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Panic attack history and smoking topography
- Source :
- Drug and Alcohol Dependence. 171:84-90
- Publication Year :
- 2017
- Publisher :
- Elsevier BV, 2017.
-
Abstract
- Background Little is known about panic attacks and puffing topography, a behavioral index of the value of smoking reinforcement. This study examined smoking style during the course of smoking of a single cigarette among adult daily smokers with and without a history of panic attacks. Method Participants (n = 124, Mage = 43.9, SD = 9.7; 44.4% female) were non-treatment seeking daily smokers. Lifetime panic attack history was assessed via diagnostic assessment; 28.2% (n = 35) of the sample had a panic attack history. Participants smoked one cigarette during an ad libitum smoking trial. Puff volume, duration, and inter-puff interval were measured using the Clinical Research Support System (CReSS) pocket device. Results Regression analyses revealed that panic attack status was not associated with significant differences in average puff volume, duration, or inter-puff interval. Multi-level modeling was used to examine puffing trajectories. Puff-level data revealed that there was a significant quadratic time x panic effect for puff volume and duration. Those with a panic attack history demonstrated relatively sustained levels of both puff volume and duration over time, whereas those without a history of panic attacks demonstrated an increase followed by a decrease in volume and duration over time. These effects were not accounted for by the presence of general psychopathology. Discussion Smokers with a panic attack history demonstrate more persistent efforts to self-regulate the delivery of nicotine, and thus may be at risk for continued smoking and dependence. Tailored treatment may be needed to address unique vulnerabilities among this group.
- Subjects :
- Adult
Male
medicine.medical_specialty
Toxicology
Article
Nicotine
03 medical and health sciences
0302 clinical medicine
Surveys and Questionnaires
medicine
Humans
Pharmacology (medical)
030212 general & internal medicine
Psychiatry
Pharmacology
Smoking
Panic
Tobacco Products
Middle Aged
Tailored treatment
Psychiatry and Mental health
General psychopathology
Panic Disorder
Diagnostic assessment
Female
Support system
medicine.symptom
Psychology
Reinforcement, Psychology
030217 neurology & neurosurgery
Demography
medicine.drug
Subjects
Details
- ISSN :
- 03768716
- Volume :
- 171
- Database :
- OpenAIRE
- Journal :
- Drug and Alcohol Dependence
- Accession number :
- edsair.doi.dedup.....92ae4838b2da7d3729fc46c14d22ce3e