Samantha G Farris1, Lily A Brown2, Renee D Goodwin3, Michael J Zvolensky4. 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.
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.
Authors: Samantha G Farris; Michael J Zvolensky; Janice A Blalock; Norman B Schmidt Journal: Am J Drug Alcohol Abuse Date: 2014-04-10 Impact factor: 3.829
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: Allison M Borges; Teresa M Leyro; Rachel L Rosen; Michael J Zvolensky; Samantha G Farris Journal: Drug Alcohol Depend Date: 2019-06-19 Impact factor: 4.492