Relations between pain-related anxiety, tobacco dependence, and barriers to quitting among a community-based sample of daily smokers

Joseph W. Ditre, Kirsten J. Langdon, Jesse D. Kosiba, Emily L. Zale, Michael J. Zvolensky

Research output: Contribution to journalArticlepeer-review

28 Scopus citations

Abstract

There is increasing recognition that complex and potentially bidirectional relations between pain and smoking may be relevant to the maintenance of tobacco addiction. Pain-related anxiety has been identified as a mechanism in the onset and progression of painful disorders, and initial evidence indicates that pain-related anxiety may be associated with essential features of tobacco dependence among smokers with chronic pain. However, there has not been an empirical study of pain-related anxiety in relation to tobacco dependence and self-reported barriers to quitting among a community-based sample of daily smokers. The current sample was comprised of 122 daily smokers who were recruited from the local community to participate in a larger study that included an initial assessment of pain, smoking history, and pain-related anxiety. Approximately 17% of our sample endorsed moderate or severe past-month pain, nearly half met criteria for current anxiety or mood disorder, and about 30% met criteria for a current substance use disorder, exclusive of tobacco dependence. Results indicated that pain-related anxiety was uniquely and positively associated with both tobacco dependence severity scores and self-reported barriers to quitting. These findings lend support to the notion that pain-related anxiety may contribute to the maintenance of tobacco addiction among smokers who experience varying levels of pain severity.

Original languageEnglish (US)
Pages (from-to)130-135
Number of pages6
JournalAddictive Behaviors
Volume42
DOIs
StatePublished - Mar 1 2015

Keywords

  • Anxiety
  • Cessation
  • Pain
  • Pain-related anxiety
  • Smoking
  • Tobacco

ASJC Scopus subject areas

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

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