A qualitative study of the feasibility and acceptability of a smoking cessation program for people living with HIV and emotional dysregulation.
Open accessAbstract
Despite high rates of co-occurring tobacco use and anxiety among persons living with HIV, evidence-based interventions for these individuals are limited. An existing cognitive-behavioral treatment protocol for smoking cessation and anxiety (Norton, P. J., & Barrera, T. L. (2012). Transdiagnostic versus diagnosis-specific CBT for anxiety disorders: A preliminary randomized controlled noninferiority trial. Depression and Anxiety, 29(10), 874-882. https://doi.org/10.1002/da.21974) was modified to address transdiagnostic constructs, such as anxiety sensitivity, distress tolerance, and depressive symptomatology (Labbe, A. K., Wilner, J. G., Kosiba, J. D., Gonzalez, A., Smits, J. A., Zvolensky, M. J., ... O'Cleirigh, C. (2017). Demonstration of an Integrated Treatment for Smoking Cessation and Anxiety Symptoms in People with HIV: A Clinical Case Study. Cognitive and Behavioral Practice, 24(2), 200-214. https://doi.org/10.1016/j.cbpra.2016.03.009). This study examines the feasibility and acceptability of the intervention as determined from qualitative data from structured exit interviews from 10 participants who completed treatment. Results demonstrated that participants were very motivated to quit smoking and enrolled in the program for health-related reasons and to be able to quit. Participants found nearly all the treatment components to be useful for reaching their smoking cessation goal and in managing emotional dysregulation. Last, all participants stated that they would strongly recommend the treatment program. This qualitative study provides initial evidence for the feasibility and acceptability of a modified smoking cessation treatment protocol for HIV+ individuals with anxiety and emotional dysregulation. Future research will focus on evaluating the efficacy of the protocol in a full-scale randomized controlled trial, as well as working to collect qualitative data from participants who discontinue treatment to better understand reasons for treatment attrition.
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Cites
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Claims the paper makes
7 of 22 cited sources checked · 6 supported · 0 flagged · accuracy not yet measured
- Premisecitation
Rates of cigarette smoking among PLWHA are up to at least three times that of the general population.
“rates of cigarette smoking among PLWHA up to at least three times that of the general population (Niaura et al., 2000; O’Cleirigh et al., 2014).”
Quote in the paperSubstantial claim1 of 2 sources checked - Premisecitation
People living with HIV/AIDS (PLWHA) are at an especially increased risk for developing medical complications as a result of cigarette smoking.
“People living with HIV/AIDS (PLWHA) are at an especially increased risk for developing medical complications as a result of cigarette smoking”
Quote in the paperSubstantial claim1 of 2 sources checked - Premisecitation
Anxiety and depressive pathology significantly impair cessation success.
“anxiety and depressive pathology significantly impair cessation success (Piper et al., 2010; Zvolensky et al., 2008; Leventhal & Zvolensky, 2015; Piper et al., 2011).”
Quote in the paperSubstantial claim2 of 3 sources checked- cites Piper et al., 2010 source
- cites Zvolensky et al., 2008 source
- cites Leventhal & Zvolensky, 2015 source
The Anxiety Sensitivity and Anhedonia sections (page unavailable) report that these emotional vulnerabilities predict smoking lapse or relapse, supporting a link with poorer cessation outcomes. But the claim generalizes those findings to anxiety and depressive pathology as a whole and states that pathology impairs cessation success; the Anhedonia section notes that a history of major or recurrent depression did not significantly predict cessation after accounting for anhedonia. (LLM, conf=0.87)
Experimental — accuracy not yet measured
- Premisecitation
Rates of depressive symptomatology are higher among PLWHA who smoke.
“rates of depressive symptomatology are higher among PLWHA who smoke (Brandt et al., 2017; Chang et al., 2017; Lubetkin et al., 2018; O’Cleirigh et al., 2015).”
Quote in the paperSubstantial claim2 of 3 sources checked - Findingown data
Most responses regarding aspects of the treatment not helpful for quitting smoking fell into the "Nothing" category (n=7).
“Most of the responses (n=7) fell into the category “Nothing.” Sample responses include, “The whole program was helpful from day one” and “No. No. Everything helped”.”
Quote in the paperNot a substantial claim- Rests on an assumption: Exit interviews conducted with participants who completed the 6-month follow-up provide valid information about the feasibility and acceptability of the intervention.
- Findingown data
Seven participants (70%) reported they believed parts of the intervention were challenging.
“Seven participants (70%) reported they believed parts of the intervention were challenging.”
Quote in the paperNot a substantial claim- Rests on an assumption: Exit interviews conducted with participants who completed the 6-month follow-up provide valid information about the feasibility and acceptability of the intervention.
- Findingown data
Given the narrow range of responses provided by the current sample, the data seem to indicate rather stable response categories.
“Nevertheless, given the narrow range of responses provided by the current sample, the data seem to indicate rather stable response categories.”
Quote in the paperNot a substantial claim- Rests on an assumption: Exit interviews conducted with participants who completed the 6-month follow-up provide valid information about the feasibility and acceptability of the intervention.
- Findingown data
Despite ranges in distress tolerance, smoking histories, and demographic backgrounds, participants demonstrated similar responses with regards to acceptability and feasibility.
“Despite these ranges, participants demonstrated similar responses with regards to acceptability and feasibility.”
Quote in the paperSubstantial claim- Rests on an assumption: Exit interviews conducted with participants who completed the 6-month follow-up provide valid information about the feasibility and acceptability of the intervention.
- Findingown data
Participants found nearly all treatment components (psychoeducation, cognitive restructuring, behavioral experiments, homework) to be useful for reaching their smoking cessation goal.
“Participants found nearly all the treatment components (i.e., psychoeducation, cognitive restructuring, behavioral experiments, homework) to be useful for reaching their smoking cessation goal”
Quote in the paperSubstantial claim- Rests on an assumption: Exit interviews conducted with participants who completed the 6-month follow-up provide valid information about the feasibility and acceptability of the intervention.
- Findingown data
Participants were able to learn and practice the skills to help them quit smoking.
“Results demonstrated that not only did participants find the materials and skills helpful, but also that they were able to learn and practice the skills to help them quit smoking.”
Quote in the paperSubstantial claim- Rests on an assumption: Exit interviews conducted with participants who completed the 6-month follow-up provide valid information about the feasibility and acceptability of the intervention.
- Findingown data
Participants enrolled in the program for health-related reasons.
“Most responses fell into the “Healthy” category (n=6, 60%; “I wanted to try and live a little longer” and “Because I am having a hard time breathing going up and down the stairs just to have a cigarette”).”
Quote in the paperNot a substantial claim- Rests on an assumption: Exit interviews conducted with participants who completed the 6-month follow-up provide valid information about the feasibility and acceptability of the intervention.
- Findingown data
Participants were very motivated to quit smoking.
“Results demonstrated that participants were very motivated to quit smoking”
Quote in the paperNot a substantial claim- Rests on an assumption: Exit interviews conducted with participants who completed the 6-month follow-up provide valid information about the feasibility and acceptability of the intervention.
- Findingown data
Participants enrolled in the program to be able to quit.
“This was closely followed by “To Quit” (n=5, 50%; “I’ve wanted to quit for a long time but never got past day one”)”
Quote in the paperNot a substantial claim- Rests on an assumption: Exit interviews conducted with participants who completed the 6-month follow-up provide valid information about the feasibility and acceptability of the intervention.
- Findingown data
All responses regarding aspects of the treatment not helpful for addressing psychological distress fell into the "Nothing" category.
“Only one domain was created to capture participants’ responses regarding aspects of the treatment program they did not find helpful for addressing symptoms of psychological distress. All responses fell into the “Nothing” category.”
Quote in the paperNot a substantial claim- Rests on an assumption: Exit interviews conducted with participants who completed the 6-month follow-up provide valid information about the feasibility and acceptability of the intervention.
- Interpretationown data
The newly developed transdiagnostic treatment for smoking cessation for PLWHA and emotional dysregulation is feasible with regards to uptake/engagement among participants.
“Overall, results from this qualitative study indicate that the newly developed transdiagnostic treatment for smoking cessation for PLWHA and emotional dysregulation is feasible with regards to uptake/engagement among participants”
Quote in the paperSubstantial claim- Rests on an assumption: Exit interviews conducted with participants who completed the 6-month follow-up provide valid information about the feasibility and acceptability of the intervention.
- Interpretationown data
This qualitative study provides initial evidence for the feasibility and acceptability of a modified smoking cessation treatment protocol for HIV+ individuals with anxiety and emotional dysregulation.
“This qualitative study provides initial evidence for the feasibility and acceptability of a modified smoking cessation treatment protocol for HIV+ individuals with anxiety and emotional dysregulation.”
Quote in the paperSubstantial claim- Rests on an assumption: Exit interviews conducted with participants who completed the 6-month follow-up provide valid information about the feasibility and acceptability of the intervention.
- Interpretationown data
The results from the qualitative data indicate acceptability of the treatment approach.
“Accordingly, the results from these qualitative data indicate acceptability of the treatment approach.”
Quote in the paperSubstantial claim- Rests on an assumption: Exit interviews conducted with participants who completed the 6-month follow-up provide valid information about the feasibility and acceptability of the intervention.
- Study design and conductreasoning
Interviews were conducted with study completers, so data from the interviews do not inform why people dropped out of the treatment.
“Third, interviews were conducted with study completers. As such, data from the interviews do not inform why people dropped out of the treatment.”
Quote in the paperNot a substantial claim - Study design and conductnone given
The exit interviews were conducted by study staff who did not conduct the intervention sessions.
“One strength is that the exit interviews were conducted by study staff who did not conduct the intervention sessions.”
Quote in the paperSubstantial claim - Study design and conductown data
Participants were diverse with regards to their distress tolerance, smoking histories, and demographic backgrounds.
“Another strength is that participants were diverse with regards to their distress tolerance, smoking histories, and demographic backgrounds.”
Quote in the paperSubstantial claim - Interpretationreasoning
The treatment has the potential to be more broadly disseminated in community settings where the patient population is more diverse than a traditional randomized controlled trial setting.
“This is important because it shows this treatment has the potential to be more broadly disseminated in community settings where the patient population is more diverse than a traditional randomized controlled trial setting.”
Quote in the paperSubstantial claim - Study design and conductnone given
This study had a small sample size.
“Second, this study had a small sample size.”
Quote in the paperNot a substantial claim - Premisecitation
Transdiagnostic treatments for anxiety and related disorders are associated with high client satisfaction, therapeutic alliance, treatment expectations, and low dropout rates.
“and are associated with high client satisfaction, therapeutic alliance, treatment expectations, and low dropout rates (Barlow et al., 2017; Norton & Hope, 2005; Schmidt et al., 2012)”
Quote in the paperSubstantial claim0 of 3 sources checked
- Classified as probably not a substantial claim. 7
- May combine two claims. 13
- The quote only partly states this claim. 2
Classified as probably not a substantial claim.
PremisecitationAnxiety disorders co-occur with smoking at rates that exceed those found in the general population.
“Anxiety disorders co-occur with smoking at rates that exceed those found in the general population (Ziedonis et al., 2008)”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Ziedonis et al., 2008 source
May combine two claims. The quote only partly states this claim.
Findingown dataAll participants stated they would recommend the program; 80% were highly/completely confident and 20% were pretty confident.
“Eight participants (80%) responded that they were “highly/completely confident” in recommending the program to friends experiencing similar problems (e.g., “I do recommend it very highly - 100%”), and two participants (20%) responded that they were “pretty confident.””
- Also stated in: § Discussion · plain
“Further, all participants stated they would recommend this treatment program to others.”
Quote in the paperSubstantial claim- Rests on an assumption: Exit interviews conducted with participants who completed the 6-month follow-up provide valid information about the feasibility and acceptability of the intervention.
- Also stated in: § Discussion · plain
May combine two claims.
Findingown dataFour participants (40%) reported continued use of pieces of the intervention to manage psychological distress and six (60%) reported they did not.
“Four participants (40%) reported that they continued to use pieces of the intervention to help manage psychological distress and six participants (60%) reported that they did not.”
Quote in the paperNot a substantial claim- Rests on an assumption: Exit interviews conducted with participants who completed the 6-month follow-up provide valid information about the feasibility and acceptability of the intervention.
The quote only partly states this claim.
Findingown dataParticipants found treatment components useful for managing emotional dysregulation.
“Responses regarding aspects of the treatment participants found helpful in managing psychological distress fell into three domains. “Tracking/Awareness” (e.g., “Being able to log it [stress levels] and keep track of it made it easier”) and “Other” (e.g., “Helping me quell the anxiety around quitting and around not smoking”) each received three responses. “None” received two responses.”
Quote in the paperNot a substantial claim- Rests on an assumption: Exit interviews conducted with participants who completed the 6-month follow-up provide valid information about the feasibility and acceptability of the intervention.
May combine two claims.
Findingown dataDespite challenges, participants reported that facing these challenges was helpful because it made them feel accomplished, helped manage cravings, and helped achieve a goal.
“Despite these challenges, participants reported that it was helpful that they faced these challenges because it made them “feel accomplished”, helped them “manage cravings”, and helped them “achieve a goal.””
Quote in the paperNot a substantial claim- Rests on an assumption: Exit interviews conducted with participants who completed the 6-month follow-up provide valid information about the feasibility and acceptability of the intervention.
May combine two claims.
Findingown dataFive participants (50%) reported they were still using pieces of the intervention to help them remain quit, four (40%) reported they were not, and one (10%) reported using only some parts.
“Five participants (50%) reported they were still using pieces of the intervention to help them remain quit, four participants (40%) reported they were not, and one participant (10%) reported that he was only using “some parts.””
Quote in the paperNot a substantial claim- Rests on an assumption: Exit interviews conducted with participants who completed the 6-month follow-up provide valid information about the feasibility and acceptability of the intervention.
May combine two claims.
Interpretationown dataThe newly developed treatment approach was generally well-received and useful in attaining participants' treatment goals.
“Taken together, results from the exit interviews illustrate that this newly developed treatment approach was generally well-received and useful in attaining participants’ treatment goals.”
Quote in the paperSubstantial claim- Rests on an assumption: Exit interviews conducted with participants who completed the 6-month follow-up provide valid information about the feasibility and acceptability of the intervention.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationThe FTND has good internal consistency, a single dimension factor structure, and positive relationships with degree of nicotine intake as assessed by saliva cotinine.
“The FTND has shown good internal consistency, a single dimension factor structure, and positive relationships with the degree of nicotine intake as assessed by saliva cotinine (Heatherton et al., 1991).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Heatherton et al., 1991 source
Classified as probably not a substantial claim. May combine two claims.
Study design and conductown dataTo establish validity and reliability of the domains, two additional raters independently coded participants' responses into the best-fitting domains, and disagreements were resolved through discussion.
“To establish validity and reliability of the domains, two additional raters (research assistants unrelated to this study) independently coded participants’ responses into the best-fitting domains. Any disagreements between raters were reviewed and discussed until the discrepancy was resolved.”
Quote in the paperSubstantial claimMay combine two claims.
Study design and conductown dataAttrition was mostly due to loss of contact (N=10); three participants chose to discontinue participation, but data was not collected regarding reason.
“Attrition was mostly due to loss of contact (N=10); three participants chose to discontinue participation, but data was not collected regarding reason.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataThe treatment was acceptable and well-liked.
“and that the treatment was acceptable and well-liked.”
Quote in the paperSubstantial claim- Rests on an assumption: Exit interviews conducted with participants who completed the 6-month follow-up provide valid information about the feasibility and acceptability of the intervention.
May combine two claims.
PremisecitationTransdiagnostic treatments for anxiety and related disorders produce considerable symptom improvement, perform better than waitlist controls, yield improvements in depression, and compare well to diagnosis-specific treatments.
“Current evidence indicates that transdiagnostic treatments for anxiety and related disorders produce considerable symptom improvement, perform better than waitlist controls, yield improvements in depression, compare well to diagnosis-specific treatments”
Quote in the paperSubstantial claim0 of 3 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenAll participants provided informed consent and all study procedures were approved by the Institutional Review Board at the Massachusetts General Hospital.
“All participants provided informed consent and all study procedures were approved by Institutional Review Board at the Massachusetts General Hospital.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Interpretationnone givenResults of this study may not generalize to younger adults, women, or patients from different geographical areas.
“One limitation is that results of this study may not generalize to younger adults, women, or patients from different geographical areas.”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductreasoningStudy participants may have felt freer to share their honest opinions and responses were less likely to be influenced by social desirability because exit interviews were conducted by study staff who did not conduct the intervention sessions.
“Therefore, study participants may have felt freer to share their honest opinions about the treatment and responses were less likely to be influenced by social desirability.”
Quote in the paperSubstantial claimMay combine two claims.
Study design and conductown dataOf 104 assessed, 72 enrolled, 53 randomized, 26 randomized to treatment, 17 completed through session 7, 15 completed all treatment sessions, 13 completed 6-month follow-up, and 10 participated in exit interviews.
“One hundred and four individuals were assessed for eligibility, 72 were enrolled, and 53 were randomized, of which 26 were randomized to the treatment condition. Seventeen participants completed through session 7 (Quit Day), and 15 completed all treatment sessions. Thirteen participants completed through the 6-month follow-up of which ten participated in the exit interviews.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationRates of current anxiety disorders among PLWHA have been estimated as high as 43%.
“Rates of current anxiety disorders among PLWHA have been estimated as high as 43% (Brandt et al., 2016; Johnson et al. 1995; Perkins et al., 1994; Sewell et al., 2000)”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Brandt et al., 2016
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites Johnson et al. 1995 source
- cites Perkins et al., 1994
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe STAI has demonstrated good psychometric properties.
“This is a 40-item self-report measure of state- and trait-level anxiety and has demonstrated good psychometric properties (Spielberger et al., 1983).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Spielberger et al., 1983
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
The paper relies on this without support.
Evidence-based interventions for persons living with HIV who have co-occurring tobacco use and anxiety are limited.
“Despite high rates of co-occurring tobacco use and anxiety among persons living with HIV, evidence-based interventions for these individuals are limited.”
The paper relies on this without support.
The Hospital Anxiety and Depression Scale (HADS) is a reliable instrument for screening for clinically significant anxiety and depression among a medical population.
“The HADS has is a reliable instrument for screening for clinically significant anxiety and depression among a medical population.”
The paper relies on this without support.
Exit interviews conducted with participants who completed the 6-month follow-up provide valid information about the feasibility and acceptability of the intervention.
“Exit interviews were conducted with participants who were randomized to the intervention arm and completed the 6-month follow-up.”
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“Rates of current anxiety disorders among PLWHA have been estimated as high as 43% (Brandt et al., 2016; Johnson, Williams, Rabkin, Goetz, & Remien, 1995; Perkins et al., 1994; Sewell et al., 2000) and rates of depressive symptomatology are higher among PLWHA who smoke (Brandt, Jardin, Sharp, Lemaire, & Zvolensky, 2017…”
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“People living with HIV/ AIDS (PLWHA) are at an especially increased risk for developing medical complications as a result of cigarette smoking with rates of cigarette smoking among PLWHA up to at least three times that of the general population (Niaura et al., 2000; O’Cleirigh et al., 2014).”
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“People living with HIV/ AIDS (PLWHA) are at an especially increased risk for developing medical complications as a result of cigarette smoking with rates of cigarette smoking among PLWHA up to at least three times that of the general population (Niaura et al., 2000; O’Cleirigh et al., 2014).”
BackgroundSelf-citationCockerham, L. R., Scherzer, R., Zolopa, A. R., Rimland, D., Lewis, C. E., Bacchetti, P., Grünfeld, C., Shlipak, M. G., & Tien, P. C. (2009) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0b013e3181b79d22 · Cited by 85 · see citing works
Anxiety Syndromes and Symptoms Among Men With AIDS: A Longitudinal Controlled Study
Sewell, M. C., Goggin, K., Rabkin, J. G., Ferrando, S. J., McElhiney, M. C., & Evans, S. (2000) · Psychosomatics · doi:10.1176/appi.psy.41.4.294 · Cited by 80 · cited 1× · see citing works
“…among PLWHA have been estimated as high as 43% (Brandt et al., 2016; Johnson, Williams, Rabkin, Goetz, & Remien, 1995; Perkins et al., 1994; Sewell et al., 2000) and rates of depressive symptomatology are higher among PLWHA who smoke (Brandt, Jardin, Sharp, Lemaire, & Zvolensky, 2017;…”
BackgroundDr. Perkins and Colleagues Reply
Perkins, D. O., Davidson, E., Leserman, J., et al. (1994) · American Journal of Psychiatry · doi:10.1176/ajp.151.2.299 · Cited by 58 · cited 1× · see citing works
“…of current anxiety disorders among PLWHA have been estimated as high as 43% (Brandt et al., 2016; Johnson, Williams, Rabkin, Goetz, & Remien, 1995; Perkins et al., 1994; Sewell et al., 2000) and rates of depressive symptomatology are higher among PLWHA who smoke (Brandt, Jardin, Sharp, Lemaire, &…”
BackgroundAxis I psychiatric symptoms associated with HIV infection and personality disorder
(1995) · American Journal of Psychiatry · doi:10.1176/ajp.152.4.551 · Cited by 57 · see citing works
Toward a Clinically‐Oriented Model of Anxiety Disorders
Norton, P. J. (2006) · Cognitive Behaviour Therapy · doi:10.1080/16506070500441561 · Cited by 53 · see citing works
Self-citationChang, L., Lim, A., Lau, E., & Alicata, D. (2017) · Journal of Neuroimmune Pharmacology · doi:10.1007/s11481-017-9728-7 · Cited by 39 · see citing works
CYP1A1Genotype Modifies the Impact of Smoking on Effectiveness of HAART Among Women
Feldman, D. N., Feldman, J. G., Greenblatt, R. M., Anastos, K., Pearce, L., Cohen, M. H., Gange, S. J., Leanza, S. M., & Burk, R. (2009) · AIDS Education and Prevention · doi:10.1521/aeap.2009.21.3_supp.81 · Cited by 39 · see citing works
Transdiagnostic Cognitive–Behavioral Group Therapy for Anxiety: Outcome and Process
Norton, P. J., Hayes, S. A., & Springer, J. (2008) · International Journal of Cognitive Therapy · doi:10.1521/ijct.2008.1.3.266 · Cited by 38 · see citing works
Self-citationBrandt, C. P., Jardin, C., Sharp, C., Lemaire, C. M., & Zvolensky, M. J. (2016) · AIDS Care · doi:10.1080/09540121.2016.1220484 · Cited by 21 · cited 1× · see citing works
“Rates of current anxiety disorders among PLWHA have been estimated as high as 43% (Brandt et al., 2016; Johnson, Williams, Rabkin, Goetz, & Remien, 1995; Perkins et al., 1994; Sewell et al., 2000) and rates of depressive symptomatology are higher among PLWHA who smoke (Brandt, Jardin, Sharp,…”
BackgroundSelf-citationLabbe, A. K., Wilner, J. G., Kosiba, J. D., Gonzalez, A., Smits, J. A., Zvolensky, M. J., Norton, P. J., & O’Cleirigh, C. (2017) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2016.03.009 · Cited by 8 · cited 1× · see citing works
“We modified an existing 8-week cognitive–behavioral treatment protocol for smoking cessation and anxiety (Norton & Barrera, 2012) to address transdiagnostic domains such as anxiety sensitivity, distress tolerance, and depressive symptomatology (Labbe et al., 2017).”
MethodSelf-citationLubetkin, E. I., Guidry, J. A., Webb, A., Ocampo, A., & Burkhalter, J. E. (2018) · AIDS Care · doi:10.1080/09540121.2017.1363366 · Cited by 8 · see citing works
Does age influence the frequency of anxiety symptoms and disorders in HIV disease?
Brandt, C. P., Sheppard, D. P., Zvolensky, M. J., Morgan, E. E., Atkinson, J. H., & Woods, S. P. (2016) · Journal of HIV/AIDS & Social Services · doi:10.1080/15381501.2016.1189865 · Cited by 7 · cited 2× · see citing works
“Rates of current anxiety disorders among PLWHA have been estimated as high as 43% (Brandt et al., 2016; Johnson, Williams, Rabkin, Goetz, & Remien, 1995; Perkins et al., 1994; Sewell et al., 2000) and rates of depressive symptomatology are higher among PLWHA who smoke (Brandt, Jardin, Sharp, Lemaire, & Zvolensky, 2017…”
BackgroundSelf-citation
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COPD in People with HIV: Epidemiology, Pathogenesis, Management, and Prevention Strategies
Byanova, K. L., Abelman, R. A., North, C. M., Christenson, S. A., & Huang, L. (2023) · International Journal of COPD · doi:10.2147/copd.s388142 · Cited by 14 · see citing works
García–Fernández, G., Krotter, A., Pérez, Á. G., Diego, G. A., & Secades‐Villa, R. (2022) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2022.109477 · Cited by 9 · see citing works
Mirkhamidova, S. M., & Rustamova, H. E. (2026) · Research Square · doi:10.21203/rs.3.rs-9297183/v1 · Cited by 1 · see citing works
- Authors
- Labbe, A. K., Wilner, J. G., Coleman, J. N., Marquez, S. M., Kosiba, J. D., Zvolensky, M. J., Smits, J. A. J., Norton, P. J., Rosenfield, D., & O'Cleirigh, C.
- Affiliations
- Dept. of Psychiatry, Massachusetts General Hospital
- Boston University (US)
- Duke University (US)
- Fenway Health (US)
- Syracuse University (US)
- University of Houston (US)
- The University of Texas at Austin (US)
- Southern Methodist University (US)
- Venue
- AIDS Care
- Publisher
- Informa UK Limited
- Published
- 2018-10-23
- Volume
- 31
- Issue
- 5
- Pages
- 609-615
- ISSN
- 0954-0121 (ISSN-L)
- 1360-0451
- PMC
- PMC6408255
- OpenAlex
- W2898358900
- Cited by
- 3
- References
- 38
- Citations by year
- 2026: 1 · 2023: 1 · 2022: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- AIDS Care (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (1R34DA031038-01A1)
- National Institute on Drug Abuse
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- smoking cessation, HIV, emotional dysregulation, anxiety, cognitive behavioral therapy, transdiagnostic treatment, anxiety sensitivity, distress tolerance, depressive symptoms, treatment feasibility, treatment acceptability
- MeSH terms
- Adult, Anxiety, Depression, Emotions, Feasibility Studies, Female, Humans, Male, Motivation, Patient Acceptance of Health Care, Smoking, HIV Infections, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic, Smoking Cessation, Qualitative Research, 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.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-12.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-12.
Cited sources are checked by gpt-6-sol.
Statistics and arithmetic are recomputed, not judged.
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