title: Anxiety sensitivity class membership moderates the effects of pre-quit reduction in anxiety sensitivity on quit-day tobacco craving.
abstract: BACKGROUND
  Although anxiety sensitivity has been primarily conceptualized as a dimensional latent construct, empirical evidence suggests that it also maintains a latent class structure, reflecting low-, moderate-, and high-risk underlying classes. The present study sought to explore whether these anxiety sensitivity classes moderated the relations between the degree of pre-quit reductions in anxiety sensitivity and the severity of nicotine withdrawal symptoms and craving experienced on quit-day.
  
  
  METHODS
  Participants included 195 adult smokers (47% female; Mage=39.4) participating in a larger "anxiety sensitivity reduction-smoking cessation" intervention trial.
  
  
  RESULTS
  Anxiety sensitivity class significantly moderated relations between pre-quit reduction in anxiety sensitivity and quit-day craving. Specifically, smokers within the anxiety sensitivity high-risk class, who also demonstrated lesser pre-quit reductions in anxiety sensitivity, experienced the highest levels of craving on quit-day.
  
  
  CONCLUSIONS
  These findings highlight the importance of 'high-risk' classes of anxiety sensitivity to better understand the experience of craving on quit day.
authors.affiliation: Department of Psychology, University of Houston, Houston, TX 77204, USA. Electronic address: JBakhshaie@uh.edu.
authors.forename: Jafar
authors.initials: J
authors.lastname: Bakhshaie
authors.affiliation: Department of Psychology, University of Houston, Houston, TX 77204, USA; Department of Behavioral Sciences, University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Zvolensky
authors.affiliation: National Center for PTSD, Women's Health Sciences Division, VA Boston Healthcare System, Boston, MA 02130, USA; Department of Psychiatry, Boston University School of Medicine, Boston, MA 02118, USA.
authors.forename: Kirsten J
authors.initials: KJ
authors.lastname: Langdon
authors.affiliation: Departments of Preventive Medicine and Psychology, University of Southern California, Los Angeles, CA 90089, USA.
authors.forename: Adam M
authors.initials: AM
authors.lastname: Leventhal
authors.affiliation: Department of Psychology & Institute for Mental Health Research, The University of Texas, Austin, TX 78712, USA.
authors.forename: Jasper A J
authors.initials: JAJ
authors.lastname: Smits
authors.affiliation: Department of Psychology, Florida State University, Tallahassee, FL 32306, USA.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Allan
authors.affiliation: Department of Psychology, Florida State University, Tallahassee, FL 32306, USA.
authors.forename: Norman B
authors.initials: NB
authors.lastname: Schmidt
mesh_terms: D000328:Adult; D001007:Anxiety; D066249:Craving; D005260:Female; D006801:Humans; D008297:Male; D016540:Smoking Cessation / Q000523:psychology*; D013375:Substance Withdrawal Syndrome / Q000523:psychology; D011795:Surveys and Questionnaires; D014029:Tobacco Use Disorder / Q000523:psychology*; D014026:Nicotiana
keywords: Anxiety sensitivity; Craving; Smoking; Tobacco; Treatment; Withdrawal symptoms