McLeish Alison C, Zvolensky Michael J, Bonn-Miller Marcel O, Bernstein Amit
Department of Psychology, University of Vermont, Burlington, Vermont, USA.
Depress Anxiety. 2006;23(5):257-65. doi: 10.1002/da.20170.
Our aim in this investigation was to evaluate the moderating role of perceived health in the relation between smoking rate and panic variables in a community-based sample of 220 daily smokers (98 females; M(age)=23.76 years, SD=8.76). As hypothesized, the interaction between smoking and perceived health incrementally predicted anxiety sensitivity (fear of anxiety) and anxious arousal symptoms, but not depressive symptoms. Individuals who had higher smoking rates and lower perceived health reported higher levels of anxiety sensitivity and anxious arousal, but not depressive symptoms. The primary implication of these findings is that there may be segments of the cigarette smoking population who are at relatively greater risk for anxiety symptoms and fear of bodily sensations by virtue of individual differences in perceived health. The identification of such moderating effects is clinically important, because it helps to refine our understanding of complex associations between drug behavior and panic vulnerability.
我们此次调查的目的是，在一个由220名每日吸烟者组成的社区样本（98名女性；年龄均值M=23.76岁，标准差SD=8.76）中，评估感知健康在吸烟率与惊恐变量之间关系中的调节作用。正如所假设的那样，吸烟与感知健康之间的交互作用逐步预测了焦虑敏感性（对焦虑的恐惧）和焦虑唤醒症状，但未预测抑郁症状。吸烟率较高且感知健康较低的个体报告了更高水平的焦虑敏感性和焦虑唤醒，但没有抑郁症状。这些发现的主要意义在于，由于在感知健康方面存在个体差异，吸烟人群中可能有部分人患焦虑症状和对身体感觉恐惧的风险相对更高。识别这种调节作用在临床上很重要，因为它有助于深化我们对药物行为与惊恐易感性之间复杂关联的理解。
