The impact of smoking on panic disorder:

Zvolensky, Michael J.; Schmidt, Norman B.; McCreary, Beth T.

doi:10.1016/s0887-6185(02)00222-0

Cited by 84 publications

(19 citation statements)

References 42 publications

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“…The first is a 'moderational model', whereby neuroticism moderates the panic/smoking association. The second is a 'pathoplastic model', where smoking influences PD expression by 'exacerbating affective disturbances and negative health process' [88], including a combination of direct negative health effects (for example, induction of chronic obstructive pulmonary disease (COPD)), acute physiological effects (for example, increased noradrenaline and autonomic sensations) and negative self-perception of health status [89]. The third is the 'false suffocation alarm' theory, proposed by Klein [90], who suggested that smoking may induce hypersensitivity to suffocation signals and increase the risk of experiencing panic.…”

Section: Discussionmentioning

confidence: 99%

“…Firstly, smoking behavior and/or ND may increase the chances of developing an AD. Potential mechanisms underpinning this include adverse effects of smoking on neurodevelopment and neurotransmitter pathways modulating anxiety that may predispose individuals to developing enhanced anxiety, or direct effects to the respiratory and autonomic systems that may alter physical responses to anxiety provoking situations [9,10]. Secondly, ADs may increase smoking behavior and the risk for ND.…”

Section: Introductionmentioning

confidence: 99%

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Cigarette smoking, nicotine dependence and anxiety disorders: a systematic review of population-based, epidemiological studies

Moylan

Jacka

Pasco

et al. 2012

BMC Med

176

107

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BackgroundMultiple studies have demonstrated that rates of smoking and nicotine dependence are increased in individuals with anxiety disorders. However, significant variability exists in the epidemiological literature exploring this relationship, including study design (cross-sectional versus prospective), the population assessed (random sample versus clinical population) and diagnostic instrument utilized.MethodsWe undertook a systematic review of population-based observational studies that utilized recognized structured clinical diagnostic criteria (Diagnostic and Statistical Manual of Mental Disorders (DSM) or International Classification of Diseases (ICD)) for anxiety disorder diagnosis to investigate the relationship between cigarette smoking, nicotine dependence and anxiety disorders.ResultsIn total, 47 studies met the predefined inclusion criteria, with 12 studies providing prospective information and 5 studies providing quasiprospective information. The available evidence suggests that some baseline anxiety disorders are a risk factor for initiation of smoking and nicotine dependence, although the evidence is heterogeneous and many studies did not control for the effect of comorbid substance use disorders. The identified evidence however appeared to more consistently support cigarette smoking and nicotine dependence as being a risk factor for development of some anxiety disorders (for example, panic disorder, generalized anxiety disorder), although these findings were not replicated in all studies. A number of inconsistencies in the literature were identified.ConclusionsAlthough many studies have demonstrated increased rates of smoking and nicotine dependence in individuals with anxiety disorders, there is a limited and heterogeneous literature that has prospectively examined this relationship in population studies using validated diagnostic criteria. The most consistent evidence supports smoking and nicotine dependence as increasing the risk of panic disorder and generalized anxiety disorder. The literature assessing anxiety disorders increasing smoking and nicotine dependence is inconsistent. Potential issues with the current literature are discussed and directions for future research are suggested.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cigarette smoking, nicotine dependence and anxiety disorders: a systematic review of population-based, epidemiological studies

Moylan

Jacka

Pasco

et al. 2012

BMC Med

176

107

View full text Add to dashboard Cite

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“…Early smoking increases the risk of developing panic disorder (Morissette, Tull, Gulliver, Kamholz, & Zimering, 2007); however, the initiation of smoking may precede the onset of panic disorder by many years (median = 12 years; Amering et al, 1999). Individuals with panic disorder who smoke regularly report more severe anxiety symptoms and social impairment as compared to nonsmokers (Zvolensky, Schmidt, & McCreary, 2003). …”

Section: Panic Disordermentioning

confidence: 99%

Substance Use Disorders and Anxiety: A Treatment Challenge for Social Workers

Brady

Haynes

Hartwell

et al. 2013

Social Work in Public Health

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Converging evidence from epidemiologic and treatment studies indicate that anxiety disorders and substance use disorders commonly co-occur, and the interaction is multifaceted and variable. Epidemiological studies and investigations within clinical substance abuse populations have found an association between anxiety disorders and substance use disorders. Specific anxiety disorders including generalized anxiety disorder, panic disorder, and post traumatic stress disorder have all been associated with substance use. The association with obsessive–compulsive disorder is less robust, and some research has found a negative association. The risk of nicotine dependence is significantly higher among individuals with an anxiety disorder, and conversely, smoking has been found to be associated with trait anxiety and anxiety disorders. A review of the current literature and the relationship between specific anxiety disorders and alcohol and substance use disorders is discussed in detail. This article, written for social workers in a variety of practice settings, reviews the prevalence, diagnostic, and treatment issues at the interface of substance use disorders and anxiety disorders.

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“…Various types of anxiety symptoms and disorders are associated with smoking variables, including PTSD (Feldner et al, 2007), social anxiety disorder (McCabe et al, 2004), panic attacks and disorder (Zvolensky et al, 2003c), and generalized anxiety disorder (Goodwin et al, 2012). Hence, one promising means of elucidating the role of anxiety in cigarette use is to investigate the influence of transdiagnostic psychological vulnerability factors that underlie multiple anxiety-related conditions on smoking.…”

Section: Introductionmentioning

confidence: 99%

Anxiety sensitivity as an amplifier of subjective and behavioral tobacco abstinence effects

Zvolensky

Farris

Guillot

et al. 2014

Drug and Alcohol Dependence

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Background Anxiety sensitivity, a transdiagnostic cognitive vulnerability factor described as an amplifier of negative emotional states, is implicated in the maintenance of cigarette smoking and cessation difficulties. The current study aimed to examine the role of anxiety sensitivity in predicting abstinence-induced changes in nicotine withdrawal, smoking urges and smoking behavior during an experimental relapse analogue task (RAT). Method Participants were 258 non-treatment seeking smokers (M [SD] age = 44.0 [10.73]; 69.8% male). Participants attended two counterbalanced experimental sessions including smoking deprivation (16 hours of smoking abstinence) and smoking as usual. The Minnesota Nicotine Withdrawal Scale (MNWS) and Brief Questionnaire of Smoking Urges (QSU) were completed at each session in addition to the RAT. Hierarchical regressions were conducted to examine the predictive impact of anxiety sensitivity on withdrawal and urges during smoking deprivation. Follow-up mediational analyses were conducted to examine whether abstinence-induced withdrawal and urges mediated responding during the RAT. Results Anxiety sensitivity amplified the effects of experimentally manipulated acute abstinence on subjective nicotine withdrawal symptoms and smoking urges. Additionally, higher levels of anxiety sensitivity indirectly predicted shorter latency to smoking initiation after deprivation during the RAT through the effects of greater abstinence-induced nicotine withdrawal and smoking urges. Anxiety sensitivity was unrelated to increased smoking during the RAT, although this may be partially attributed to the type of laboratory assessment employed. Conclusions Elevated anxiety sensitivity appears to impact initiation of smoking after nicotine deprivation through the effects of abstinence-induced withdrawal and smoking urges.

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The impact of smoking on panic disorder:

Cited by 84 publications

References 42 publications

Cigarette smoking, nicotine dependence and anxiety disorders: a systematic review of population-based, epidemiological studies

Cigarette smoking, nicotine dependence and anxiety disorders: a systematic review of population-based, epidemiological studies

Substance Use Disorders and Anxiety: A Treatment Challenge for Social Workers

Anxiety sensitivity as an amplifier of subjective and behavioral tobacco abstinence effects

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