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Nicotine & Tobacco Research Advance Access published online on February 23, 2009
Nicotine & Tobacco Research, doi:10.1093/ntr/ntn037
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© The Author 2009. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For Permissions, please e-mail: journals.Permissions@oxfordjournals.org.

Anxiety sensitivity and anxiety and depressive symptoms in the prediction of early smoking lapse and relapse during smoking cessation treatment

Michael J. Zvolensky, Sherry H. Stewart, Anka A. Vujanovic, Dubravka Gavric and Dan Steeves

Michael J. Zvolensky, Ph.D., Department of Psychology, University  of Vermont, Burlington, VT
Sherry H. Stewart, Ph.D., Department of Psychology and Psychiatry, Dalhousie University, Halifax, NS, Canada
Anka A. Vujanovic, B.A., Department of Psychology, University of Vermont, Burlington, VT
Dubravka Gavric, B.A., Department of Psychology, University of Waterloo, Waterloo, ON, Canada
Dan Steeves, B.Ed., Prevention Coordinator, Addiction Services, Department of Health Promotion and Protection, Halifax, Nova Scotia, Canada

Corresponding Author: Dr. Michael J. Zvolensky, Ph.D., Department of Psychology, University of Vermont, 2 Colchester Avenue, John Dewey Hall, Burlington, VT 05405-0134, USA. Telephone: 802-656-8994. Fax: 802-656-8783. Email: michael.zvolensky{at}uvm.edu


  Abstract

Introduction: The present investigation examined whether anxiety sensitivity, relative to anxiety and depressive symptoms, was related to duration to early smoking lapse and relapse (during first 2 weeks postquit) among daily smokers receiving smoking cessation treatment.

Methods: Participants included 123 daily cigarette smokers (84 women; Mage = 45.93 years, SD = 10.34) living in the Halifax Regional Municipality in Nova Scotia, Canada.

Results: Anxiety sensitivity was significantly associated with an increased risk of early smoking lapse (i.e., any smoking behavior) at days 1, 7, and 14 following the quit day. Such effects were evident above and beyond the variance accounted for by gender, nicotine dependence, and nicotine withdrawal symptoms, as well as the shared variance with prequit (baseline) anxiety and depressive symptoms. In contrast to expectation, anxiety sensitivity was not related to smoking relapse (i.e., seven consecutive days of smoking) during the first 2 weeks of quitting.

Discussion: Results are discussed in terms of better understanding the role of anxiety sensitivity, along with other affective vulnerability processes, in early problems encountered during a quit attempt.

Received: January 24, 2008; Accepted: July 27, 2008
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