Pain-related anxiety and smoking processes: The explanatory role of dysphoria

Tanya Smit, Natalia Peraza, Lorra Garey, Kirsten J. Langdon, Joseph W Ditre, Andrew H. Rogers, Kara Manning, Michael J. Zvolensky

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Scientific evidence suggests that pain-related anxiety may contribute to the maintenance of tobacco addiction among smokers with varying levels of pain. Yet, no work has investigated the relation between pain-related anxiety and cognitive-based smoking processes within an indirect effect model. Dysphoria may explain the relation between pain-related anxiety and cigarette smoking, as it is a construct that relates to both pain and smoking outcomes. Thus, the current cross-sectional study examined the indirect effect of pain-related anxiety and three clinically significant smoking processes: perceived barriers to cessation, negative affect reduction motives, and negative mood abstinence expectancies via dysphoria. Participants included 101 (Mage = 32.74 years, SD = 13.60; 35.6% female) adult tobacco cigarette smokers with low cigarette dependence. Results indicated that pain-related anxiety had an indirect effect on all dependent variables through dysphoria. The current findings provide evidence that dysphoria may serve to maintain maladaptive smoking processes in smokers who experience pain-related anxiety. This study furthers research on pain-smoking relations by providing initial evidence for a conceptual model in which smokers with elevated pain-related anxiety endorse greater dysphoric symptoms and use smoking to reduce or escape symptoms of their pain-related anxiety and dysphoria, thus contributing to the maintenance of tobacco dependence.

Original languageEnglish (US)
Pages (from-to)15-22
Number of pages8
JournalAddictive Behaviors
Volume88
DOIs
StatePublished - Jan 1 2019

Fingerprint

Tobacco
Tobacco Products
Anxiety
Smoking
Pain
Maintenance
Tobacco Use Disorder
Cross-Sectional Studies

Keywords

  • Dysphoria
  • Pain
  • Pain-related anxiety
  • Smoking
  • Tobacco

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Toxicology
  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Smit, T., Peraza, N., Garey, L., Langdon, K. J., Ditre, J. W., Rogers, A. H., ... Zvolensky, M. J. (2019). Pain-related anxiety and smoking processes: The explanatory role of dysphoria. Addictive Behaviors, 88, 15-22. https://doi.org/10.1016/j.addbeh.2018.08.008

Pain-related anxiety and smoking processes : The explanatory role of dysphoria. / Smit, Tanya; Peraza, Natalia; Garey, Lorra; Langdon, Kirsten J.; Ditre, Joseph W; Rogers, Andrew H.; Manning, Kara; Zvolensky, Michael J.

In: Addictive Behaviors, Vol. 88, 01.01.2019, p. 15-22.

Research output: Contribution to journalArticle

Smit, T, Peraza, N, Garey, L, Langdon, KJ, Ditre, JW, Rogers, AH, Manning, K & Zvolensky, MJ 2019, 'Pain-related anxiety and smoking processes: The explanatory role of dysphoria', Addictive Behaviors, vol. 88, pp. 15-22. https://doi.org/10.1016/j.addbeh.2018.08.008
Smit, Tanya ; Peraza, Natalia ; Garey, Lorra ; Langdon, Kirsten J. ; Ditre, Joseph W ; Rogers, Andrew H. ; Manning, Kara ; Zvolensky, Michael J. / Pain-related anxiety and smoking processes : The explanatory role of dysphoria. In: Addictive Behaviors. 2019 ; Vol. 88. pp. 15-22.
@article{1c0cbdd521dc4062b66b6b1b085ffcd4,
title = "Pain-related anxiety and smoking processes: The explanatory role of dysphoria",
abstract = "Scientific evidence suggests that pain-related anxiety may contribute to the maintenance of tobacco addiction among smokers with varying levels of pain. Yet, no work has investigated the relation between pain-related anxiety and cognitive-based smoking processes within an indirect effect model. Dysphoria may explain the relation between pain-related anxiety and cigarette smoking, as it is a construct that relates to both pain and smoking outcomes. Thus, the current cross-sectional study examined the indirect effect of pain-related anxiety and three clinically significant smoking processes: perceived barriers to cessation, negative affect reduction motives, and negative mood abstinence expectancies via dysphoria. Participants included 101 (Mage = 32.74 years, SD = 13.60; 35.6{\%} female) adult tobacco cigarette smokers with low cigarette dependence. Results indicated that pain-related anxiety had an indirect effect on all dependent variables through dysphoria. The current findings provide evidence that dysphoria may serve to maintain maladaptive smoking processes in smokers who experience pain-related anxiety. This study furthers research on pain-smoking relations by providing initial evidence for a conceptual model in which smokers with elevated pain-related anxiety endorse greater dysphoric symptoms and use smoking to reduce or escape symptoms of their pain-related anxiety and dysphoria, thus contributing to the maintenance of tobacco dependence.",
keywords = "Dysphoria, Pain, Pain-related anxiety, Smoking, Tobacco",
author = "Tanya Smit and Natalia Peraza and Lorra Garey and Langdon, {Kirsten J.} and Ditre, {Joseph W} and Rogers, {Andrew H.} and Kara Manning and Zvolensky, {Michael J.}",
year = "2019",
month = "1",
day = "1",
doi = "10.1016/j.addbeh.2018.08.008",
language = "English (US)",
volume = "88",
pages = "15--22",
journal = "Addictive Behaviors",
issn = "0306-4603",
publisher = "Elsevier",

}

TY - JOUR

T1 - Pain-related anxiety and smoking processes

T2 - The explanatory role of dysphoria

AU - Smit, Tanya

AU - Peraza, Natalia

AU - Garey, Lorra

AU - Langdon, Kirsten J.

AU - Ditre, Joseph W

AU - Rogers, Andrew H.

AU - Manning, Kara

AU - Zvolensky, Michael J.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Scientific evidence suggests that pain-related anxiety may contribute to the maintenance of tobacco addiction among smokers with varying levels of pain. Yet, no work has investigated the relation between pain-related anxiety and cognitive-based smoking processes within an indirect effect model. Dysphoria may explain the relation between pain-related anxiety and cigarette smoking, as it is a construct that relates to both pain and smoking outcomes. Thus, the current cross-sectional study examined the indirect effect of pain-related anxiety and three clinically significant smoking processes: perceived barriers to cessation, negative affect reduction motives, and negative mood abstinence expectancies via dysphoria. Participants included 101 (Mage = 32.74 years, SD = 13.60; 35.6% female) adult tobacco cigarette smokers with low cigarette dependence. Results indicated that pain-related anxiety had an indirect effect on all dependent variables through dysphoria. The current findings provide evidence that dysphoria may serve to maintain maladaptive smoking processes in smokers who experience pain-related anxiety. This study furthers research on pain-smoking relations by providing initial evidence for a conceptual model in which smokers with elevated pain-related anxiety endorse greater dysphoric symptoms and use smoking to reduce or escape symptoms of their pain-related anxiety and dysphoria, thus contributing to the maintenance of tobacco dependence.

AB - Scientific evidence suggests that pain-related anxiety may contribute to the maintenance of tobacco addiction among smokers with varying levels of pain. Yet, no work has investigated the relation between pain-related anxiety and cognitive-based smoking processes within an indirect effect model. Dysphoria may explain the relation between pain-related anxiety and cigarette smoking, as it is a construct that relates to both pain and smoking outcomes. Thus, the current cross-sectional study examined the indirect effect of pain-related anxiety and three clinically significant smoking processes: perceived barriers to cessation, negative affect reduction motives, and negative mood abstinence expectancies via dysphoria. Participants included 101 (Mage = 32.74 years, SD = 13.60; 35.6% female) adult tobacco cigarette smokers with low cigarette dependence. Results indicated that pain-related anxiety had an indirect effect on all dependent variables through dysphoria. The current findings provide evidence that dysphoria may serve to maintain maladaptive smoking processes in smokers who experience pain-related anxiety. This study furthers research on pain-smoking relations by providing initial evidence for a conceptual model in which smokers with elevated pain-related anxiety endorse greater dysphoric symptoms and use smoking to reduce or escape symptoms of their pain-related anxiety and dysphoria, thus contributing to the maintenance of tobacco dependence.

KW - Dysphoria

KW - Pain

KW - Pain-related anxiety

KW - Smoking

KW - Tobacco

UR - http://www.scopus.com/inward/record.url?scp=85051249666&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85051249666&partnerID=8YFLogxK

U2 - 10.1016/j.addbeh.2018.08.008

DO - 10.1016/j.addbeh.2018.08.008

M3 - Article

C2 - 30103097

AN - SCOPUS:85051249666

VL - 88

SP - 15

EP - 22

JO - Addictive Behaviors

JF - Addictive Behaviors

SN - 0306-4603

ER -