1016/s0010-440x(99)90074-3

Cited by 97 publications

(62 citation statements)

References 13 publications

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“…In particular, anxiety disorder diagnoses often have been collapsed across specific conditions into general categories that include various anxiety disorders (e.g., Breslau, 1995;Brown, Lewinsohn, Seeley, & Wagner, 1996;Degenhardt, Hall, & Lynskey, 2001;Kandel, Huang, & Davies, 2001). Similarly, several studies have examined the relation between certain specific anxiety disorders, such as panic disorder, but information regarding traumatic event exposure and posttraumatic stress problems has not been reported (e.g., Amering et al, 1999;Breslau & Klein, 1999;Johnson et al, 2000;Pohl, Yeragani, Balon, Lycaki, & McBride, 1992). Given the marked structural and functional differences between these various types of anxiety conditions and anxiety-related emotional states (Lang, 1993), these studies are useful for understanding anxiety disorder-smoking associations generally, but they are not appropriate for explicating the nature of the relations among smoking, traumatic , see table 1 and table 2 for an alphabetical listing of individual studies' key methodological characteristics and analytic approach/results, respectively.…”

Section: Study Selection Criteriamentioning

confidence: 99%

Smoking, traumatic event exposure, and post-traumatic stress: A critical review of the empirical literature☆

Feldner¹,

Babson²,

Zvolensky³

2007

Clinical Psychology Review

233

184

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The current review critically examines the extant empirical literature focused on the associations among cigarette smoking, trauma, and posttraumatic stress. Inspection of the extant literature suggests smoking rates are significantly higher among persons exposed to a traumatic event relative to those without such exposure. Moreover, smoking rates appear particularly high among persons with posttraumatic stress disorder (PTSD). In terms of the direction of this relation, evidence most clearly suggests posttraumatic stress is involved in the development of smoking. Significantly less is known about the role of trauma and PTSD in terms of cessation outcome. Limitations of extant work, clinical implications, and key directions for future study are delineated. Keywordssmoking; posttraumatic stress; comorbidity; trauma; PTSD Cigarette smoking continues to be one of the leading preventable causes of death and disease in the U.S., resulting in healthcare costs that rank among the highest in the country [U.S. Department of Health and Human Services (USDHHS), 2004]. Large-scale efforts targeting smoking cessation have helped address this problem (USDHHS, 2000), but the negative impact of smoking is still widely evident. For example, more than 1 in 5 (22%) adults [Centers for Disease Control and Prevention (CDC), 2004] and almost 1 in 4 (24%) youth (Johnston, O'Malley, Bachman, & Schulenberg, 2004) in the U.S. currently smoke. Moreover, though smokers often are motivated to quit, the majority (approximately 90-95% of self-quitters and 60-80% of those in treatment programs) relapse (Cohen et al., 1989). Scholars have suggested smokers who fail at quitting may have unique attributes that increase their probability of smoking (Hughes, 1993;Pomerleau, 1997). Although various characteristics may increase the risk of relapse (e.g., heavier smoking levels), psychological disorders and related vulnerability factors have increasingly been recognized as playing a prominent role in quit success (Hughes, 1993;Zvolensky & Bernstein, 2005; Zvolensky, Bernstein, Marshall, & Feldner, in press).Smokers with anxiety disorders represent a common, albeit understudied, segment of the smoking population who are at heightened risk for relapse . For example, Correspondence concerning this article should be addressed to Dr. Matthew T. Feldner, Intervention Sciences Laboratory, University of Arkansas, Department of Psychology, 216 Memorial Hall, Fayetteville, AR 72701, 479-575-4256 (phone), 479-575-3219 (facsimile). Electronic mail may be sent to mfeldne@uark.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the jo...

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Section: Study Selection Criteriamentioning

confidence: 99%

Smoking, traumatic event exposure, and post-traumatic stress: A critical review of the empirical literature☆

Feldner¹,

Babson²,

Zvolensky³

2007

Clinical Psychology Review

233

184

View full text Add to dashboard Cite

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“…A relationship between smoking and major depressive disorder (9,10) suggests a continuity of smoking behavior among depressive subjects. More recent studies have reported a closer relationship between smoking and anxiety disorders (11,12). There is good evidence for a causal relationship between smoking and the first panic attack (13,14).…”

Section: Introductionmentioning

confidence: 98%

Smoking and psychiatric disorders: a comorbidity survey

Lopes

Nascimento

et al. 2002

Braz J Med Biol Res

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Epidemiological and clinical studies have shown a positive correlation between smoking and psychiatric disorders. To investigate the prevalence of cigarette smoking, 277 psychiatric outpatients with anxiety or depressive disorders (DSM-IV) answered a self-evaluation questionnaire about smoking behavior and were compared with a group of 68 control subjects. The diagnoses (N = 262) were: 30.2% (N = 79) major depressive disorder, 23.3% (N = 61) panic disorder, 15.6% (N = 41) social anxiety disorder, 7.3% (N = 19) other anxiety disorders, and 23.7% (N = 62) comorbidity disorders. Among them, 26.3% (N = 69) were smokers, 23.7% (N = 62) were former smokers and 50.0% (N = 131) were nonsmokers. The prevalence of nicotine dependence among the smokers was 59.0% (DSM-IV). The frequency of cigarette smoking did not show any significant difference among the five classes of diagnosis. The social anxiety disorder patients were the heaviest smokers (75.0%), with more unsuccessful attempts to stop smoking (89.0%). The frequency of former smokers was significantly higher among older subjects and nonsmokers were significantly younger (χ 2 = 9.13, d.f. = 2, P = 0.01). Our data present some clinical implications suggesting that in our psychiatric outpatient sample with anxiety disorder, major depression and comorbidity (anxiety disorder and major depression), the frequency of cigarette smoking did not differ from the frequency found in the control group or in general population studies. Some specific features of our population (outpatients, anxiety and depressive disorders) might be responsible for these results.

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“…This increase in cardiovascular/cerebrovascular morbidity and mortality rates may be due to the existence of chronic cardiovascular (CV) risk in PD patients, illustrated either by elevated conventional risk factors such as smoking (Amering et al, 1999) or by chronic physiological states such as a sympathetic predominance as suggested by the decreased heart rate variability consistently described in PD patients (Yeragani et al, 1998). It appears that the increased risk for sudden cardiac death found in patients with high Nitric oxide and panic attacks N Lara et al levels of phobic anxiety, a common feature in PD patients, persists even after correction for conventional risk factors (Kawachi et al, 1994).…”

Section: Discussionmentioning

confidence: 99%

Pulmonary and Systemic Nitric Oxide Measurements During CCK-5-Induced Panic Attacks

Lara

Chrapko

Archer

et al. 2003

Neuropsychopharmacol

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Nitric oxide (NO) plays a major role in cardiopulmonary regulation as illustrated by the alterations of the NO system described in cardiopulmonary illnesses. Recent studies have found an association between panic disorder and cardiovascular death and illness, as well as pulmonary diseases. Our objective was to investigate whether pulmonary or systemic NO production was altered during induced panic attacks (PAs). We used a double-blind placebo-controlled crossover design with randomization of the order of an injection of placebo and pentagastrin, a cholecystokinin-B receptor agonist that induces PAs in healthy volunteers (HVs). A total of 17 HVs experienced a PA after pentagastrin challenge. Exhaled NO and NO metabolites were measured by chemiluminescence. During pentagastrin-induced PAs, HVs displayed significant decreases in plateau concentrations of NO exhaled, which were associated with proportional increases in minute ventilation. There were no significant changes in pulmonary or systemic NO production. These results suggest that the decrease in exhaled NO concentration observed during pentagastrin-induced PAs is related to the associated hyperventilation, rather than to any change in lung NO production. This study is the first to evaluate changes in NO measurements during acute anxiety.

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Panic disorder and cigarette smoking behavior

Cited by 97 publications

References 13 publications

Smoking, traumatic event exposure, and post-traumatic stress: A critical review of the empirical literature☆

Smoking, traumatic event exposure, and post-traumatic stress: A critical review of the empirical literature☆

Smoking and psychiatric disorders: a comorbidity survey

Pulmonary and Systemic Nitric Oxide Measurements During CCK-5-Induced Panic Attacks

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