a Department of Psychology , Florida State University , Tallahassee , FL , USA.
Cogn Behav Ther. 2014;43(1):72-82. doi: 10.1080/16506073.2013.777466. Epub 2013 Jun 14.
Recent empirical work has revealed a significant relationship between anxiety sensitivity (AS), particularly the AS cognitive concerns subfactor, and suicidality among cigarette smokers. The current study prospectively tested whether an intervention targeting AS (i.e. an AS-augmented smoking cessation program) would predict lower suicidality in a population known to be at increased risk for death by suicide (i.e. cigarette smokers). Participants (N = 169) were randomly assigned to a standard cognitive behavioral smoking intervention or a cognitive behavioral smoking intervention with an AS reduction component. Findings indicate that the participants who received the AS-augmented intervention had lower suicidality compared to those in the standard intervention, even accounting for baseline suicidality, substance use disorder diagnosis, current depression, current anxiety, and current smoking status. As the first examination of the effect of an AS reduction program on suicidality, this study provides initial support for the hypothesis that reducing AS may lead to lower suicidality. Future work should include testing an AS intervention in a sample with elevated suicidality, as well as specifically targeting AS cognitive concerns, which has a stronger and more consistent relationship with suicidality than global AS.
近期的实证研究揭示了焦虑敏感（AS），特别是 AS 认知担忧子因素，与吸烟者自杀之间存在显著关系。本研究前瞻性地检验了针对 AS 的干预（即增强 AS 的戒烟计划）是否会降低已知自杀风险增加的人群（即吸烟者）的自杀率。参与者（N=169）被随机分配到标准认知行为戒烟干预组或增强 AS 认知行为戒烟干预组。研究结果表明，与标准干预组相比，接受增强 AS 干预的参与者自杀率更低，即使考虑到基线自杀率、物质使用障碍诊断、当前抑郁、当前焦虑和当前吸烟状况。作为对降低 AS 对自杀影响的首次检验，本研究初步支持了降低 AS 可能导致自杀率降低的假设。未来的研究应包括在自杀率升高的样本中测试 AS 干预，以及专门针对 AS 认知担忧，因为与整体 AS 相比，AS 认知担忧与自杀的关系更强、更一致。
