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Anxiety sensitivity, pain severity and co-use of cigarettes and e-cigarettes among adults with chronic pain

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Abstract

Anxiety sensitivity (fear of potential negative consequences of anxiety-related symptoms/sensations) has been identified as a transdiagnostic factor in comorbid pain and nicotine dependence and evidence suggests that anxiety sensitivity may be indirectly associated with nicotine use via greater pain severity. Therefore, this study tested the hypothesis that anxiety sensitivity is associated with cigarette and e-cigarette use/co-use directly and indirectly via greater pain severity. Participants included 273 online survey respondents with chronic musculoskeletal pain (34% female; Mage = 32.9). Anxiety sensitivity was positively associated with cigarette smoking, e-cigarette use and cigarette/e-cigarette co-use (ps < .05). Furthermore, anxiety sensitivity was indirectly and positively associated with cigarette smoking, e-cigarette use and co-use via greater chronic pain severity. Pain severity may play an important role in associations between anxiety sensitivity and nicotine dependence and prospective research should examine temporal/causal effects of anxiety sensitivity in relation to pain severity and nicotine/tobacco use.

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Funding

This work was supported by a grant from the National Institute on Alcohol Abuse and Alcoholism (R01AA024844) awarded to Joseph W. Ditre and by an institutional dissertation award at Syracuse University awarded to Lisa R. LaRowe.

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  1. Department of Psychology, Syracuse University, Syracuse, NY, 13244, USA

    Jessica M. Powers, Lisa R. LaRowe, Emma C. Lape & Joseph W. Ditre

  2. Department of Psychology, University of Houston, Houston, TX, 77004, USA

    Michael J. Zvolensky

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  2. Lisa R. LaRowe
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Contributions

Conceptualization: Jessica M. Powers and Lisa R. LaRowe; Methodology and Investigation: Lisa R. LaRowe; Formal Analysis: Jessica M. Powers; Writing – Original Draft: Jessica M. Powers, Lisa R. LaRowe, Emma C. Lape; Writing – Review & Editing: Joseph W. Ditre and Michael J. Zvolensky; Supervision and Funding Acquisition: Joseph W. Ditre.

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Correspondence to Joseph W. Ditre.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This study was approved by the Institutional Review Board at Syracuse University (No. 19–146).

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Powers, J.M., LaRowe, L.R., Lape, E.C. et al. Anxiety sensitivity, pain severity and co-use of cigarettes and e-cigarettes among adults with chronic pain. J Behav Med 44, 392–401 (2021). https://doi.org/10.1007/s10865-021-00210-4

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