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Anxiety Sensitivity Explains Associations between Anxious Arousal Symptoms and Smoking Abstinence Expectancies Perceived Barriers to Cessation and Problems Experienced during Past Quit Attempts among Low-Income Smokers

机译:焦虑症的敏感性解释了焦虑的症状与吸烟的戒烟期望感知到的戒烟障碍以及低收入吸烟者过去戒烟期间遇到的问题之间的关联

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摘要

Disproportionately more smokers report low-income and mental health problems relative to non-smokers. Low-income smokers may use smoking to alleviate negative emotional states resulting from exposure to multiple stressors. Yet, little work has been devoted to elucidating mechanisms that may explain the association between negative emotional states and smoking-related processes among low-income smokers. The present study sought to address this gap by examining anxiety sensitivity, a transdiagnostic factor related to both anxiety and smoking, as a potential mediator for the influence of anxiety symptoms on smoking-related processes, including threat-related smoking abstinence expectancies (somatic symptoms and harmful consequences), perceived barriers for cessation, and problems experienced during past quit attempts. Participants included treatment-seeking daily cigarette smokers (n = 101; 68.3% male; Mage = 47.1; SD = 10.2). Results indicated that anxiety symptoms exerted a significant indirect effect through anxiety sensitivity for threat-related smoking abstinence expectancies (somatic symptoms and harmful consequences), perceived barriers for cessation, and problems experienced during past quit attempts. The present results provide empirical support that anxiety sensitivity may be an underlying mechanism that partially explains the relation between anxiety symptoms and smoking processes among low-income treatment-seeking smokers. Findings broaden current theoretical understanding of pathways through which anxiety symptoms contribute to maladaptive smoking processes and cognitions among socioeconomically disadvantaged smokers.
机译:相对于非吸烟者,更多的吸烟者报告了低收入和心理健康问题。低收入吸烟者可能会吸烟以减轻因暴露于多种应激源而导致的负面情绪状态。然而,很少有工作致力于阐明可能解释低收入吸烟者负面情绪状态与吸烟相关过程之间关系的机制。本研究试图通过研究焦虑敏感性来解决这一差距,焦虑敏感性是与焦虑和吸烟相关的一种转诊因素,是焦虑症状对吸烟相关过程(包括与威胁相关的戒烟预期(躯体症状和吸烟)的影响的潜在介体)。有害后果),感知的戒烟障碍以及过去的戒烟尝试中遇到的问题。参与者包括寻求治疗的每日吸烟者(n = 101;男性68.3%;法师= 47.1; SD = 10.2)。结果表明,焦虑症状通过对焦虑相关的戒烟预期(躯体症状和有害后果),感知的戒烟障碍以及过去戒烟尝试中遇到的问题的焦虑敏感性,对焦虑产生了显着的间接影响。本结果提供了经验支持,即焦虑敏感性可能是部分解释低收入寻求治疗的吸烟者中焦虑症状与吸烟过程之间关系的潜在机制。这些发现拓宽了当前对焦虑症状促成不良适应吸烟过程和社会经济弱势吸烟者认知的途径的理论理解。

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