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J Anxiety Disord. 2016 Apr;39:79-87. doi: 10.1016/j.janxdis.2016.02.009. Epub 2016 Mar 2.

Anxiety sensitivity class membership moderates the effects of pre-quit reduction in anxiety sensitivity on quit-day tobacco craving.

Author information

1
Department of Psychology, University of Houston, Houston, TX 77204, USA. Electronic address: JBakhshaie@uh.edu.
2
Department of Psychology, University of Houston, Houston, TX 77204, USA; Department of Behavioral Sciences, University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
3
National Center for PTSD, Women's Health Sciences Division, VA Boston Healthcare System, Boston, MA 02130, USA; Department of Psychiatry, Boston University School of Medicine, Boston, MA 02118, USA.
4
Departments of Preventive Medicine and Psychology, University of Southern California, Los Angeles, CA 90089, USA.
5
Department of Psychology & Institute for Mental Health Research, The University of Texas, Austin, TX 78712, USA.
6
Department of Psychology, Florida State University, Tallahassee, FL 32306, USA.

Abstract

BACKGROUND:

Although anxiety sensitivity has been primarily conceptualized as a dimensional latent construct, empirical evidence suggests that it also maintains a latent class structure, reflecting low-, moderate-, and high-risk underlying classes. The present study sought to explore whether these anxiety sensitivity classes moderated the relations between the degree of pre-quit reductions in anxiety sensitivity and the severity of nicotine withdrawal symptoms and craving experienced on quit-day.

METHODS:

Participants included 195 adult smokers (47% female; Mage=39.4) participating in a larger "anxiety sensitivity reduction-smoking cessation" intervention trial.

RESULTS:

Anxiety sensitivity class significantly moderated relations between pre-quit reduction in anxiety sensitivity and quit-day craving. Specifically, smokers within the anxiety sensitivity high-risk class, who also demonstrated lesser pre-quit reductions in anxiety sensitivity, experienced the highest levels of craving on quit-day.

CONCLUSIONS:

These findings highlight the importance of 'high-risk' classes of anxiety sensitivity to better understand the experience of craving on quit day.

KEYWORDS:

Anxiety sensitivity; Craving; Smoking; Tobacco; Treatment; Withdrawal symptoms

PMID:
26978668
DOI:
10.1016/j.janxdis.2016.02.009
[Indexed for MEDLINE]

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