Smoking in patients with panic disorder

Pohl, Robert; Yeragani, Vikram K.; Balon, Richard; Lycaki, Helene; McBride, Renée

doi:10.1016/0165-1781(92)90058-b

Cited by 116 publications

(70 citation statements)

References 29 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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“…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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“…There is a recent and increasingly well-documented association between cigarette smoking and depressive and anxiety symptoms and disorders (Morrell & Cohen, 2006;Morissette, Tull, Gulliver, Kamholz, & Zimering, 2007;Patton, Carlin, Coffey, Wolfe, Hibbert, & Bowes, 1998). Indeed, epidemiological (Grant, Hasin, Chou, Stinson, & Dawson, 2004;Lasser, et al, 2000), community (Hayward, Killen, & Taylor, 1989) and clinical (Himle, Thyer, & Fischer, 1988;McCabe et al, 2004;Pohl, Yeragani, Balon, Lycaki, & McBride, 1992) studies have found that daily cigarette smoking is more common among those with anxiety and depressive psychopathology compared to those without such problems. Other studies have found that smoking, particularly at higher rates, increases the risk for developing and maintaining clinically significant anxiety and depressive symptoms (Breslau & Klein, 1999;Breslau, Novak, & Kessler, 2004;Goodwin, Lewinsohn, & Seeley, 2005;Isensee, Wittchen, Stein, Höfler, & Lieb, 2003;Johnson et al, 2000;Korhonen, et al, 2007;McLeish, Zvolensky, & Bucossi, 2007;Steuber & Banner, 2006).…”

Section: Introductionmentioning

confidence: 99%

Linkages between cigarette smoking outcome expectancies and negative emotional vulnerability

Johnson¹,

Zvolensky²,

Marshall³

et al. 2008

Addictive Behaviors

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The present investigation examined whether smoking outcome expectancies, as measured by the Smoking Consequences Questionnaire (SCQ; Brandon & Baker, 1991), were incrementally related to emotional vulnerability factors among an adult sample of 202 daily cigarette smokers (44.6% women; M age = 23.78 years, SD = 9.69 years). After controlling for cigarettes smoked per day, past 30-day marijuana use, current alcohol consumption, and coping style, negative reinforcement/ negative affect reduction outcome expectancies were significantly associated with greater levels of negative affectivity, emotional dysregulation, and anxiety sensitivity. The observed effects for negative reinforcement/negative affect reduction also were independent of shared variance with other outcome expectancies. Negative personal consequences outcome expectancies were significantly and incrementally related to anxiety sensitivity, but not negative affectivity or emotional dysregulation. Findings are discussed in terms of the role of negative reinforcement/negative affect reduction smoking outcome expectancies and clinically-relevant negative emotional vulnerability for better understanding cigarette smoking-negative mood problems.Correspondence concerning this article should be addressed to Michael J. Zvolensky, Ph.D., Dr. Zvolensky can be contacted at The University of Vermont, Department of Psychology, 2, Colchester Avenue, John Dewey Hall, Burlington,. Electronic mail may be sent to Michael.Zvolensky@uvm.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 journal pertain. 2 Although not a primary aim of the current study, exploratory analyses focused on positive affectivity were completed for comparative purposes. These analyses were completed in an identical fashion to those reported in the paper except positive affectivity was employed as the dependent variable. Here, predictor variables accounted for 22.1% of the overall variance for positive affectivity [F(9, 198) = 5.95, p < .001]. Level one of the model accounted for 17.1% of the variance, with significant contributions by the emotional processing and emotional expression subscales (β = .30, p < .001 and β = .16, p < .05, respectively). Level two of the model accounted for an additional 5% of the variance, with the appetite control subscale being the only significant predictor (β = −.16, p < .05). There is a recent and increasingly well-documented association between cigarette smoking and depressive and anxiety symptoms and disorders (Morrell & Cohen, 2006;Morissette, Tull, Gulliver, Kamholz, & Zimering, 2007;Patton, Carlin, Coffey, Wolfe, Hibbert, & ...

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Smoking in patients with panic disorder

Cited by 116 publications

References 29 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

Linkages between cigarette smoking outcome expectancies and negative emotional vulnerability

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