Redmond Brooke Y, Bizier Andre, Salwa Aniqua, Brown Richard A, Garey Lorra, Zvolensky Michael J
Department of Psychology, University of Houston, 3695 Cullen Boulevard, 126 Heyne Building, Houston, TX, 77204, USA.
Health Behavior Solutions, Austin, TX, USA.
Int J Behav Med. 2024 Oct 31. doi: 10.1007/s12529-024-10328-9.
Although rates of cigarette smoking have declined in the US, many individuals report experiencing significant barriers to quitting smoking, including poor mental health. Two prominent affective vulnerability factors that independently underlie both smoking behavior and processes and mental health include distress tolerance and anxiety sensitivity. However, limited work has examined the concurrent role of these factors on motivational reasons for smoking.
The current study is a secondary analysis of baseline data from a nationally recruited sample of individuals (N = 156; M = 29.74, SD = 7.72; 69.2% female) interested in participating in a digitally delivered intervention for comorbid smoking and low distress tolerance. Two-step hierarchical linear regression was used to examine the unique role of self-reported distress tolerance and anxiety sensitivity in relation to reasons for smoking (i.e., habitual, negative affect reduction, addictive, pleasurable/relaxation, stimulation, and sensorimotor manipulation).
Results indicated that lower levels of distress tolerance and greater levels of anxiety sensitivity were associated with greater sensorimotor manipulation reasons for smoking. Only distress tolerance was related to addictive, negative affect reduction, and stimulation reasons for smoking, whereas only anxiety sensitivity was related to habitual reasons for smoking.
The current findings suggest that there is an explanatory utility for unique and multi-risk effects for distress tolerance and anxiety sensitivity for understanding smoking motives.
尽管美国的吸烟率有所下降，但许多人表示在戒烟方面面临重大障碍，包括心理健康状况不佳。在吸烟行为与过程以及心理健康背后独立起作用的两个突出的情感易感性因素是痛苦耐受力和焦虑敏感性。然而，针对这些因素在吸烟动机方面的共同作用的研究较少。
本研究是对一个全国性招募的样本（N = 156；M = 29.74，标准差 = 7.72；69.2%为女性）的基线数据进行的二次分析，这些人有兴趣参与一项针对吸烟与低痛苦耐受力共病的数字干预。采用两步分层线性回归来检验自我报告的痛苦耐受力和焦虑敏感性在吸烟原因（即习惯性、减轻负面情绪、成瘾性、愉悦/放松、刺激和感觉运动操纵）方面的独特作用。
结果表明，较低的痛苦耐受力水平和较高的焦虑敏感性水平与更多的感觉运动操纵吸烟原因相关。只有痛苦耐受力与成瘾性、减轻负面情绪和刺激吸烟原因有关，而只有焦虑敏感性与习惯性吸烟原因有关。
目前的研究结果表明，痛苦耐受力和焦虑敏感性的独特及多风险效应在理解吸烟动机方面具有解释作用。
