Anxiety sensitivity and early relapse to smoking: A test among Mexican daily, low-level smokers

Zvolensky, Michael J.; Bernstein, Amit; Cárdenas, Samuel Jurado; Colotla, Víctor A.; Marshall, Erin C.; Feldner, Matthew T.

doi:10.1080/14622200701239621

Cited by 78 publications

(42 citation statements)

References 63 publications

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“…Nevertheless, this work complements and extends existing work on the role of anxiety sensitivity in cessation, which suggests that tendency to catastrophize about internal sensations (i.e., score high on anxiety sensitivity measures) is uniquely associated with smoking to reduce negative affect, decreased cessation self-efficacy, and increased risk of early cessation relapse Zvolensky et al 2007). Consistent with this, the present study found that individuals who appraised cravings as meaning something negative about themselves or who believed their craving-related thoughts needed to be controlled felt more depressed and less confident in their ability to abstain from smoking.…”

Section: Variablesmentioning

confidence: 50%

Applying Lessons Learned from Obsessions: Metacognitive Processes in Smoking Cessation

Nosen

Woody

2007

Cogn Ther Res

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Cognitive theories of obsessions propose that unwanted thoughts become frequent, intense and persistent when people interpret them in personally meaningful ways and attempt to control them through thought suppression. The present study examined the generalizability of this model to another form of unwanted, actively resisted intrusion--nicotine cravings. In this investigation, 180 individuals attempting to quit smoking completed several online questionnaires. In line with cognitive theories, individuals who appraised their cravings as more catastrophic and personally significant experienced more severe craving-related thoughts and were more likely to be smoking one month later; these effects remained after accounting for several established predictors of cessation difficulty. Contrary to expectation, tendency to suppress unwanted thoughts was not a significant factor. Overall, findings complement existing work on the role of anxiety sensitivity in smoking behaviour and implicate personally meaningful appraisals of smoking-related thoughts, images and impulses in cessation difficulty.

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Section: Variablesmentioning

confidence: 50%

Applying Lessons Learned from Obsessions: Metacognitive Processes in Smoking Cessation

Nosen

Woody

2007

Cogn Ther Res

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“…Collectively, a variety of studies are consistent with the emerging perspective that distress tolerance is an important factor in smoking lapse. Such a conclusion is strengthened by research that suggests parallel psychological constructs such as sensitivity to anxiety-related states (anxiety sensitivity; Brown, Kahler, Zvolensky, et al, 2001 ;Zvolensky et al, 2007 ), a tendency to avoid emotional states (e.g., thought or emotional suppression; Hayes, Wilson, Gifford, Follette, & Strosahl, 1996 ;Salkovskis & Reynolds, 1994 ), and emotional reactivity ( Zvolensky, Feldner, Eifert, & Brown, 2001 ) may be related to problems in quitting successfully.…”

Section: Introductionmentioning

confidence: 99%

A prospective examination of distress tolerance and early smoking lapse in adult self-quitters

Brown¹,

Lejuez²,

Strong³

et al. 2009

Nicotine &Amp; Tobacco Research

150

165

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Auditory Serial Addition Test (a psychological challenge task) was not a signifi cant predictor of earlier smoking lapse.Discussion: These results are discussed in relation to refi ning theoretical models of the role of distress tolerance in early smoking lapse and the utility of such models in the development of specialized treatment approaches for smoking cessation. IntroductionAn increased level of theoretical and empirical attention has focused on better understanding the nature of early smoking lapse in the context of smoking cessation ( Brown, Lejuez, Kahler, Strong, & Zvolensky, 2005 ). This scientifi c work has been stimulated, at least in part, by the observation that a signifi cant percentage of smokers attempting cessation lapse to smoking within a matter of days and very few of these individuals recover to achieve abstinence ( Brown, Kahler, Niaura, et al., 2001 ;Cook, Gerkovich, O'Connell, & Potocky, 1995 ;Doherty, Kinnunen, Militello, & Garvey, 1995 ;Garvey, Bliss, Hitchcock, Heinold, & Rosner, 1992 ). It also rests on the larger recognition that the general population contains signifi cant numbers of at-risk, recalcitrant smokers ( Augustson & Marcus, 2004 ) and that targeted efforts to develop specialized treatment for such subgroups of smokers have been inadequate Irvin & Brandon, 2000 ;Lichtenstein & Glasgow, 1992 ;Niaura & Abrams, 2002 ;Shiffman, 1993 ). AbstractIntroduction: A signifi cant percentage of smokers attempting cessation lapse to smoking within a matter of days, and current models of relapse devote insuffi cient attention to such early smoking lapse. Studies attempting to relate severity of nicotine withdrawal symptoms to short-term smoking cessation outcomes have yielded equivocal results. How one reacts to the discomfort of nicotine withdrawal and quitting smoking (i.e., distress tolerance) may be a more promising avenue of investigation with important treatment implications. Methods:The present investigation examined distress tolerance and early smoking lapse using a prospective design. Participants were 81 adult daily smokers recruited through newspaper advertisements targeted at smokers planning to quit smoking without assistance (i.e., no pharmacotherapy or psychosocial treatment; 42 males and 39 females; mean age = 42.6 years, SD = 12.20).Results: As hypothesized, both greater breath-holding duration and carbon dioxide -enriched air persistence were associated with a signifi cantly lower risk of smoking lapse following an unaided quit attempt. These effects were above and beyond the risk associated with levels of nicotine dependence, education, and history of major depressive disorder, suggesting that distress tolerance and task persistence may operate independently of risk factors such as nicotine dependence and depressive history. In contrast to expectation, persistence on the Paced

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“…These models are consistent with research on the importance of anxiety sensitivity, distress tolerance and acceptance during cessation. For example, self-reported discomfort with anxiety-related physical sensations and behavioral difficulty persisting with uncomfortable physiological and cognitive challenge tasks (e.g., CO 2 inhalation, speeded mental arithmetic) predict early relapse from smoking cessation (Brandon et al, 2003;Brown, Kahler, Zvolensky, Lejuez, & Ramsey, 2001;Brown, Lejuez, Kahler, & Strong, 2002;Zvolensky et al, 2007).…”

mentioning

confidence: 98%

Acceptance of cravings: How smoking cessation experiences affect craving beliefs

Nosen

Woody

2014

Behaviour Research and Therapy

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Anxiety sensitivity and early relapse to smoking: A test among Mexican daily, low-level smokers

Cited by 78 publications

References 63 publications

Applying Lessons Learned from Obsessions: Metacognitive Processes in Smoking Cessation

Applying Lessons Learned from Obsessions: Metacognitive Processes in Smoking Cessation

A prospective examination of distress tolerance and early smoking lapse in adult self-quitters

Acceptance of cravings: How smoking cessation experiences affect craving beliefs

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