Samantha G Farris1, Michael J Zvolensky2, Michael W Otto3, Teresa M Leyro4. 1. Department of Psychology, University of Houston, Houston, TX, USA sgfarris@uh.edu. 2. Department of Psychology, University of Houston, Houston, TX, USA Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. 3. Department of Psychology, Boston University, Boston, MA, USA. 4. Department of Psychology, Rutgers - The State University of New Jersey, New Brunswick, NJ, USA.
Abstract
BACKGROUND: Distress intolerance is linked to the maintenance of panic disorder and cigarette smoking, and may underlie both problems. METHOD: Smokers (n = 54; 40.7% panic disorder) were recruited for an experimental study; half were randomly assigned to 12-hour nicotine deprivation and half smoked as usual. The current investigation consisted of secondary, exploratory analyses from this larger experimental study. Four distress intolerance indices were examined as predictors of anxious responding to an emotional elicitation task (10% carbon dioxide (CO2)-enriched air challenge); anxious responding was in turn examined as a predictor of post-challenge panic and nicotine withdrawal symptoms. RESULTS: The Distress Tolerance Scale (DTS) was significantly negatively associated with anxious responding to the challenge (β = -0.41, p = 0.017). The DTS was negatively associated with post-challenge increases nicotine withdrawal symptoms indirectly through the effect of anxious responding to the challenge (b = -0.485, CI95% (-1.095, -0.033)). This same indirect effect was found for post-challenge severity of panic symptoms (b = -0.515, CI95% (-0.888, -0.208)). The DTS was directly predictive of post-challenge increases nicotine withdrawal symptoms, in the opposite direction (β = 0.37, p = 0.009), but not panic symptom severity. CONCLUSIONS: Anxious responding in response to stressful experiences may explain the impact of perceived distress intolerance on panic and nicotine withdrawal symptom expression.
RCT Entities:
BACKGROUND: Distress intolerance is linked to the maintenance of panic disorder and cigarette smoking, and may underlie both problems. METHOD: Smokers (n = 54; 40.7% panic disorder) were recruited for an experimental study; half were randomly assigned to 12-hour nicotine deprivation and half smoked as usual. The current investigation consisted of secondary, exploratory analyses from this larger experimental study. Four distress intolerance indices were examined as predictors of anxious responding to an emotional elicitation task (10% carbon dioxide (CO2)-enriched air challenge); anxious responding was in turn examined as a predictor of post-challenge panic and nicotine withdrawal symptoms. RESULTS: The Distress Tolerance Scale (DTS) was significantly negatively associated with anxious responding to the challenge (β = -0.41, p = 0.017). The DTS was negatively associated with post-challenge increases nicotine withdrawal symptoms indirectly through the effect of anxious responding to the challenge (b = -0.485, CI95% (-1.095, -0.033)). This same indirect effect was found for post-challenge severity of panic symptoms (b = -0.515, CI95% (-0.888, -0.208)). The DTS was directly predictive of post-challenge increases nicotine withdrawal symptoms, in the opposite direction (β = 0.37, p = 0.009), but not panic symptom severity. CONCLUSIONS: Anxious responding in response to stressful experiences may explain the impact of perceived distress intolerance on panic and nicotine withdrawal symptom expression.
Authors: Rachel L Rosen; Allison M Borges; Mindy M Kibbey; Marc L Steinberg; Teresa M Leyro; Samantha G Farris Journal: Addict Behav Date: 2019-07-10 Impact factor: 3.913
Authors: Samantha G Farris; Elizabeth R Aston; Teresa M Leyro; Lily A Brown; Michael J Zvolensky Journal: Nicotine Tob Res Date: 2019-04-17 Impact factor: 4.244
Authors: Jasper A J Smits; Michael J Zvolensky; Michael W Otto; Megan E Piper; Scarlett O Baird; Brooke Y Kauffman; Eunjung Lee-Furman; Noura Alavi; Christina D Dutcher; Santiago Papini; Benjamin Rosenfield; David Rosenfield Journal: Drug Alcohol Depend Date: 2020-01-22 Impact factor: 4.492
Authors: Amanda R Mathew; Bryan W Heckman; Brett Froeliger; Michael E Saladin; Richard A Brown; Brian Hitsman; Matthew J Carpenter Journal: Exp Clin Psychopharmacol Date: 2018-12-27 Impact factor: 3.157
Authors: Samantha G Farris; Teresa M Leyro; Nicholas P Allan; Camilla S Øverup; Norman B Schmidt; Michael J Zvolensky Journal: Behav Res Ther Date: 2016-08-03