Smoking behaviors across anxiety disorders

McCabe, Randi E.; Chudzik, Susan; Antony, Martin M.; Young, L.; Swinson, Richard P.; Zolvensky, Michael J

doi:10.1016/j.janxdis.2003.07.003

Cited by 145 publications

(126 citation statements)

References 36 publications

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“…Whereas motivation to smoke reflects the degree to which one is interested in smoking to achieve a certain effect, outcome expectancies reflect anticipated consequences of smoking (e.g., smoking will increase the risk of developing cancer or emphysema; Brandon, 1994). Given the affective vulnerability that characterizes PTSD and panic psychopathology, in conjunction with preliminary evidence of heavier rates of smoking and nicotine dependence among persons with such conditions (Beckham et al, 1997;McCabe et al, 2004), it is possible individuals with, compared to those without, these disorders would be apt to have greater motivation to smoke for negative affect reduction reasons and maintain more addictive as well as habitual patterns of use. Of the available data that is relevant to this domain of inquiry for panic psychopathology, one study found treatment-seeking persons with PD report greater negative affect reduction smoking motives than smokers without PD .…”

Section: Nih Public Accessmentioning

confidence: 99%

“…Some of the most robust, clinically-significant relations documented between smoking and anxiety conditions have been evident for panic psychopathology (panic attacks [PA], panic disorder [PD], and agoraphobia) and posttraumatic stress disorder (PTSD). In the case of panic psychopathology, studies suggest that smoking co-occurs at higher rates among those with PA and PD than that found in the general population (Himle, Thyer, & Fischer, 1988;Lasser et al, 2000;McCabe et al, 2004;Pohl, Yeragani, Balon, Lycaki, & McBride, 1992). Additionally, cigarette smoking, particularly at higher rates, has been shown to be concurrently and prospectively associated with an increased risk of more severe panic attack symptoms and life impairment related to such symptoms (Breslau & Klein, 1999;Breslau, Novak, & Kessler, 2004;Johnson et al, 2000;McLeish, Zvolensky, & Bucossi, in press;Zvolensky, Schmidt, & McCreary, 2003).…”

mentioning

confidence: 99%

“…The absence of such information hinders efforts to understand the disposition of central features of smoking among these populations, such as number of cigarettes smoked per day, severity of nicotine dependence, number of quit attempts (lifetime), and the perceived severity of symptoms during quit attempts. The existing, albeit limited, research has indicated that persons with PD smoke at higher rates than persons with obsessivecompulsive disorder and social anxiety disorder (McCabe et al, 2004) and that persons with PTSD smoke at greater rates than persons without PTSD (Beckham et al, 1997;Koenen et al, 2003). However, no studies to date have focused specifically on comparing individuals with PTSD and panic psychopathology, the two anxiety disorders most strongly linked to smoking, on these smoking-relevant factors (Feldner et al, 2007;Zvolensky & Bernstein, 2005).…”

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confidence: 99%

“…This prediction was based upon past work that has suggested that individuals with these diagnoses display heavier patterns of use (Beckham et al, 1997;McCabe et al, 2004). Second, it was hypothesized that PTSD and PD groups would report more unsuccessful quit attempts than PA and C groups as well as more severe symptoms during past quit attempts; again, no differences were expected between the PTSD and PD groups.…”

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confidence: 99%

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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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Section: Nih Public Accessmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

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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“…Smoking; 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).…”

Section: Introductionmentioning

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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Dual Diagnosis Cases: Treating Comorbid Social Anxiety Disorder and Substance Abuse or Dependence

Buckner¹

2014

The Wiley Blackwell Handbook of Social Anxiety Disorder

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Smoking behaviors across anxiety disorders

Cited by 145 publications

References 36 publications

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

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

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

Dual Diagnosis Cases: Treating Comorbid Social Anxiety Disorder and Substance Abuse or Dependence

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