Panic reactivity to voluntary hyperventilation challenge predicts distress tolerance to bodily sensations among daily cigarette smokers
Open accessAbstract
The present investigation examined the extent to which panic reactivity to bodily sensations is related to distress tolerance (DT) among daily smokers. It was hypothesized that panic reactivity to an initial voluntary hyperventilation (i.e., whether participants met criteria for a DSM-IV panic attack; PA) would predict the relative degree of task persistence on a second hyperventilation trial (DT) above and beyond the variance accounted for by anxiety sensitivity (AS), negative affectivity (NA), cigarette smoking rate, and self-reported discomfort intolerance (DI). Participants were 95 daily smokers (58% women; M-sub(age) = 29.0, SD = 12.2) who completed a battery of questionnaires and two voluntary hyperventilation procedures. Results indicated PA status significantly predicted DT, above and beyond the theoretically relevant covariates of AS, NA, cigarettes per day, and DI ( p < .05). Such a result is consistent with theoretical models and empirical findings on emotional reactivity that suggest panic responsivity to internal cues may represent a key explanatory construct in terms of level of DT to interoceptive stimuli.
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Interoceptive distress during a hyperventilation challenge is associated with panic symptomology.
“the interoceptive distress involved in a hyperventilation challenge is associated with panic symptomology”
From The Effect of a Brief Mindfulness Training on Distress Tolerance and Stress Reactivity. (2019) · cites this paper as Marshall et al., 2008
The Method (Procedure; Challenge Measures) says hyperventilation elicits panic-related symptoms and uses persistence on the challenge to measure tolerance of interoceptive distress. The Discussion reports that, among daily smokers, a panic attack during the first challenge was associated with lower distress tolerance during a second challenge. It does not directly test whether the intensity of interoceptive distress during a challenge is associated with panic symptom severity. (LLM, conf=0.82)
Experimental — accuracy not yet measuredPerformance on distress tasks correlates with symptoms of psychopathology.
“performance on such tasks correlates with symptoms of psychopathology (Cougle et al., 2011; Cougle et al., 2013; Marshall et al., 2008)”
From The Effect of a Brief Mindfulness Training on Distress Tolerance and Stress Reactivity. (2019) · cites this paper as Marshall et al., 2008
The Discussion (page unavailable) reports that daily smokers who had a panic attack during an initial hyperventilation challenge persisted for less time on a second challenge, a behavioral distress-tolerance task. This supports an association with experimentally elicited panic reactivity, but not the broader claim that distress-task performance correlates with symptoms of psychopathology generally. (LLM, conf=0.84)
Experimental — accuracy not yet measuredThe effects of mindfulness on the hyperventilation challenge and neutralization task are clinically relevant because performance on such tasks correlates with symptoms of psychopathology and the tasks map closely onto procedures used in exposure therapy.
“The effects of mindfulness on the hyperventilation challenge and neutralization task are clinically relevant given that performance on such tasks correlates with symptoms of psychopathology (Cougle et al., 2011; Cougle et al., 2013; Marshall et al., 2008), and because the nature of the tasks maps on quite closely to procedures used in exposure therapy.”
From The Effect of a Brief Mindfulness Training on Distress Tolerance and Stress Reactivity. (2019) · cites this paper as Marshall et al., 2008
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- Authors
- Marshall, E. C., Zvolensky, M. J., Vujanovic, A. A., Gregor, K., Gibson, L. E., & Leyro, T. M.
- Affiliations
- University of Vermont (US)
- Venue
- Experimental and Clinical Psychopharmacology
- Published
- 2008-08
- Volume
- 16
- Issue
- 4
- Pages
- 313-321
- ISSN
- 1064-1297 (ISSN-L)
- 1936-2293
- PMC
- PMC2556299
- OpenAlex
- W2064790406
- Cited by
- 43
- References
- 50
- Citations by year
- 2025: 1 · 2024: 2 · 2022: 1 · 2019: 3 · 2018: 5 · 2017: 2 · 2016: 1 · 2015: 5 · 2014: 1 · 2013: 8 · 2012: 1
- FWCI
- 5.91
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Experimental and Clinical Psychopharmacology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (1 R03 DA00101-01, 1 R01 DA018734-01A1; 1 R03 DA016566-01A2; 1 R21 DA016227-01, 1 F31 DA021006-01; 1 F31 MH080453-01A1)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Keywords
- distress tolerance, voluntary hyperventilation, bodily sensations, cigarette smokers, anxiety sensitivity, negative affectivity, interoceptive stimuli, panic attacks, emotional reactivity
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Arousal, Escape Reaction, Female, Heart Rate, Humans, Hyperventilation, Individuality, Male, Panic, Personality Inventory, Respiration, Smoking, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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