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Differences in panic psychopathology between smokers with and without asthma.
Adrienne L Johnson1, Alison C McLeish1
1a Department of Psychology , University of Cincinnati , Cincinnati , OH , USA.
Psychology, Health & Medicine
|February 26, 2016
Summary
Smokers with asthma show higher anxiety sensitivity and panic symptoms than those without asthma. This suggests a need for specialized interventions for this high-risk group.
Area of Science:
- Psychology
- Respiratory Medicine
- Addiction Research
Background:
- Cigarette smoking is more prevalent in individuals with asthma.
- Asthma smokers face higher morbidity and mortality risks.
- Psychological factors differentiating smokers with and without asthma are under-explored.
Purpose of the Study:
- To investigate psychological differences between smokers with and without asthma.
- To examine anxiety sensitivity, panic symptoms, and history of panic attacks/disorder.
- To identify specific risk factors in smokers with asthma.
Main Methods:
- 115 smokers with asthma and 120 without asthma participated.
- Participants completed structured diagnostic interviews and self-report measures.
- Statistical analyses controlled for covariates like cigarettes per day, gender, race, and education.
Main Results:
- Smokers with asthma reported significantly higher anxiety sensitivity and panic symptoms.
- Smokers with asthma had a greater lifetime risk of panic attacks (OR=3.01) and panic disorder (OR=2.96).
- These differences persisted even after excluding participants with a history of panic attacks or disorder.
Conclusions:
- Smokers with asthma represent a population at elevated risk for panic psychopathology.
- Findings highlight the need for tailored smoking cessation programs for individuals with asthma.
- Further research should explore specialized prevention and intervention strategies.
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