Skip to main content

Advertisement

SpringerLink
Log in

Anxiety symptoms and smoking among Latinx adult smokers: the importance of sensitivity to internal cues in terms of dependence, barriers for quitting, and quit problems

  • Published:
Journal of Behavioral Medicine Aims and scope Submit manuscript

Abstract

Anxiety symptoms are one of the most common forms of psychological distress among Latinx individuals and related to poorer cessation outcomes among non-Latinx Whites. Yet, little is known about the relationship between anxiety symptoms and smoking among Latinx smokers. The current study evaluated sensitivity to internal anxiety-related sensations (anxiety sensitivity) as an explanatory variable in the relation between anxiety symptoms and cigarette dependence, perceived barriers for quitting, and severity of problems experienced during prior quit attempts. Participants included 363 Spanish-speaking Latinx daily smokers (58.7% female, Mage = 33.3 years, SD = 9.8). Results revealed that anxiety symptoms were indirectly associated with cigarette dependence, perceived barriers for cessation, and problems experienced during past quit attempts through anxiety sensitivity. The findings suggest that anxiety sensitivity is a potential mechanism in anxiety symptom-smoking relations among Latinx adult smokers.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  • Asnaani, A., Richey, J. A., Dimaite, R., Hinton, D. E., & Hofmann, S. G. (2010). A cross-ethnic comparison of lifetime prevalence rates of anxiety disorders. The Journal of Nervous and Mental Disease,198, 551.

    PubMed  PubMed Central  Google Scholar 

  • Babor, T. F., Higgins-Biddle, J. C., Saunders, J. B., Monteiro, M. G., & WHO. (2001). AUDIT: The alcohol use disorders identification test: Guidelines for use in primary health care.

  • Bakhshaie, J., Hanna, A. E., Viana, A. G., Garza, M., Valdivieso, J., Ochoa-Perez, M., et al. (2018a). Acculturative stress and mental health among economically disadvantaged Spanish-speaking Latinos in primary care: The role of anxiety sensitivity. Psychiatry Res,261, 421–427.

    PubMed  Google Scholar 

  • Bakhshaie, J., Paulus, D. J., Medvedeva, A., Otal, T., Lemaire, C., Garza, M., et al. (2017). The differential role of anxiety sensitivity and its components in the relation between emotional nonacceptance and anxiety and depressive symptoms and disorders among Latinos in primary care. Journal of Psychopathology and Behavioral Assessment,39, 563–574.

    Google Scholar 

  • Bakhshaie, J., Rogers, A. H., Mayorga, N. A., Ditre, J., Rodríguez-Cano, R., Ruiz, A. C., … Ochoa-Perez, M. (2018b). Perceived racial discrimination and pain intensity/disability among economically disadvantaged latinos in a federally qualified health center: The role of anxiety sensitivity. Journal of Immigrant and Minority Health, 21, 1–9.

    Google Scholar 

  • Berg, C. J., Kirch, M., Hooper, M. W., McAlpine, D., An, L. C., Boudreaux, M., et al. (2012). Ethnic group differences in the relationship between depressive symptoms and smoking. Ethnicity & health,17, 55–69.

    Google Scholar 

  • Blume, A. W., Resor, M. R., Villanueva, M. R., & Braddy, L. D. (2009). Alcohol use and comorbid anxiety, traumatic stress, and hopelessness among Hispanics. Addictive Behaviors,34, 709–713.

    PubMed  PubMed Central  Google Scholar 

  • Bogiaizian, D., Zvolensky, M. J., Solari, A., Paulus, D. J., Bakhshaie, J., & López Salazar, P. (2017). Tratamiento de cesación tabáquica, reducción de la sensibilidad ansiosa y manejo de la regulación emocional: Un estudio de caso. Revista Argentina de Clínica Psicológica, 26(3), 356–365.

    Google Scholar 

  • Brandon, T. H. (1994). Negative affect as motivation to smoke. Current Directions in Psychological Science,3, 33–37.

    Google Scholar 

  • Brown, R. A., Lejuez, C. W., Kahler, C. W., & Strong, D. R. (2002). Distress tolerance and duration of past smoking cessation attempts. Journal of Abnormal Psychology,111, 180.

    PubMed  Google Scholar 

  • Bush, K., Kivlahan, D. R., McDonell, M. B., Fihn, S. D., & Bradley, K. A. (1998). The AUDIT alcohol consumption questions (AUDIT-C): An effective brief screening test for problem drinking. Archives of Internal Medicine,158, 1789–1795.

    CAS  PubMed  Google Scholar 

  • Cardoso, J. B., Szlyk, H. S., Goldbach, J., Swank, P., & Zvolensky, M. J. (2018). General and ethnic-biased bullying among Latino students: Exploring risks of depression, suicidal ideation, and substance use. Journal of Immigrant and Minority Health,20, 816–822.

    PubMed  Google Scholar 

  • Castro, Y., Costello, T. J., Correa-Fernández, V., Heppner, W. L., Reitzel, L. R., Cofta-Woerpel, L., et al. (2011). Differential effects of depression on smoking cessation in a diverse sample of smokers in treatment. American Journal of Preventive Medicine,41, 84–87.

    PubMed  PubMed Central  Google Scholar 

  • Center, P. R. (2018). Mobile fact sheet. Retrieved Dec 1, 2018 from http://www.pewinternet.org/fact-sheet/mobile/

  • Cheung, M. W. (2009). Comparison of methods for constructing confidence intervals of standardized indirect effects. Behavior Research Methods,41, 425–438.

    PubMed  Google Scholar 

  • Cheung, G. W., & Lau, R. S. (2008). Testing mediation and suppression effects of latent variables: Bootstrapping with structural equation models. Organizational Research Methods,11, 296–325. https://doi.org/10.1177/1094428107300343

    Article  Google Scholar 

  • Cintrón, J. A., Carter, M. M., Suchday, S., Sbrocco, T., & Gray, J. (2005). Factor structure and construct validity of the Anxiety Sensitivity Index among island Puerto Ricans. Journal of Anxiety Disorders,19, 51–68.

    PubMed  Google Scholar 

  • Cokkinides, V. E., Halpern, M. T., Barbeau, E. M., Ward, E., & Thun, M. J. (2008). Racial and ethnic disparities in smoking-cessation interventions: Analysis of the 2005 National Health Interview Survey. American Journal of Preventive Medicine,34, 404–412.

    PubMed  Google Scholar 

  • Cremonte, M., Ledesma, R. D., Cherpitel, C. J., & Borges, G. (2010). Psychometric properties of alcohol screening tests in the emergency department in Argentina, Mexico and the United States. Addictive Behaviors,35, 818–825.

    PubMed  PubMed Central  Google Scholar 

  • Ditre, J. W., Zale, E. L., & Brandon, T. H. (2015). Patterns and predictors of smoking cessation. Basel: Karger Medical and Scientific Publishers.

    Google Scholar 

  • Fagerström, K. (2012). Determinants of tobacco use and renaming the FTND to the Fagerström Test for cigarette dependence. Nicotine & Tobacco Research,14, 75–78.

    Google Scholar 

  • Farris, S. G., DiBello, A. M., Allan, N. P., Hogan, J., Schmidt, N. B., & Zvolensky, M. J. (2015). Evaluation of the Anxiety Sensitivity Index-3 among treatment-seeking smokers. Psychological Assessment,27, 1123.

    PubMed  PubMed Central  Google Scholar 

  • Farris, S. G., DiBello, A. M., & Zvolensky, M. J. (2018). Development and validation of a contextual behavioral distress intolerance task in cigarette smokers. Addictive Behaviors,87, 260–266.

    PubMed  PubMed Central  Google Scholar 

  • Garey, L., Jardin, C., Kauffman, B. Y., Sharp, C., Neighbors, C., Schmidt, N. B., et al. (2017). Psychometric evaluation of the barriers to cessation scale. Psychological Assessment,29, 844.

    PubMed  Google Scholar 

  • Garey, L., Mayorga, N. A., Peraza, N., Smit, T., Nizio, P., Otto, M. W., et al. (2019). Distinguishing characteristics of E-Cigarette users who attempt and fail to quit: Dependence, perceptions, and affective vulnerability. Journal of studies on alcohol and drugs,80, 134–140.

    PubMed  Google Scholar 

  • Glover, S. H., Pumariega, A. J., Holzer, C. E., Wise, B. K., & Rodriguez, M. (1999). Anxiety symptomatology in Mexican-American adolescents. Journal of Child and Family Studies,8, 47–57.

    Google Scholar 

  • Gregor, K., & Borrelli, B. (2012). Barriers to quitting smoking among medically ill smokers. Journal of Behavioral Medicine,35, 484–491.

    PubMed  Google Scholar 

  • Guarnaccia, P. J., Martinez, I., & Acosta, H. (2005). chapter 2: Mental health in the hispanic immigrant community: An overview. Journal of Immigrant & Refugee Services,3, 21–46.

    Google Scholar 

  • Hayes, A. F., & Preacher, K. J. (2013). Conditional process modeling: Using structural equation modeling to examine contingent causal processes. In G. R. Hancock & R. O. Mueller (Eds.), Structural equation modeling: A second course (2nd ed., pp. 219–266). Charlotte, NC: IAP Information Age Publishing.

    Google Scholar 

  • Heatherton, T. F., Kozlowski, L. T., Frecker, R. C., & Fagerström, K.-O. (1991). The Fagerström test for nicotine dependence: A revision of the Fagerström tolerance questionnaire. British Journal of Addiction to Alcohol and Other Drugs,86, 1119–1127. https://doi.org/10.1111/j.1360-0443.1991.tb01879.x

    Article  CAS  Google Scholar 

  • Heen, M., Lieberman, J. D., & Miethe, T. D. (2014). A comparison of different online sampling approaches for generating national samples. Center for Crime and Justice Policy,1, 1–8.

    Google Scholar 

  • Herrero, M., Blanch, J., Peri, J., De Pablo, J., Pintor, L., & Bulbena, A. (2003). A validation study of the hospital anxiety and depression scale (HADS) in a Spanish population. General Hospital Psychiatry,25, 277–283.

    CAS  PubMed  Google Scholar 

  • Houston, T. K., Scarinci, I. C., Person, S. D., & Greene, P. G. (2005). Patient smoking cessation advice by health care providers: The role of ethnicity, socioeconomic status, and health. American Journal of Public Health,95, 1056–1061.

    PubMed  PubMed Central  Google Scholar 

  • Jakobsons, L. J., & Buckner, J. D. (2018). The assessment, diagnosis, and treatment of psychiatric disorders in Hispanic/Latino clients Mental health care for people of diverse backgrounds (pp. 21–36). Boca Raton: CRC Press.

    Google Scholar 

  • Jamal, A., Agaku, I. T., O’Connor, E., King, B. A., Kenemer, J. B., & Neff, L. (2014). Current cigarette smoking among adults–United States, 2005-2013. Morbidity and Mortality Weekly Report,63, 1108–1112.

    PubMed  PubMed Central  Google Scholar 

  • Jardin, C., Paulus, D. J., Garey, L., Kauffman, B., Bakhshaie, J., Manning, K., et al. (2018). Towards a greater understanding of anxiety sensitivity across groups: The construct validity of the Anxiety Sensitivity Index-3. Psychiatry Research,268, 72–81.

    PubMed  PubMed Central  Google Scholar 

  • Judd, C. M., & Kenny, D. A. (2010). Data analysis in social psychology: Recent and recurring issues. In Handbook of social psychology, 5th edn. (Vol. 1, pp. 115–139). Hoboken, NJ, US: Wiley.

  • Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry,62, 617–627.

    PubMed  PubMed Central  Google Scholar 

  • Kiviniemi, M. T., Orom, H., & Giovino, G. A. (2010). Psychological distress and smoking behavior: The nature of the relation differs by race/ethnicity. Nicotine & Tobacco Research,13, 113–119.

    Google Scholar 

  • Korte, K. J., Capron, D. W., Zvolensky, M., & Schmidt, N. B. (2013). The Fagerström test for nicotine dependence: Do revisions in the item scoring enhance the psychometric properties? Addictive Behaviors,38, 1757–1763. https://doi.org/10.1016/j.addbeh.2012.10.013

    Article  PubMed  Google Scholar 

  • Kraemer, H. C., Kiernan, M., Essex, M., & Kupfer, D. J. (2008). How and why criteria defining moderators and mediators differ between the Baron & Kenny and MacArthur approaches. Health Psychology,27, S101–108. https://doi.org/10.1037/0278-6133.27.2(Suppl.).S101

    Article  PubMed  PubMed Central  Google Scholar 

  • Lasser, K., Boyd, J. W., Woolhandler, S., Himmelstein, D. U., McCormick, D., & Bor, D. H. (2000). Smoking and mental illness: A population-based prevalence study. JAMA,284, 2606–2610.

    CAS  PubMed  Google Scholar 

  • Leventhal, A. M., & Zvolensky, M. J. (2015). Anxiety, depression, and cigarette smoking: A transdiagnostic vulnerability framework to understanding emotion–smoking comorbidity. Psychological Bulletin,141, 176.

    PubMed  Google Scholar 

  • Levinson, A. H., Pérez-Stable, E. J., Espinoza, P., Flores, E. T., & Byers, T. E. (2004). Latinos report less use of pharmaceutical aids when trying to quit smoking. American Journal of Preventive Medicine,26, 105–111.

    PubMed  Google Scholar 

  • Macnee, C. L., & Talsma, A. (1995). Development and testing of the barriers to cessation scale. Nursing Research,44(4), 214–219.

    CAS  PubMed  Google Scholar 

  • Marshall, G. N., Miles, J. N., & Stewart, S. H. (2010). Anxiety sensitivity and PTSD symptom severity are reciprocally related: Evidence from a longitudinal study of physical trauma survivors. Journal of Abnormal Psychology,119, 143.

    PubMed  PubMed Central  Google Scholar 

  • McNally, R. J. (2002). Anxiety sensitivity and panic disorder. Biological Psychiatry,52, 938–946. https://doi.org/10.1016/S0006-3223(02)01475-0

    Article  PubMed  Google Scholar 

  • Mineka, S., Watson, D., & Clark, L. A. (1998). Comorbidity of anxiety and unipolar mood disorders. Annual Review of Psychology,49, 377–412.

    CAS  PubMed  Google Scholar 

  • Muñoz, R. F., VanOss Marín, B., Posner, S. F., & Pérez-Stable, E. J. (1997). Mood management mail intervention increases abstinence rates for Spanish-speaking Latino smokers. American Journal of Community Psychology,25, 325–343.

    PubMed  Google Scholar 

  • Noonan, D., Lyna, P., Fish, L. J., Bilheimer, A. K., Gordon, K. C., Roberson, P., et al. (2016). Unintended effects of a smoking cessation intervention on Latino fathers’ binge drinking in early postpartum. Annals of Behavioral Medicine,50, 622–627.

    PubMed  Google Scholar 

  • Olatunji, B. O., & Wolitzky-Taylor, K. B. (2009). Anxiety sensitivity and the anxiety disorders: A meta-analytic review and synthesis. Psychological Bulletin,135, 974.

    PubMed  Google Scholar 

  • Otto, M. W., Eastman, A., Lo, S., Hearon, B. A., Bickel, W. K., Zvolensky, M., et al. (2016). Anxiety sensitivity and working memory capacity: Risk factors and targets for health behavior promotion. Clinical Psychology Review,49, 67–78.

    PubMed  Google Scholar 

  • Paulus, D. J., Tran, N., Gallagher, M. W., Viana, A. G., Bakhshaie, J., Garza, M., … & Zvolensky, M. J. (2019). Examining the indirect effect of posttraumatic stress symptoms via emotion dysregulation on alcohol misuse among trauma-exposed Latinx in primary care. Cultural Diversity and Ethnic Minority Psychology, 25, 55.

  • Pina, A. A., & Silverman, W. K. (2004). Clinical phenomenology, somatic symptoms, and distress in hispanic/latino and european american youths with anxiety disorders. Journal of Clinical Child and Adolescent Psychology,33, 227–236.

    PubMed  Google Scholar 

  • Pomerleau, C. S., Carton, S. M., Lutzke, M. L., Flessland, K. A., & Pomerleau, O. F. (1994). Reliability of the fagerstrom tolerance questionnaire and the fagerstrom test for nicotine dependence. Addictive Behaviors,19, 33–39. https://doi.org/10.1016/0306-4603(94)90049-3

    Article  CAS  PubMed  Google Scholar 

  • Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers,36, 717–731. https://doi.org/10.3758/bf03206553

    Article  Google Scholar 

  • Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods,40, 879–891.

    PubMed  Google Scholar 

  • Precision, N. (2012). The medical history and present medical condition questionnaire. Retrieved from www.precisionnutrition.com

  • Reiss, S., & McNally, R. (1985). Expectancy model of fear. In S. Reiss & R. R. Bootzin (Eds.), Theoretical issues in behavior therapy inside: San Diego. CA: Academic Press.

    Google Scholar 

  • Rogers, A., Bakhshaie, J., Buckner, J., Orr, M., Paulus, D., Ditre, J., et al. (2019). Opioid and cannabis co-use among adults with chronic pain: Relations to substance misuse, mental health, and pain experience. The Journal of Pain,20, S20.

    Google Scholar 

  • Rost, K., Burnam, M. A., & Smith, G. R. (1993). Development of screeners for depressive disorders and substance disorder history. Medical Care, 31, 189–200.

    CAS  PubMed  Google Scholar 

  • Sandin, B., Chorot, P., & McNally, R. J. (1996). Validation of the Spanish version of the anxiety sensitivity index in a clinical sample. Behaviour Research and Therapy,34, 283–290.

    CAS  PubMed  Google Scholar 

  • Saunders, J. B., Aasland, O. G., Babor, T. F., De la Fuente, J. R., & Grant, M. (1993). Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction,88, 791–804.

    CAS  PubMed  Google Scholar 

  • Smith, A. (2017). Record shares of Americans now own smartphones, have home broadband. Pew Research Center,12, 1–2.

    Google Scholar 

  • Stahre, M., Okuyemi, K. S., Joseph, A. M., & Fu, S. S. (2010). Racial/ethnic differences in menthol cigarette smoking, population quit ratios and utilization of evidence-based tobacco cessation treatments. Addiction,105, 75–83.

    PubMed  Google Scholar 

  • Street, L. L., Salman, E., Garfinkle, R., Silvestri, J., Carrasco, J., Cardenas, D., et al. (1997). Discriminating between generalized anxiety disorder and anxiety disorder not otherwise specified in a Hispanic population: Is it only a matter of worry? Depression and Anxiety,5, 1–6.

    CAS  PubMed  Google Scholar 

  • Taylor, S. (1999). Anxiety sensitivity: Theory, research, and treatment of the fear of anxiety. New Jersey: Lawrence Erlbaum Associates.

    Google Scholar 

  • Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., et al. (2007). Robust dimensions of anxiety sensitivity: Development and initial validation of the Anxiety Sensitivity Index-3. Psychological Assessment,19, 176–188. https://doi.org/10.1037/1040-3590.19.2.176

    Article  PubMed  Google Scholar 

  • Thorndike, A. N., Biener, L., & Rigotti, N. A. (2002). Effect on smoking cessation of switching nicotine replacement therapy to over-the-counter status. American Journal of Public Health,92, 437–442.

    PubMed  PubMed Central  Google Scholar 

  • Trinidad, D. R., Pérez-Stable, E. J., White, M. M., Emery, S. L., & Messer, K. (2011). A nationwide analysis of US racial/ethnic disparities in smoking behaviors, smoking cessation, and cessation-related factors. American Journal of Public Health,101, 699–706.

    PubMed  PubMed Central  Google Scholar 

  • (USDHHS), U. D. o. H. a. H. S. (2014). The health consequences of smoking—50 years of progress: A report of the surgeon general. Atlanta. Retrieved Dec 1, 2018 from https://www.surgeongeneral.gov/library/reports/50-years-of-progress/index.html

  • Varela, R. E., Weems, C. F., Berman, S. L., Hensley, L., & de Bernal, M. C. R. (2007). Internalizing symptoms in Latinos: The role of anxiety sensitivity. Journal of Youth and Adolescence,36, 429–440.

    Google Scholar 

  • Walter, S. L., Seibert, S. E., Goering, D., & O’Boyle, E. H. (2018). A tale of two sample sources: Do results from online panel data and conventional data converge? Journal of Business and Psychology, 33, 1–28.

    Google Scholar 

  • Wassertheil-Smoller, S., Arredondo, E. M., Cai, J., Castaneda, S. F., Choca, J. P., Gallo, L. C., et al. (2014). Depression, anxiety, antidepressant use, and cardiovascular disease among Hispanic men and women of different national backgrounds: Results from the Hispanic Community Health Study/Study of Latinos. Annals of Epidemiology,24, 822–830.

    PubMed  PubMed Central  Google Scholar 

  • Watkins, K. E., Paddock, S. M., Zhang, L., & Wells, K. B. (2006). Improving care for depression in patients with comorbid substance misuse. American Journal of Psychiatry,163, 125–132.

    Google Scholar 

  • Weems, C. F., Hayward, C., Killen, J., & Taylor, C. B. (2002). A longitudinal investigation of anxiety sensitivity in adolescence. Journal of Abnormal Psychology,111, 471–477.

    PubMed  Google Scholar 

  • Winkleby, M. A., Schooler, C., Kraemer, H. C., Lin, J., & Fortmann, S. P. (1995). Hispanic versus white smoking patterns by sex and level of education. American Journal of Epidemiology,142, 410–418.

    CAS  PubMed  Google Scholar 

  • Ziedonis, D., Hitsman, B., Beckham, J. C., Zvolensky, M., Adler, L. E., Audrain-McGovern, J., . . . Williams, J. (2008). Tobacco use and cessation in psychiatric disorders: National Institute of Mental Health report. Society for Research on Nicotine and Tobacco.

  • Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica,67, 361–370.

    CAS  PubMed  Google Scholar 

  • Zvolensky, M. J., Arrindell, W. A., Taylor, S., Bouvard, M., Cox, B. J., Stewart, S. H., et al. (2003a). Anxiety sensitivity in six countries. Behaviour Research and Therapy,41, 841–859.

    PubMed  Google Scholar 

  • Zvolensky, M. J., Bakhshaie, J., Garza, M., Valdivieso, J., Ortiz, M., Bogiaizian, D., et al. (2015). The role of anxiety sensitivity in the relation between experiential avoidance and anxious arousal, depressive, and suicidal symptoms among Latinos in primary care. Cognitive Therapy and Research,39, 688–696.

    Google Scholar 

  • Zvolensky, M. J., Bakhshaie, J., Paulus, D. J., Langdon, K. J., Garza, M., Valdivieso, J., et al. (2017a). Exploring the mechanism underlying the association between pain intensity and mental health among Latinos. The Journal of Nervous and Mental Disease,205, 300–307.

    PubMed  Google Scholar 

  • Zvolensky, M. J., Bakhshaie, J., Shepherd, J. M., Peraza, N., Garey, L., Viana, A. G., … & Brown, R. A. (2019). Anxiety sensitivity and smoking among Spanish-speaking Latinx smokers. Addictive Behaviors, 90, 55–61.

  • Zvolensky, M. J., & Bernstein, A. (2005). Cigarette smoking and panic psychopathology. Current Directions in Psychological Science,14, 301–305.

    Google Scholar 

  • Zvolensky, M. J., Bernstein, A., Cardenas, S. J., Colotla, V. A., Marshall, E. C., & Feldner, M. T. (2007). Anxiety sensitivity and early relapse to smoking: A test among Mexican daily, low-level smokers. Nicotine & Tobacco Research,9, 483–491.

    Google Scholar 

  • Zvolensky, M. J., Bogiaizian, D., Salazar, P. L., Farris, S. G., & Bakhshaie, J. (2014). An anxiety sensitivity reduction smoking-cessation program for Spanish-speaking smokers (Argentina). Cognitive and Behavioral Practice,21, 350–363.

    Google Scholar 

  • Zvolensky, M. J., Feldner, M. T., Leen-Feldner, E. W., & McLeish, A. C. (2005). Smoking and panic attacks, panic disorder, and agoraphobia: A review of the empirical literature. Clinical Psychology Review,25, 761–789.

    PubMed  Google Scholar 

  • Zvolensky, M. J., Jardin, C., Rogers, A. H., Bakhshaie, J., Mayorga, N. A., Viana, A. G., et al. (2018a). Anxiety sensitivity and acculturative stress among trauma exposed Latinx young adults. Cultural Diversity and Ethnic Minority Psychology,24, 470.

    PubMed  Google Scholar 

  • Zvolensky, M. J., Jardin, C., Wall, M. M., Gbedemah, M., Hasin, D., Shankman, S. A., et al. (2017b). Psychological distress among smokers in the United States: 2008–2014. Nicotine & Tobacco Research,20, 707–713.

    Google Scholar 

  • Zvolensky, M. J., Lejuez, C., Kahler, C. W., & Brown, R. A. (2003b). Integrating an interoceptive exposure-based smoking cessation program into the cognitive-behavioral treatment of panic disorder: Theoretical relevance and case demonstration. Cognitive and Behavioral Practice,10, 347–357.

    Google Scholar 

  • Zvolensky, M. J., Paulus, D. J., Bakhshaie, J., Garza, M., Manning, K., Lemaire, C., et al. (2018b). Anxiety sensitivity and age: Roles in understanding subjective social status among low income adult Latinos in primary care. Journal of Immigrant and Minority Health,20, 632–640.

    PubMed  Google Scholar 

  • Zvolensky, M. J., Paulus, D. J., Bakhshaie, J., Garza, M., Valdivieso, J., Ochoa-Perez, M., … Collado, A. (2018c). Anxiety sensitivity and rumination: Transdiagnostic factors involved in the relation between subjective social status and anxiety and depressive symptoms and disorders among economically disadvantaged Latinos in primary care. American Journal of Orthopsychiatry,88(5), 571–581.

    Google Scholar 

  • Zvolensky, M. J., Paulus, D. J., Langdon, K. J., Robles, Z., Garey, L., Norton, P. J., et al. (2017c). Anxiety sensitivity explains associations between anxious arousal symptoms and smoking abstinence expectancies, perceived barriers to cessation, and problems experienced during past quit attempts among low-income smokers. Journal of Anxiety Disorders,48, 70–77.

    PubMed  Google Scholar 

  • Zvolensky, M. J., & Schmidt, N. B. (2003). Panic disorder and smoking. Clinical Psychology: Science and Practice,10, 29–51.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Psychology, University of Houston, 3695 Cullen Blvd., Room 126, Houston, TX, 77204, USA

    Michael J. Zvolensky, Jafar Bakhshaie, Justin M. Shepherd, Lorra Garey, Andres G. Viana & Natalia Peraza

  2. Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX, USA

    Michael J. Zvolensky

  3. HEALTH Institute, University of Houston, Houston, TX, USA

    Michael J. Zvolensky

  4. Texas Institute of Measurement, Evaluation, and Statistics, University of Houston, Houston, TX, USA

    Andres G. Viana

Authors
  1. Michael J. Zvolensky
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jafar Bakhshaie
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Justin M. Shepherd
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Lorra Garey
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Andres G. Viana
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Natalia Peraza
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Michael J. Zvolensky.

Ethics declarations

Conflict of interest

Michael J. Zvolensky, Jafar Bakhshaie, Justin M. Shepherd, Lorra Garey, Andres G. Viana, and Natalia Peraza declare that they have no conflict of interest.

Human and animal rights and Informed consent

All procedures followed were in accordance with ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Public Significance Statement: Anxiety symptoms were indirectly associated with cigarette dependence, perceived barriers for cessation, and problems experienced during past quit attempts through anxiety sensitivity. The current investigation highlights the potential clinical importance of the experience of anxiety and sensitivity to such sensations among Latinx smokers.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Zvolensky, M.J., Bakhshaie, J., Shepherd, J.M. et al. Anxiety symptoms and smoking among Latinx adult smokers: the importance of sensitivity to internal cues in terms of dependence, barriers for quitting, and quit problems. J Behav Med 43, 88–98 (2020). https://doi.org/10.1007/s10865-019-00059-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10865-019-00059-8

Keywords

Search

Navigation