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Drug Alcohol Depend. 2017 Feb 1;171:84-90. doi: 10.1016/j.drugalcdep.2016.11.023. Epub 2016 Nov 24.

Panic attack history and smoking topography.

Author information

1
The Warren Alpert Medical School of Brown University, Department of Psychiatry and Human Behavior, 345 Blackstone Blvd., Providence, RI 02906 USA; The Miriam Hospital, Centers for Behavioral and Preventative Medicine, 164 Summit St., Providence, RI 02906 USA; Butler Hospital, 345 Blackstone Blvd, Providence, RI 02906 USA. Electronic address: samantha_farris@brown.edu.
2
University of Pennsylvania Perlman School of Medicine, Department of Psychiatry, 3535 Market St., Philadelphia, PA 19103, USA. Electronic address: lilyannabrown@gmail.com.
3
Queens College, Department of Psychology and The Graduate Center, City University of New York (CUNY), 6530 Kissena Blvd., Queens, NY 11367 USA; Mailman School of Public Health, Department of Epidemiology, Columbia University, 722W 168th St, New York, NY 10032 USA. Electronic address: renee.goodwin@qc.cuny.edu.
4
University of Houston, Department of Psychology, 126 Fred J. Heyne Building, Houston, TX 77204 USA; The University of Texas MD Anderson Cancer Center, Department of Behavioral Science, 1155 Pressler St., Houston, TX 77230 USA. Electronic address: mjzvolen@central.uh.edu.

Abstract

BACKGROUND:

Little is known about panic attacks and puffing topography, a behavioral index of the value of smoking reinforcement. This study examined smoking style during the course of smoking of a single cigarette among adult daily smokers with and without a history of panic attacks.

METHOD:

Participants (n=124, Mage=43.9, SD=9.7; 44.4% female) were non-treatment seeking daily smokers. Lifetime panic attack history was assessed via diagnostic assessment; 28.2% (n=35) of the sample had a panic attack history. Participants smoked one cigarette during an ad libitum smoking trial. Puff volume, duration, and inter-puff interval were measured using the Clinical Research Support System (CReSS) pocket device.

RESULTS:

Regression analyses revealed that panic attack status was not associated with significant differences in average puff volume, duration, or inter-puff interval. Multi-level modeling was used to examine puffing trajectories. Puff-level data revealed that there was a significant quadratic time x panic effect for puff volume and duration. Those with a panic attack history demonstrated relatively sustained levels of both puff volume and duration over time, whereas those without a history of panic attacks demonstrated an increase followed by a decrease in volume and duration over time. These effects were not accounted for by the presence of general psychopathology.

DISCUSSION:

Smokers with a panic attack history demonstrate more persistent efforts to self-regulate the delivery of nicotine, and thus may be at risk for continued smoking and dependence. Tailored treatment may be needed to address unique vulnerabilities among this group.

KEYWORDS:

Anxiety; Panic attacks; Puff topography; Smoking motivation

PMID:
28033542
PMCID:
PMC5263108
DOI:
10.1016/j.drugalcdep.2016.11.023
[Indexed for MEDLINE]
Free PMC Article

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