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      Anxiety sensitivity and tobacco use: a transdiagnostic approach Translated title: La sensibilidad a la ansiedad y el consumo de tabaco: un enfoque transdiagnóstico

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          Abstract

          ABSTRACT Background: In recent years, several studies have found a relationship between transdiagnostic variables, such as anxiety sensitivity (AS) and tobacco use and smoking cessation. Method: In this line, the aim was twofold: 1) to analyze sex differences in variables related to tobacco and AS and 2) to examine the mediating effect of AS. For this purpose, the sample consisted of 340 smokers (Mage = 33.59 years, SD = 11.98, 68.5% women). Results: The results showed that men smoked more cigarettes per day and women had higher levels of total, physical, and cognitive AS. The structural equation model confirmed that AS is a mediator variable between the number of cigarettes per day and nicotine dependence, and the number of previous cessation attempts. Conclusions: These findings suggest that transdiagnostic variables, such as AS, and sex differences, must be taken into account in smoking cessation interventions.

          Translated abstract

          RESUMEN Antecedentes: En los últimos años, diversos estudios han encontrado relación entre variables transdiagnósticas, como la sensibilidad a la ansiedad (SA) y el consumo de tabaco y dejar de fumar. Método: En esta línea, el objetivo ha sido doble: 1) analizar las diferencias de género en variables relacionadas con el tabaco y la SA y 2) examinar el efecto mediador de la SA. Para ello, la muestra consistió en 340 fumadores (Medad = 33.59 años, DT = 11.98, 68.5% mujeres). Resultados: Los resultados mostraron que los hombres fumaban más cigarrillos al día y las mujeres presentaban mayores niveles de SA total, física y cognitiva. El modelo de ecuaciones estructurales confirma que la SA es una variable mediadora entre el número de cigarrillos al día y la dependencia a la nicotina y el número de intentos previos de dejar de fumar. Conclusiones: Estos resultados sugieren que hay que tener en cuenta variables transdiagnósticas como la SA y las diferencias de género en las intervenciones para dejar de fumar.

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          The Fagerström Test for Nicotine Dependence: a revision of the Fagerström Tolerance Questionnaire.

          We examine and refine the Fagerström Tolerance Questionnaire (FTQ: Fagerström, 1978). The relation between each FTQ item and biochemical measures of heaviness of smoking was examined in 254 smokers. We found that the nicotine rating item and the inhalation item were unrelated to any of our biochemical measures and these two items were primary contributors to psychometric deficiencies in the FTQ. We also found that a revised scoring of time to the first cigarette of the day (TTF) and number of cigarettes smoked per day (CPD) improved the scale. We present a revision of the FTQ: the Fagerström Test for Nicotine Dependence (FTND).
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            Robust dimensions of anxiety sensitivity: development and initial validation of the Anxiety Sensitivity Index-3.

            Accumulating evidence suggests that anxiety sensitivity (fear of arousal-related sensations) plays an important role in many clinical conditions, particularly anxiety disorders. Research has increasingly focused on how the basic dimensions of anxiety sensitivity are related to various forms of psychopathology. Such work has been hampered because the original measure--the Anxiety Sensitivity Index (ASI)--was not designed to be multidimensional. Subsequently developed multidimensional measures have unstable factor structures or measure only a subset of the most widely replicated factors. Therefore, the authors developed, via factor analysis of responses from U.S. and Canadian nonclinical participants (n=2,361), an 18-item measure, the ASI-3, which assesses the 3 factors best replicated in previous research: Physical, Cognitive, and Social Concerns. Factorial validity of the ASI-3 was supported by confirmatory factor analyses of 6 replication samples, including nonclinical samples from the United States and Canada, France, Mexico, the Netherlands, and Spain (n=4,494) and a clinical sample from the United States and Canada (n=390). The ASI-3 displayed generally good performance on other indices of reliability and validity, along with evidence of improved psychometric properties over the original ASI. (c) 2007 APA, all rights reserved
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              Expectancy model of fear, anxiety, and panic

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                Author and article information

                Journal
                clinsa
                Clínica y Salud
                Clínica y Salud
                Colegio Oficial de la Psicología de Madrid (Madrid, Madrid, Spain )
                1130-5274
                2174-0550
                2023
                : 34
                : 1
                : 9-13
                Affiliations
                [01] Oviedo orgnameUniversity of Oviedo Spain
                [02] Dos Hermanas Seville orgnameUniversidad Loyola Andalucía Spain
                [04] Seville orgnameUniversity of Seville Spain
                [03] Badajoz orgnameUniversity of Extremadura Spain
                Article
                S1130-52742023000100002 S1130-5274(23)03400100002
                10.5093/clysa2023a2
                d3bc6de3-8f6c-462d-88ca-bb0f450b5ee0

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 28 October 2022
                : 27 April 2022
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 47, Pages: 5
                Product

                SciELO Spain

                Categories
                Research Article

                Tabaco,Sensibilidad a la ansiedad,Dejar de fumar,Enfoque transdiagnóstico,Diferencias de género,Tobacco,Anxiety sensitivity,Smoking cessation,Transdiagnostic approach,Sex differences

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