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There is a growing literature that documents the direct and indirect effects of anxiety sensitivity in terms of the maintenance of cigarette smoking and cessation problems, as maintained, at least in part, by affective-regulatory expectancies effects and motives for smoking. Yet, the role of expectancies about the interoceptive-specific consequences of smoking abstinence has yet to be empirically examined. Participants (N = 110) were daily tobacco smokers recruited as part of a self-guided tobacco cessation study. Baseline (pre-treatment) data were utilized. A structural equation model was constructed to examine the relations between anxiety sensitivity in terms of interoceptively-relevant smoking abstinence expectancies (somatic symptoms and harmful consequences) in regard to perceived barriers to smoking cessation, number of problematic symptoms experienced during past quit attempts, and the number of prior quit attempts. Anxiety sensitivity was significantly related to interoceptive threat abstinence expectancies (β = .56, p < .001). Expectancies were directly related to perceived barriers to smoking cessation (β = .39, p < .001) and number of problematic symptoms experienced during past quit attempts (β = .41, p < .001), but not the number of prior quit attempts. Mediational results indicated indirect (but not direct) effects of anxiety sensitivity on perceived barriers to smoking cessation and problems during prior quit attempts; effects that occurred through interoceptive threat smoking abstinence expectancies. The present findings suggest that one’s expectancies about the negative interoceptive consequences of smoking abstinence may be an explanatory mechanism between anxiety sensitivity and certain quit-relevant smoking processes.
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Arbuckle, J. L. (2012). IBM ® SPSS ® Amos™ 21.0 user’s guide. Chicago, IL: IBM Corporation.
Brown, R. A., Kahler, C. W., Zvolensky, M. J., Lejuez, C. W., & Ramsey, S. E. (2001). Anxiety sensitivity: Relationship to negative affect smoking and smoking cessation in smokers with past major depressive disorder. Addictive Behaviors, 26(6), 887–899. doi: 10.1016/S0306-4603(01)00241-6. CrossRefPubMed
Farris, S. G., Vujanovic, A. A., Hogan, J., Schmidt, N. B., & Zvolensky, M. J. (2014). Main and interactive effects of anxiety sensitivity and physical distress intolerance with regard to PTSD symptoms among trauma-exposed smokers. Journal of Trauma and Dissociation, 15(3), 254–270. doi: 10.1080/15299732.2013.834862. CrossRefPubMedCentralPubMed
First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. (2007). Structured clinical interview for DSM-IV-TR Axis I disorders, research version, non-patient edition (SCIDI/NP). New York, NY: Biometrics Research, New York State Psychiatric Institute.
Gonzalez, A., Zvolensky, M. J., Hogan, J., McLeish, A. C., & Weibust, K. S. (2011). Anxiety sensitivity and pain-related anxiety in the prediction of fear responding to bodily sensations: A laboratory test. Journal of Psychosomatic Research, 70(3), 258–266. doi: 10.1016/j.jpsychores.2010.07.011. CrossRefPubMedCentralPubMed
Hendricks, P. S., & Leventhal, A. M. (2013). Abstinence related expectancies predict smoking withdrawal effects: Implications for possible causal mechanisms. Psychopharmacology (Berl), 21(4), 269–276. doi: 10.1007/s00213-013-3169-7.
Hendricks, P. S., Westmaas, J. L., Ta Park, V. M., Thorne, C. B., Wood, S. B., Baker, M. R., et al. (2013). Smoking abstinence-related expectancies among American Indians, African Americans, and Women: Potential mechanisms of disparities. Psychology of Addictive Behaviors,. doi: 10.1037/a0031938. PubMedCentralPubMed
Hopper, D., Coughlan, J., & Mullen, M. R. (2008). Structural equation modeling: Guidelines for determining model fit. Electronic Journal of Business Research Methods, 6, 53–60.
Johnson, K. A., Farris, S. G., Schmidt, N. B., Smits, J. A., & Zvolensky, M. J. (2013). Panic attack history and anxiety sensitivity in relation to cognitive-based smoking processes among treatment-seeking daily smokers. Nicotine and Tobacco Research, 15(1), 1–10. doi: 10.1093/ntr/ntr332. CrossRefPubMedCentralPubMed
Johnson, K. A., Stewart, S., Rosenfield, D., Steeves, D., & Zvolensky, M. J. (2012). Prospective evaluation of the effects of anxiety sensitivity and state anxiety in predicting acute nicotine withdrawal symptoms during smoking cessation. Nicotine and Tobacco Research, 26(2), 289–297. doi: 10.1037/a0024133.
Kenny, D.A. (2014). Measuring Model Fit. Retrieved March 31, 2014, 2014, from http://davidakenny.net/cm/fit.htm.
Kline, R. B. (2011). Principles and practice of structural equation modeling (3rd ed.). New York, NY: The Guilford Press.
Kraemer, K. M., Luberto, C. M., & McLeish, A. C. (2013). The moderating role of distress tolerance in the association between anxiety sensitivity physical concerns and panic and PTSD-related re-experiencing symptoms. Anxiety, Stress and Coping: An International Journal, 26(3), 330–342. CrossRef
Marshall, E. C., Johnson, K., Bergman, J., Gibson, L. E., & Zvolensky, M. J. (2009). Anxiety sensitivity and panic reactivity to bodily sensations: Relation to quit-day (acute) nicotine withdrawal symptom severity among daily smokers making a self-guided quit attempt. Experimental and Clinical Psychopharmacology, 17(5), 356. CrossRefPubMedCentralPubMed
McCarthy, D. E., Curtin, J. J., Piper, M. E., & Baker, T. B. (2010). Negative reinforcement: Possible clinical implications of an integrative model. In J. D. Kassel (Ed.), Substance absuse and emtoion (pp. 15–42). Washington, DC: American Psychological Association. CrossRef
Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., et al. (2007). Robust dimensions of anxiety sensitivity: Development and initial validation of the anxiety sensitivity index-3. Psychological Assessment, 19(2), 176–188. doi: 10.1037/1040-35188.8.131.52. CrossRefPubMed
Zvolensky, M. J., Baker, K. M., Leen-Feldner, E., Bonn-Miller, M. O., Feldner, M. T., & Brown, R. A. (2004). Anxiety sensitivity: Association with intensity of retrospectively-rated smoking-related withdrawal symptoms and motivation to quit. Cognitive Behaviour Therapy, 33(3), 114–125. doi: 10.1080/16506070310016969. CrossRefPubMed
Zvolensky, M. J., Bogiaizian, D., Salazar, P. L., Farris, S. G., & Bakhshaie, J. (2014a). An anxiety sensitivity reduction smoking cessation program for Spanish-speaking smokers. Cognitive and Behavioral Practice, 21, 350–363. CrossRef
Zvolensky, M. J., Farris, S. G., Schmidt, N. B., & Smits, J. A. (2014c). The role of smoking inflexibility/avoidance in the relation between anxiety sensitivity and tobacco use and beliefs among treatment-seeking smokers. Experimental and Clinical Psychopharmacology, 22(3), 229–237. doi: 10.1037/a0035306. CrossRefPubMed
- Why Do Anxiety Sensitive Smokers Perceive Quitting as Difficult? The Role of Expecting “Interoceptive Threat” During Acute Abstinence
Samantha G. Farris
Kirsten J. Langdon
Angelo M. DiBello
Michael J. Zvolensky
- Springer US