Anxiety and Depression in Bidirectional Relations Between Pain and Smoking: Implications for Smoking Cessation

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Pain and tobacco smoking are highly prevalent and comorbid conditions that impose considerable burdens on individuals and health care systems. A recently proposed reciprocal model suggests that these conditions interact in a bidirectional manner, resulting in greater pain and the maintenance of tobacco addiction. Anxiety and depression are common among smokers in pain and have been identified as central mechanisms of interest. There is emerging evidence that smokers with anxiety/depression may experience more severe pain and functional impairment, greater pain-induced motivation to smoke, and increased sensitivity to pain during periods of smoking abstinence. Based on empirical findings, we hypothesize that these experiences may engender expectations that abstaining from smoking will exacerbate both pain and negative affect, thus eroding self-efficacy for smoking cessation and increasing perceived barriers to quitting. The goal of this narrative review is to examine the role of anxiety/depression in complex pain–smoking relations so as to advance evolving theoretical perspectives and inform the development of tailored interventions.

Original languageEnglish (US)
Pages (from-to)7-28
Number of pages22
JournalBehavior Modification
Volume40
Issue number1-2
DOIs
StatePublished - Jan 1 2016

Fingerprint

Smoking Cessation
Anxiety
Smoking
Depression
Pain
Self Efficacy
Smoke
Tobacco
Motivation
Maintenance
Delivery of Health Care

Keywords

  • anxiety
  • comorbidity
  • depression
  • negative affect
  • pain
  • smoking

ASJC Scopus subject areas

  • Clinical Psychology
  • Arts and Humanities (miscellaneous)
  • Developmental and Educational Psychology

Cite this

Anxiety and Depression in Bidirectional Relations Between Pain and Smoking : Implications for Smoking Cessation. / Zale, Emily L.; Maisto, Stephen A; Ditre, Joseph W.

In: Behavior Modification, Vol. 40, No. 1-2, 01.01.2016, p. 7-28.

Research output: Contribution to journalArticle

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