Hierarchical structure and general factor saturation of the Anxiety Sensitivity Index: Evidence and implications.

Zinbarg, Richard E.; Barlow, David H.; Brown, Timothy A.

doi:10.1037/1040-3590.9.3.277

Cited by 532 publications

(550 citation statements)

References 46 publications

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“…The ASI has three lowerorder factors that all load on a single higher-order factor across diverse populations (Zinbarg et al, 1997). The lower-order factors represent Physical, Psychological, and Social Concerns, and the higher-order factor represents the Global AS construct.…”

Section: Methodsmentioning

confidence: 99%

Anxiety sensitivity as a moderator of association between smoking status and panic-related processes in a representative sample of adults

Zvolensky

Kotov

Bonn‐Miller

et al. 2008

Journal of Psychiatric Research

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The present investigation evaluated a moderational role of anxiety sensitivity (fear of anxiety and anxiety-related states; McNally, 2002) in the relation between smoking status and anxiety/depressive symptoms in a Russian epidemiological sample (n = 390; 197 females, Mean age = 43.55). Consistent with prediction, anxiety sensitivity moderated the association of smoking status with indices of anxiety and depressive symptoms; the effects were evident after controlling for the variance accounted for by alcohol use problems, environmental stress (past month), and gender. These findings are discussed with regard to the role of anxiety sensitivity in etiologic connection between smoking and panic-related processes. KeywordsSmoking; Panic; Anxiety; Comorbidity; Anxiety Sensitivity; Depression Research has increasingly highlighted clinically significant relations between smoking and anxiety symptoms (e.g., intensity of anxiety symptoms) and certain disorders (McCabe et al., 2004). Of the anxiety disorders, there appears to be a notable association between smoking and panic attacks, panic disorder, and agoraphobia (see Zvolensky & Bernstein, 2005;Zvolensky, Feldner et al., 2005, for reviews). For instance, epidemiological (Lasser et al., 2000), community (Hayward et al., 1989), and clinical (Baker-Morissette et al., in press;Himle et al., 1988;Pohl et al., 1992) studies have found that smoking is more common among those with panic-related problems (i.e., panic attacks, panic disorder, and agoraphobia) compared to those 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. NIH Public Access NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript without such problems. Other work has found that smoking increases the risk for developing panic attacks and panic disorder in the future (Breslau & Klein, 1999;Breslau et al., 2004;Johnson et al., 2000;Isensee et al., 2003) and may exacerbate (concurrently) the severity of such anxiety problems Zvolensky, Kotov et al., 2003;Zvolensky, Schmidt, & McCreary, 2003) Although promising, considerably less is known as to whether other panic-related risk factors may influence the relation between smoking and panic processes (i.e., moderational effects; Ising, 2006). In a moderational model, the association between smoking and panic is dependent o...

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Section: Methodsmentioning

confidence: 99%

Anxiety sensitivity as a moderator of association between smoking status and panic-related processes in a representative sample of adults

Zvolensky

Kotov

Bonn‐Miller

et al. 2008

Journal of Psychiatric Research

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“…The ASI is a widely-used measure that has shown good psychometric properties among both clinical and nonclinical populations (Reiss, Peterson, Gursky, & McNally, 1986;Telch, Shermis, & Lucas, 1989). Support has been found for a 3-factor structure: Physical Concerns, Mental Incapacitation Concerns, and Social Concerns, all of which load onto a higher-order anxiety sensitivity construct (Zinbarg, Barlow, & Brown, 1997). Beck, Epstein, Brown, & Steer, 1988).…”

Section: Methodsmentioning

confidence: 99%

Dissociation and pain perception: An experimental investigation

Horowitz

Telch

2007

Journal of Traumatic Stress

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Dissociative symptoms and abnormalities in pain perception have been associated with a range of disorders. The authors tested whether experimentally induced increases in state dissociation would cause an analgesic response. Participants (N = 120) were randomized to a dissociation induction condition via audiophotic stimulation or a credible control condition and were compared on pre‐ and postchanges in subjective pain and immersion time in response to a standard cold pressor test. Unexpectedly, the dissociation induction led to small, but significant increases in subjective pain and did not lead to greater immersion time. An exploratory analysis revealed that increases in absorption and derealization significantly predicted increased subjective pain and increased immersion time, respectively.

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“…The Anxiety Sensitivity Index (ASI) is a 16-item questionnaire in which respondents indicate on a 5-point Likert-type scale (0 = very little to 4 = very much) the degree to which they fear the negative consequences of anxiety symptoms ( Reiss, Peterson, Gursky, & McNally, 1986 ). Factor analysis of this scale indicates that it has a hierarchical structure, with three fi rst-order factors titled anxiety sensitivity -physical concerns, mental incapacitation concerns, and social concerns and a single, higher order general factor ( Zinbarg, Barlow, & Brown, 1997 ). The ASI has demonstrated good internal consistency and good psychometric properties ( Peterson & Reiss, 1992 ).…”

Section: Measures Of Affective Symptomatology and Vulnerabilitymentioning

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

149

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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Hierarchical structure and general factor saturation of the Anxiety Sensitivity Index: Evidence and implications.

Cited by 532 publications

References 46 publications

Anxiety sensitivity as a moderator of association between smoking status and panic-related processes in a representative sample of adults

Anxiety sensitivity as a moderator of association between smoking status and panic-related processes in a representative sample of adults

Dissociation and pain perception: An experimental investigation

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

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