Anxiety sensitivity and tobacco usea transdiagnostic approach

  1. Gema Aonso-Diego
  2. Miriam Ruz
  3. Sergio Fernández-Artamendi
  4. Manuel J Ruiz
  5. Carla López-Núñez
Revista:
Clínica y salud: Investigación Empírica en Psicología

ISSN: 1130-5274

Año de publicación: 2023

Volumen: 34

Número: 1

Páginas: 9-13

Tipo: Artículo

DOI: 10.5093/CLYSA2023A2 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Clínica y salud: Investigación Empírica en Psicología

Resumen

RESUMEN Antecedentes: En los últimos años, diversos estudios han encontrado relación entre variables transdiagnósticas, como la sensibilidad a la ansiedad (SA) y el consumo de tabaco y dejar de fumar. Método: En esta línea, el objetivo ha sido doble: 1) analizar las diferencias de género en variables relacionadas con el tabaco y la SA y 2) examinar el efecto mediador de la SA. Para ello, la muestra consistió en 340 fumadores (Medad = 33.59 años, DT = 11.98, 68.5% mujeres). Resultados: Los resultados mostraron que los hombres fumaban más cigarrillos al día y las mujeres presentaban mayores niveles de SA total, física y cognitiva. El modelo de ecuaciones estructurales confirma que la SA es una variable mediadora entre el número de cigarrillos al día y la dependencia a la nicotina y el número de intentos previos de dejar de fumar. Conclusiones: Estos resultados sugieren que hay que tener en cuenta variables transdiagnósticas como la SA y las diferencias de género en las intervenciones para dejar de fumar.

Referencias bibliográficas

  • Bakhshaie, J,Zvolensky, M,Langdon, K,Leventhal, A,Schmidt, N.. (2018). Reduction of anxiety sensitivity in relation to nicotine withdrawal symptoms during smoking cessation: An examination among successful quitters. Cognitive Behaviour Therapy. 47. 301
  • Byrne, B. M.. (2009). Structural equation modeling with AMOS: Basic concepts, applications, and programming. 2. Routledge.
  • Capron, D. W,Norr, A. M,Zvolensky, M. J,Schmidt, N. B.. (2014). Prospective evaluation of the effect of an anxiety sensitivity intervention on suicidality among smokers. Cognitive Behaviour Therapy. 43. 72-82
  • Chinwong, D,Mookmanee, N,Chongpornchai, J,Chinwong, S.. (2018). A Comparison of gender differences in smoking behaviors, intention to quit, and nicotine dependence among Thai university students. Journal of Addiction.
  • Cornellà-Font, M,Viñas-Poch, F,Juárez-López, J. R,Malo-Cerrato, S. (2020). Risk of addiction: Its prevalence in adolescence and its relationship with security of attachment and self-concept. Clínica y Salud. 31. 21
  • Drope, J,Liber, A. C,Cahn, Z,Stoklosa, M,Kennedy, R,Douglas, C. E,Henson, R,Drope, J. (2018). Who’s still smoking? Disparities in adult cigarette smoking prevalence in the United States. CA: a Cancer Journal for Clinicians. 68. 106
  • (2019). EUROSTAT. Tobacco consumption statistics..
  • Farris, S. G,Langdon, K. J,DiBello, A. M,Zvolensky, M. J.. (2014). Why do anxiety sensitive smokers perceive quitting as difficult? The role of expecting “interoceptive threat” during acute abstinence. Cognitive Therapy and Research. 39. 236
  • Feldner, M. T,Zvolensky, M. J,Babson, K,Leen-Feldner, E. W,Schmidt, N. B.. (2008). An integrated approach to panic prevention targeting the empirically supported risk factors of smoking and anxiety sensitivity: Theoretical basis and evidence from a pilot project evaluating feasibility and short-term efficacy. Journal of Anxiety Disorders. 22. 1227
  • Gonzalez, A,Friedberg, F,Li, X,Zvolensky, M. J,Bromet, E. J,Mahaffey, B. L,Vujanovic, A. A,Luft, B. J,Kotov, R.. (2017). Trauma-focused smoking cessation for smokers exposed to the World Trade Center disaster: A randomized clinical trial. Nicotine & Tobacco Research. 19. 968
  • González-Roz, A,Secades-Villa, R,Alonso-Pérez, F.. (2019). Effects of combining contingency management with behavioral activation for smokers with depression. Addiction Research & Theory. 27. 114
  • González-Sanguino, C,González-Domínguez, S,Castellanos, M. A,Muñoz, M.. (2022). Mental illness stigma. A comparative cross-sectional study of social stigma, internalized stigma and self-esteem. Clínica y Salud. 33. 59-64
  • Gregor, K. L,Zvolensky, M. J,McLeish, A. C,Bernstein, A,Morissette, S.. (2008). Anxiety sensitivity and perceived control over anxiety-related events: Associations with smoking outcome expectancies and perceived cessation barriers among daily smokers. Nicotine & Tobacco Research. 10. 627
  • Guillot, C,Leventhal, A,Raines, A,Zvolensky, M,Schmidt, N.. (2016). Anxiety sensitivity facets in relation to tobacco use, abstinence-related problems, and cognitions in treatment-seeking smokers. Addictive Behaviors. 56. 30
  • Heatherton, T. F,Kozlowski, L. T,Frecker, R. C,Fagerström, K. O. (1991). The Fagerström Test for nicotine dependence: A revision of the Fagerström Tolerance Questionnaire. British Journal of Addictions. 86. 1119
  • Langdon, K. J,Farris, S. G,Hogan, J. B. D,Grover, K. W,Zvolensky, M. J.. (2016). Anxiety sensitivity in relation to quit day dropout among adult daily smokers recruited to participate in a self-guided cessation attempt. Addictive Behaviors. 58. 12
  • Leventhal, A. M,Zvolensky, M. J.. (2015). Anxiety, depression, and cigarette smoking: A transdiagnostic vulnerability framework to understanding emotion-smoking comorbidity. Psychological Bulletin. 141. 176-212
  • López-Núñez, C,González-Roz, A,Weidberg, S,Fernandez-Artamendi, S.. (2021). Anxiety sensitivity as a transdiagnostic vulnerability factor for cigarette smoking: Clinical and treatment implications. Adicciones. 33. 85-95
  • Martín-Ríos, R,Martín-Tamayo, I,López-Torrecillas, F.. (2021). Impact of neuropsychological disorders on clinical aspects of smoking. Adicciones.
  • Martínez-Vispo, C,Fernández del Río, E,López, A,Becoña, E.. (2016). Influencia de la sensibilidad a la ansiedad en una intervención psicológica para dejar de fumar. Revista de Psicopatología y Psicología Clínica. 21. 11
  • Martínez-Vispo, C,López-Durán, A,Rodríguez-Cano, R,Senra, C,Becoña, E.. (2021). Treatment completion and anxiety sensitivity effects on smoking cessation outcomes. Addictive Behaviors. 117.
  • Martínez-Vispo, C,López-Durán, A,Senra, C,Becoña, E.. (2022). Brooding rumination and anxiety sensitivity: Associations with depressive and anxiety symptoms in treatment-seeking smokers. Psicothema. 34. 49-55
  • Martínez-Vispo, C,López-Durán, A,Senra, C,Rodríguez-Cano, R,Fernández Del Río, E,Becoña, E.. (2020). Environmental reward and depressive symptoms in the relationship between avoidance and cigarette dependence in treatment-seeking smokers. Psicothema. 32. 176
  • Nagrath, D,Mathur, M. R,Gupta, R,Zodpey, S. P.. (2019). Socio-demographic and socioeconomic differences in tobacco use prevalence among Indian youth. Preventive Medicine Reports. 14.
  • Nakajima, M,Absi, M.. (2012). Predictors of risk for smoking relapse in men and women: A prospective examination. Psychology of Addictive Behaviors. 26. 633
  • Norr, A. M,Albanese, B. J,Allan, N. P,Schmidt, N. B.. (2015). Anxiety sensitivity as a mechanism for gender discrepancies in anxiety and mood symptoms. Journal of Psychiatric Research. 62. 101
  • Ontaneda Aguilar, M. P,Ruisoto Palomera, P,López Núñez, C,Torres Maroño, C,Vaca Gallegos, S,Pineda Cabrera, N. J,Real Deus, J. E.. (2021). The role of age of onset on problematic alcohol consumption: Artefact or cohort effect?. Clínica y Salud. 33. 11
  • (2021). Organización Mundial de la Salud. Tabaco.
  • Pérez-Pareja, F. J,García-Pazo, P,Jiménez, R,Gervilla, E.. (2020). Quitting smoking, cognitive behavioral therapy and differential profiles with decision trees. Clínica y Salud. 31. 137
  • Pérez-Pareja, F. J,Sesé, A,Filomena-Romo, A,Palmer, A,Tomás, M.. (2010). Influence of negative emotions (anxiety, depression and anger) on the efficiency of cognitive-behavioral quit smoking program. Clínica y Salud. 21. 9-19
  • Piper, M. E,Cook, J. W,Schlam, T. R,Jorenby, D. E,Baker, T. B.. (2011). Anxiety diagnoses in smokers seeking cessation treatment: Relations with tobacco dependence, withdrawal, outcome and response to treatment. Addiction. 106. 418
  • Reiss, S.. (1991). Expectancy model of fear, anxiety and panic. Clinical Psychology Review. 11. 141
  • Rodríguez, B. F,Bruce, S. E,Pagano, M. E,Spencer, M. A,Keller, M. B.. (2012). Factor structure and stability of the Anxiety Sensitivity Index in a longitudinal study of anxiety disorder patients. Behaviour Research and Therapy. 42. 79-91
  • Sánchez-Villegas, A,Gea, A,Lahortiga-Ramos, F,Martínez-González, J,Molero, P,Martínez-González, M. A.. (2021). Bidirectional association between tobacco use and depression risk in the SUN cohort study. Adicciones.
  • Sandín, B,Valiente, R. M.,Chorot, P.,Santed, M. A.. (2007). ASI-3: nueva escala para la evaluación de la SA. Revista de Psicopatología y Psicología Clínica. 12. 91-104
  • Schermelleh-Engel, K,Moosbrugger, H,Müller, H.. (2003). Evaluating the fit of structural equation models: tests of significance and descriptive goodness-of-fit measures. Methods of Psychological Research. 8. 23-74
  • Schimdt, N,Raines, A,Allan, N,Zvolensky, M.. (2016). Anxiety sensitivity risk reduction in smokers: A randomized control trial examining effects on panic. Behaviour Research and Therapy. 77. 138
  • Smits, J. A,Zvolensky, M. J,Davis, M. L,Rosenfield, D,Marcus, B. H,Church, T. S,Powers, M. B,Frierson, G. M,Otto, M. W,Hopkins, L. B,Brown, R. A,Baird, S. O.. (2016). The efficacy of vigorous-intensity exercise as an aid to smoking cessation in adults with high anxiety sensitivity: A randomized controlled trial. Psychosomatic Medicine. 78. 354
  • Stead, L. F,Carroll, A. J,Lancaster, T.. (2017). Group behaviour therapy programmes for smoking cessation. Cochrane Database of Systematic Reviews. 3.
  • Taylor, S,Zvolensky, M. J,Cox, B. J,Deacon, B,Heimberg, R. G,Ledley, D. R,Abramowitz, J. S,Holaway, R. M,Sandin, B,Stewart, S. H,Coles, M,Eng, W,Daly, E. S,Arrindell, W. A,Bouvard, M,Cardenas, S. J.. (2007). Robust dimensions of anxiety sensitivity: Development and initial validation of the Anxiety Sensitivity Index-3. Psychological Assessment. 19. 176
  • Zvolensky, M. J,Bogiaizian, D,López Salazar, P,Farris, S. G,Bakhshaie, J.. (2014). An anxiety sensitivity reduction smoking-cessation program for Spanish-speaking smokers (Argentina). Cognitive and Behavioral Practice. 21. 350
  • Zvolensky, M. J,Farris, S. G,Schmidt, N. B,Smits, J. A.. (2014). 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. 229
  • Zvolensky, M. J,Garey, L,Allan, N. P,Farris, S. G,Raines, A. M,Smits, J,Kauffman, B. Y,Manning, K,Schmidt, N. B.. (2018). Effects of anxiety sensitivity reduction on smoking abstinence: An analysis from a panic prevention program. Journal of Consulting and Clinical Psychology. 86. 474
  • Zvolensky, M. J,Garey, L,Kauffman, B. Y,Manning, K.. (2019). Integrative treatment program for anxiety sensitivity and smoking cessation. The clinician’s guide to anxiety sensitivity treatment and assessment. 101
  • Zvolensky, M,Jardin, C,Wall, M,Gbedemah, M,Hasin, D,Shankman, S,Gallagher, M. W,Bakhshaie, J,Goodwin, R. D.. (2017). Psychological distress among smokers in the United States: 2008-2014. Nicotine & Tobacco Research. 20. 707
  • Zvolensky, M. J,McNeil, D. W,Porter, C. A,Stewart, S. H.. (2001). Assessment of anxiety sensitivity in young American Indians and Alaska natives. Behaviour Research and Therapy. 39. 477
  • Zvolensky, M. J,Yartz, A. R,Gregor, K,Gonzalez, A,Bernstein, A.. (2008). Interoceptive exposure-based cessation intervention for smokers high in anxiety sensitivity: A case series. Journal of Cognitive Psychotherapy. 22. 346
Fuente de los datos: Dialnet