Personalized Feedback for Smokers with Elevated Anxiety Sensitivity

Simple item page
dc.contributor.advisorZvolensky, Michael J.
dc.contributor.committeeMemberNeighbors, Clayton
dc.contributor.committeeMemberGallagher, Matthew W.
dc.contributor.committeeMemberBlalock, Janice A.
dc.creatorGarey, Lorra
dc.date.accessioned2019-09-15T21:39:53Z
dc.date.available2019-09-15T21:39:53Z
dc.date.createdAugust 2019
dc.date.issued2019-08
dc.date.submittedAugust 2019
dc.date.updated2019-09-15T21:39:54Z
dc.description.abstractObjective: Cigarette smoking is the leading cause of preventable death and disability. The majority of smokers report a desire to quit and most make a serious quit attempt each year. Unfortunately, more than 95% of cessation attempters relapse within 6 months. Clinical and laboratory studies have identified negative affect as a potent precipitant of relapse and more severe smoking behavior. Yet, limited brief, accessible treatments exist to address the range of negative affective symptoms. One promising, integrative approach to address this need is to focus on underlying transdiagnostic processes that capture negative mood states and are related to smoking. Anxiety sensitivity (AS), the tendency to fear anxiety-related sensations, is a core transdiagnostic vulnerability factor for the etiology and maintenance of anxiety disorders and other emotional disorders, and is also related to smoking maintenance and relapse. Progress has been made in developing intensive, integrated treatments that address AS in the context of smoking treatment. However, limited efforts have focused on developing brief (single session) interventions for AS and smoking. The current study was conducted to develop, refine, and test a brief, integrated personalized feedback intervention (PFI) for smoking and AS. Method: Participants (N=95; 63.2% male; Mage = 46.20 years, SD = 10.90) included general smokers in the early stage of quitting who received either a single session, computer-delivered PFI or smoking treatment as usual. The primary aims focused on examining the effects of PFI on (1) quit attempts, (2) cigarette reduction, and (3) trajectories of affective vulnerability assessed at 2- and 4-week follow-ups. Results: Results indicated 48.3% of participants at 2-week follow-up and 53.4% at 4-week follow-up engaged in a self-defined quit attempt. Substantial smoking reduction was observed in 21.8% and 28.4% of participants at 1-week post-baseline and 1-week pre 4-week follow-up. Treatment condition did not significantly predict quit attempt or smoking reduction. PFI had a significant effect on symptoms of anxiety arousal over time (β = -.32, p = .04). Conclusions: Current data provide preliminary evidence for the utility of a PFI to encourage behavior change related to smoking and address physical manifestations of anxiety. The effects, however, were limited in magnitude. Nevertheless, the initial ‘signal’ observed in this small trial provides a strong rationale for continued work within this domain.
dc.description.departmentPsychology, Department of
dc.format.digitalOriginborn digital
dc.format.mimetypeapplication/pdf
dc.identifier.urihttps://hdl.handle.net/10657/4695
dc.language.isoeng
dc.rightsThe author of this work is the copyright owner. UH Libraries and the Texas Digital Library have their permission to store and provide access to this work. Further transmission, reproduction, or presentation of this work is prohibited except with permission of the author(s).
dc.subjectSmoking cessation
dc.subjectBrief intervention
dc.subjectTobacco use
dc.subjectMental health
dc.subjectAnxiety sensitivity
dc.titlePersonalized Feedback for Smokers with Elevated Anxiety Sensitivity
dc.type.dcmiText
dc.type.genreThesis
thesis.degree.collegeCollege of Liberal Arts and Social Sciences
thesis.degree.departmentPsychology, Department of
thesis.degree.disciplinePsychology, Clinical
thesis.degree.grantorUniversity of Houston
thesis.degree.levelDoctoral
thesis.degree.nameDoctor of Philosophy

Files

Original bundle

Now showing 1 - 1 of 1
Thumbnail Image
Name:
GAREY-DISSERTATION-2019.pdf
Size:
412.22 KB
Format:
Adobe Portable Document Format
Download

License bundle

Now showing 1 - 2 of 2
No Thumbnail Available
Name:
PROQUEST_LICENSE.txt
Size:
4.43 KB
Format:
Plain Text
Description:
Download
No Thumbnail Available
Name:
LICENSE.txt
Size:
1.81 KB
Format:
Plain Text
Description:
Download

Collections

Published ETD Collection