Emotional responding to biological challenge as a function of panic disorder and smoking

Zvolensky, Michael J.; Leen‐Feldner, Ellen W.; Feldner, Matthew T.; Bonn‐Miller, Marcel O.; Lejuez, Carl W.; Kahler, Christopher W.; Stuart, Gregory L.

doi:10.1016/j.janxdis.2003.07.004

Cited by 78 publications

(59 citation statements)

References 35 publications

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“…Following completion of the consent/assent forms, a doctoral level graduate student, trained in administration of the ADIS-C and directly supervised by Dr. Leen-Feldner or Zvolensky, conducted the medical exclusionary screenings and psychiatric interviews. Interrater reliability for Axis I diagnoses and nonclinical panic attack history has been high in our laboratory (e.g., Zvolensky et al, 2004); in this study, no cases of disagreement were detected in a random selection of 20% of the interview protocols. Eligible participants then completed the preexperimental assessments (i.e., CASI and PANAS-C).…”

Section: General Laboratory Layout and Proceduresmentioning

confidence: 59%

Anxiety Sensitivity and Anxious Responding to Bodily Sensations: A Test among Adolescents Using a Voluntary Hyperventilation Challenge

et al. 2005

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Section: General Laboratory Layout and Proceduresmentioning

confidence: 59%

Anxiety Sensitivity and Anxious Responding to Bodily Sensations: A Test among Adolescents Using a Voluntary Hyperventilation Challenge

et al. 2005

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“…The SHQ also assesses information regarding quit attempts, including withdrawal symptoms experienced during such attempts. The SHQ has been successfully used in previous studies as a measure of smoking history, pattern, and symptom problems during quitting (Zvolensky, Leen-Feldner et al, 2004;Zvolensky, Lejuez, Kahler, & Brown, 2004). The current investigation utilized the following variables from the SHQ: average number of cigarettes smoked per day, number of years as a regular smoker, number of serious quit attempts made in one's lifetime, number of years since first quit attempt, and severity of symptoms experienced during past quit attempts.…”

Section: Methodsmentioning

confidence: 99%

Evaluation of smoking characteristics among community-recruited daily smokers with and without posttraumatic stress disorder and panic psychopathology

Marshall¹,

Zvolensky²,

Vujanovic³

et al. 2008

Journal of Anxiety Disorders

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The present investigation compared 123 community-recruited daily smokers with posttraumatic stress disorder (PTSD), panic disorder (PD), nonclinical panic attacks (PA), or no current Axis I psychopathology (controls; C) in terms of nicotine dependence, smoking rate, quit history, severity of symptoms during past quit attempts, and motivation for and expectancies about smoking. No differences were observed between groups in regard to smoking rate or nicotine dependence. The PTSD group reported making more lifetime quit attempts than the other groups, and the PTSD and PD groups perceived more severe symptoms during past quit attempts. The PD and PTSD groups reported greater motivation to smoke to reduce negative affect. Individuals with PTSD endorsed a stronger expectation that smoking would alleviate negative mood states and would produce negative consequences. Overall, results suggest that smokers with PD or PTSD differ from other smoking groups in a number of clinically significant ways. Keywords Smoking; Panic; PTSD; Anxiety Disorders; Smoking Motives and ExpectanciesCorrespondence concerning this article should be addressed to Michael J. Zvolensky, Ph.D. 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. There is an increasing empirical recognition that tobacco use and dependence are elevated among those with psychopathology compared to those without psychiatric conditions (Kalman, Morissette, & George, 2005). For example, persons with, relative to those without, psychiatric disorders are approximately twice as likely to be current smokers (Lasser et al., 2000). Moreover, it is estimated that although smokers with psychiatric disorders represent approximately 20% of persons in the United States (U.S.), they consume over 40% of the cigarettes in the nation (Lasser et al., 2000). Such high rates of smoking among those with psychiatric disorders may play a clinically significant role in the high rates of diagnostic comorbidity and mortality observed in people with psychiatric disorders (Kalman et al., 2005). NIH Public AccessRecent studies have found important linkages between smoking and certain anxiety disorders (Feldner, Babson, & Zvolensky, 2007a;Morissette, Tull, Gulliver, Kamholz, & Zimering, 2007;Patton, Carlin, Coffey, Wolfe, Hibbert, & Bowes, 1998; Zvolensky, Feldner, LeenFeldner, & McLeish, 2005 (Beckham et al., 1995;Breslau et al., 2003;Buckley et al., 2004;Feldner et al., 2007a). Recent contr...

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“…Smoking history and pattern were assessed with the SHQ, a measure that includes items pertaining to smoking rate, age of onset of initiation, years of being a regular smoker, and so forth. The SHQ has been used successfully in previous studies as a measure of smoking history [Brown et al, 2002;Zvolensky et al, 2004a].…”

Section: Methodsmentioning

confidence: 99%

“…Second, heavier amounts of smoking are associated with more severe anxiety symptoms among persons with a principal diagnosis of an anxiety disorder who are seeking treatment [McCabe et al, 2004], as well as those who are not seeking treatment [i.e., recruited through the community; Zvolensky et al, 2004a]. Third, rates of smoking are generally higher among individuals with anxiety disorders compared to those with no mental illness [Amering et al, 1999;Beckham et al, 1997].…”

Section: Introductionmentioning

confidence: 99%

Perceived health moderates the association between smoking rate and panic vulnerability variables among daily smokers

et al. 2006

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Our aim in this investigation was to evaluate the moderating role of perceived health in the relation between smoking rate and panic variables in a community-based sample of 220 daily smokers (98 females; M(age)=23.76 years, SD=8.76). As hypothesized, the interaction between smoking and perceived health incrementally predicted anxiety sensitivity (fear of anxiety) and anxious arousal symptoms, but not depressive symptoms. Individuals who had higher smoking rates and lower perceived health reported higher levels of anxiety sensitivity and anxious arousal, but not depressive symptoms. The primary implication of these findings is that there may be segments of the cigarette smoking population who are at relatively greater risk for anxiety symptoms and fear of bodily sensations by virtue of individual differences in perceived health. The identification of such moderating effects is clinically important, because it helps to refine our understanding of complex associations between drug behavior and panic vulnerability.

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Emotional responding to biological challenge as a function of panic disorder and smoking

Cited by 78 publications

References 35 publications

Anxiety Sensitivity and Anxious Responding to Bodily Sensations: A Test among Adolescents Using a Voluntary Hyperventilation Challenge

Anxiety Sensitivity and Anxious Responding to Bodily Sensations: A Test among Adolescents Using a Voluntary Hyperventilation Challenge

Evaluation of smoking characteristics among community-recruited daily smokers with and without posttraumatic stress disorder and panic psychopathology

Perceived health moderates the association between smoking rate and panic vulnerability variables among daily smokers

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