Anxiety sensitivity risk reduction in smokers: A randomized control trial examining effects on panic.
Anxiety sensitivity risk reduction in smokers: A randomized control trial examining effects on panic.
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DOI：
10.1016/j.brat.2015.12.011
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发表时间：
2016-02
影响因子：
4.1
通讯作者：
Zvolensky MJ
中科院分区：
文献类型：
--
作者：
Schmidt NB;Raines AM;Allan NP;Zvolensky MJ
经验证据已经确定了恐慌精神病理学的几个风险因素，包括吸烟和焦虑敏感性（AS;对焦虑相关感觉的恐惧）。因此，AS升高的吸烟者是特别容易受到恐慌的人群。然而，关于如何降低高AS吸烟者的恐慌风险的知识很少。本研究前瞻性地评估了在吸烟者的对照随机风险降低计划的背景下恐慌的结果。参与者（N = 526）包括目前的吸烟者，他们都接受了最先进的戒烟干预，其中大约一半被随机分配到称为恐慌吸烟计划（PSP）的AS减少干预。主要的假设集中在检查的PSP恐慌症状的背景下，这一弱势群体的影响。与预测一致，治疗条件对AS有显著影响，因此与对照条件相比，PSP条件下的个体在整个治疗和随访期间表现出更大的AS降低。此外，PSP治疗可降低恐慌相关性精神病的发生率。此外，中介分析表明，减少AS导致较低的恐慌症状。本研究提供了第一个经验证据，即简短，有针对性的心理教育干预可以减轻吸烟者的恐慌风险。
Empirical evidence has identified several risk factors for panic psychopathology, including smoking and anxiety sensitivity (AS; the fear of anxiety-related sensations). Smokers with elevated AS are therefore a particularly vulnerable population for panic. Yet, there is little knowledge about how to reduce risk of panic among high AS smokers. The present study prospectively evaluated panic outcomes within the context of a controlled randomized risk reduction program for smokers. Participants (N = 526) included current smokers who all received a state-of-the-art smoking cessation intervention with approximately half randomized to the AS reduction intervention termed Panic-smoking Program (PSP). The primary hypotheses focus on examining the effects of a PSP on panic symptoms in the context of this vulnerable population. Consistent with prediction, there was a significant effect of treatment condition on AS, such that individuals in the PSP condition, compared to those in the control condition, demonstrated greater decreases in AS throughout treatment and the follow-up period. In addition, PSP treatment resulted in lower rates of panic-related symptomatology. Moreover, mediation analyses indicated that reductions in AS resulted in lower panic symptoms. The present study provides the first empirical evidence that brief, targeted psychoeducational interventions can mitigate panic risk among smokers.