Role of sensitivity to anxiety symptoms in responsiveness to mindfulness versus suppression strategies for coping with smoking cravings
Abstract
Mindfulness strategies for managing cravings involve present-moment, nonjudgmental awareness of cravings without acting on them, while suppression involves pushing cravings out of awareness. Few studies have investigated individual differences in responding to these strategies. The current study examined whether individual differences in anxiety sensitivity moderate responsiveness to mindfulness versus suppression for coping with smoking cravings. Participants (N=61) utilized a mindfulness or suppression strategy to manage cravings during cue exposure to cigarettes and were evaluated for self-efficacy 7 days later. Greater anxiety sensitivity after cue exposure was associated with increased self-efficacy in the suppression condition. This suggests that anxiety-sensitive individuals who utilize suppression may cope better with cravings, at least in the early days after learning these strategies.
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Low distress tolerance, measured by anxiety sensitivity, moderates the benefits of mindfulness interventions and appears to reduce their success in coping with negative affect and substance cravings.
“Specifically, low DT (assessed by anxiety sensitivity) has been found to moderate the benefits of mindfulness interventions, appearing to impair the success of mindfulness strategies for coping with negative affect (anxiety) and substance cravings (Arch & Ayers, 2013; Rogojanski, Vettese, & Antony, 2011; see also Raines et al., 2018; Zvolensky et al., 2015).”
From A randomized controlled trial protocol for engaging distress tolerance and working memory to aid smoking cessation in low socioeconomic status (SES) adults (2020) · cites this paper as Rogojanski, Vettese, & Antony, 2011
When MBIs were compared to a distraction strategy or passive control or suppression condition, there were no overall differences between groups.
“When MBIs were compared to a distraction strategy or passive control or suppression condition (54, 65), there were no overall differences between groups.”
From Mindfulness-Based Interventions for the Treatment of Substance and Behavioral Addictions: A Systematic Review (2018) · cites this paper as [65]
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- Authors
- Rogojanski, J., Vettese, L. C., & Antony, M. M.
- Affiliations
- Toronto Metropolitan University (CA)
- Corresponding author
- Antony, Martin M.
- ORCID
- Antony, Martin M.
- Venue
- Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2011-02-08
- Volume
- 67
- Issue
- 4
- Pages
- 439-445
- ISSN
- 0021-9762 (ISSN-L)
- 1097-4679
- OpenAlex
- W1998488724
- Cited by
- 28
- References
- 31
- Citations by year
- 2024: 1 · 2022: 1 · 2021: 2 · 2020: 2 · 2019: 2 · 2018: 3 · 2017: 1 · 2015: 5 · 2014: 3 · 2013: 1 · 2012: 4
- FWCI
- 2.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- anxiety sensitivity, mindfulness, suppression, cigarette craving, cue exposure, self-efficacy, individual differences, smoking cessation
- MeSH terms
- Smoking Prevention, Adaptation, Psychological, Adolescent, Adult, Anxiety, Awareness, Female, Humans, Male, Middle Aged, Regression Analysis, Smoking, Behavior, Addictive, Treatment Outcome, Self Efficacy, Young Adult
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