Cited by 32Suicide and Self-Harm StudiesAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesSmoking Behavior and Cessation

Prospective Evaluation of the Effect of an Anxiety Sensitivity Intervention on Suicidality among Smokers

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Capron, Daniel W., Norr, Aaron M., Zvolensky, Michael J., Schmidt, Norman B.·2014·Cognitive Behaviour Therapy

Abstract

Recent empirical work has revealed a significant relationship between anxiety sensitivity (AS), particularly the AS cognitive concerns subfactor, and suicidality among cigarette smokers. The current study prospectively tested whether an intervention targeting AS (i.e. an AS-augmented smoking cessation program) would predict lower suicidality in a population known to be at increased risk for death by suicide (i.e. cigarette smokers). Participants (N = 169) were randomly assigned to a standard cognitive behavioral smoking intervention or a cognitive behavioral smoking intervention with an AS reduction component. Findings indicate that the participants who received the AS-augmented intervention had lower suicidality compared to those in the standard intervention, even accounting for baseline suicidality, substance use disorder diagnosis, current depression, current anxiety, and current smoking status. As the first examination of the effect of an AS reduction program on suicidality, this study provides initial support for the hypothesis that reducing AS may lead to lower suicidality. Future work should include testing an AS intervention in a sample with elevated suicidality, as well as specifically targeting AS cognitive concerns, which has a stronger and more consistent relationship with suicidality than global AS.

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Crossref · 10.1080/16506073.2013.777466

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  • Nicotine helps regulate mood and reduce negative effects that may lessen anxious and impulsive symptoms, potentially lowering suicidality risk.

    “Nicotine has been demonstrated to help regulate mood and reduce negative effects that may reduce anxious and impulsive symptoms, thus potentially reducing suicidality risks.18”

    From Are smoking cessation treatments associated with suicidality risk? An overview (2016) · cites this paper as [18]

    The Introduction (page unavailable) says smokers with elevated anxiety sensitivity may smoke to regulate negative affect, but describes reduced negative affect partly as an expectancy, not a demonstrated effect of nicotine. More importantly, it reports a positive association between nicotine dependence and suicide attempts, contrary to the claim that nicotine may lower suicidality risk. It does not report reduced impulsive symptoms. (LLM, conf=0.88)

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  • CBT has been demonstrated to help reduce suicidality in smokers trying to quit.

    “CBT has been demonstrated to help reduce suicidality in smokers trying to quit.”

    From Are smoking cessation treatments associated with suicidality risk? An overview (2016) · cites this paper as [18]

    The Results (page not provided) report lower suicidality among smokers receiving cognitive-behavioral smoking cessation treatment augmented with an anxiety-sensitivity component, compared with those receiving standard cognitive-behavioral treatment. The study does not establish that CBT in general reduces suicidality; the observed difference was between two CBT-based treatments. (LLM, conf=0.86)

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  • Capron et al. found suicidality lowered in both CBT groups, but statistically significantly lower in the augmented CBT group.

    “Capron et al.18 found that suicidality as assessed by the Inventory of Depression and Anxiety Symptoms75 was lowered in both groups, but was statistically significantly lower in the group receiving the augmented CBT.”

    From Are smoking cessation treatments associated with suicidality risk? An overview (2016) · cites this paper as [18]

    The Results section reports significantly lower IDAS suicidality in the augmented CBT group than in the standard-treatment group after adjustment for baseline suicidality and other covariates (p = .01). The Methods > Measures section confirms use of the IDAS suicidality scale. The reported comparison does not establish that suicidality fell from baseline in both groups. (LLM, conf=0.88)

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Research works printed but not linked: 1

  1. First MB Spitzer RL Gibbon M Williams JBW Structured clinical interview for the DSM-IV axis I disorders-patient edition (SCID-I/P-version 2) 1995 New York State Psychiatric Institute, Biometrics Research Division

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Authors
Capron, D. W., Norr, A. M., Zvolensky, M. J., & Schmidt, N. B.
Affiliations
  • Florida State University (US)
  • University of Houston (US)
Corresponding author
Capron, Daniel W.
Venue
Cognitive Behaviour Therapy
Published
2013-06-14
Volume
43
Issue
1
Pages
72-82
ISSN
  • 1650-6073 (ISSN-L)
  • 1651-2316
OpenAlex
W2054601516
Cited by
32
References
49
Citations by year
2023: 3 · 2022: 1 · 2021: 4 · 2020: 2 · 2019: 2 · 2018: 3 · 2017: 4 · 2016: 4 · 2015: 3 · 2014: 6
FWCI
4.82
Type
journal article
Language
en
Open access
Locations
  • Cognitive Behaviour Therapy (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Mental Health (R01MH076629)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
Keywords
anxiety sensitivity, suicidality, smoking cessation, cognitive behavioral therapy, cognitive concerns, cigarette smokers, suicide risk
MeSH terms
Adolescent, Adult, Aged, Anxiety, Female, Humans, Male, Middle Aged, Prospective Studies, Smoking, Suicide, Cognitive Behavioral Therapy, Smoking Cessation, Treatment Outcome, Young Adult, Suicidal Ideation

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