Relations between anxiety sensitivity, distress tolerance, and fear reactivity to bodily sensations to coping and conformity marijuana use motives among young adult marijuana users.

The present investigation examines anxiety sensitivity, distress tolerance, and fear reactivity to bodily sensations in relation to Coping and Conformity marijuana use motives among a sample of young adult marijuana users (n = 135; 46.7% women; Mage = 20.45, SD = 5.0). After controlling for current marijuana use frequency (past 30 days), daily cigarette smoking rate, average volume of alcohol used over the past year, negative affectivity, and other marijuana use motives, anxiety sensitivity was significantly and uniquely associated with Coping and Conformity motives for marijuana use. Distress tolerance evidenced significant and unique incremental relations to Coping motives, whereas fear reactivity to bodily sensations was unrelated to any marijuana use motive. These results provide novel information related to the role of emotional sensitivity and tolerance factors as they pertain to specific types of motives for marijuana use among young adults.

[1]  J. Simons,et al.  The Distress Tolerance Scale: Development and Validation of a Self-Report Measure , 2005 .

[2]  C. Lejuez,et al.  Devices and methods for administering carbon dioxide-enriched air in experimental and clinical settings. , 1998, Journal of Behavior Therapy and Experimental Psychiatry.

[3]  Richard A. Brown,et al.  Distress tolerance and duration of past smoking cessation attempts. , 2002, Journal of abnormal psychology.

[4]  M. Zvolensky,et al.  Panic attacks, panic disorder, and agoraphobia: Associations with substance use, abuse, and dependence , 2006, Current psychiatry reports.

[5]  M. Zvolensky,et al.  Marijuana use motives: A confirmatory test and evaluation among young adult marijuana users. , 2007, Addictive behaviors.

[6]  M. Zvolensky,et al.  Marijuana use motives: concurrent relations to frequency of past 30-day use and anxiety sensitivity among young adult marijuana smokers. , 2007, Addictive behaviors.

[7]  M. Zvolensky,et al.  Anxiety sensitivity interacts with marijuana use in the prediction of anxiety symptoms and panic-related catastrophic thinking among daily tobacco users. , 2006, Behaviour research and therapy.

[8]  B. Grant,et al.  Prevalence of Marijuana Use Disorders in the United States Design, Setting, and Participants Face-to-face Interviews Were Conducted in 2 , 2022 .

[9]  M. Zvolensky,et al.  Emotional Dysregulation: Association With Coping-Oriented Marijuana Use Motives Among Current Marijuana Users , 2008, Substance use & misuse.

[10]  Kate B. Carey,et al.  Validating a Five-Factor Marijuana Motives Measure: Relations with Use, Problems, and Alcohol Motives. , 1998 .

[11]  Daniel Horn,et al.  A Scale to Differentiate between Types of Smoking as Related to the Management of Affect , 1969 .

[12]  M. Zvolensky,et al.  Prospective associations between cannabis use, abuse, and dependence and panic attacks and disorder. , 2008, Journal of psychiatric research.

[13]  Distress tolerance and duration of past smoking cessation attempts. , 2002, Journal of abnormal psychology.

[14]  P. O. Smith,et al.  Assessing nicotine dependence: a comparison of the Fagerström Tolerance Questionnaire (FTQ) with the Fagerström Test for Nicotine Dependence (FTND) in a clinical sample. , 1994, Addictive behaviors.

[15]  N. S. Miller,et al.  Nicotine dependence: diagnosis, pharmacology and treatment. , 1992, Journal of addictive diseases.

[16]  D H Barlow,et al.  The influence of an illusion of control on panic attacks induced via inhalation of 5.5% carbon dioxide-enriched air. , 1989, Archives of general psychiatry.

[17]  M. L. Cooper,et al.  Drinking to regulate positive and negative emotions: a motivational model of alcohol use. , 1995, Journal of personality and social psychology.

[18]  M. Zvolensky,et al.  Lifetime associations between cannabis, use, abuse, and dependence and panic attacks in a representative sample. , 2006, Journal of psychiatric research.

[19]  Richard A. Brown,et al.  Nonclinical panic attack history and smoking cessation: an initial examination. , 2004, Addictive behaviors.

[20]  M. Zvolensky,et al.  A prospective test of anxiety sensitivity as a moderator of the relation between gender and posttraumatic symptom maintenance among high anxiety sensitive young adults , 2008, Depression and anxiety.

[21]  S. B. Zeitlin,et al.  Examination of a three-dimensional drinking motives questionnaire in a young adult university student sample. , 1996, Behaviour research and therapy.

[22]  D. Watson,et al.  Development and validation of brief measures of positive and negative affect: the PANAS scales. , 1988, Journal of personality and social psychology.

[23]  N. Schmidt,et al.  Prospective evaluation of anxiety sensitivity in the pathogenesis of panic: replication and extension. , 1999, Journal of abnormal psychology.

[24]  Jr. Russell Noyes,et al.  Anxiety and Its Disorders: The Nature and Treatment of Anxiety and Panic , 1990 .

[25]  Patrick M. O'Malley,et al.  Monitoring the Future National Results on Adolescent Drug Use: Overview of Key Findings, 2004. , 2003 .

[26]  Patricia Cohen,et al.  Drug use and the risk of major depressive disorder, alcohol dependence, and substance use disorders. , 2002, Archives of general psychiatry.

[27]  M. Zvolensky,et al.  The role of offset control in anxious responding: An experimental test using repeated administrations of 20% carbon dioxide-enriched air * , 1998 .

[28]  R. Zinbarg,et al.  Anxiety Sensitivity and Panic Attacks , 2007, Behavior modification.

[29]  C. Pomerleau,et al.  Reliability of the Fagerstrom Tolerance Questionnaire and the Fagerstrom Test for Nicotine Dependence. , 1994, Addictive behaviors.

[30]  K. Carey,et al.  Relations between cannabis use and dependence, motives for cannabis use and anxious, depressive and borderline symptomatology. , 2005, Addictive behaviors.

[31]  P. Dannon,et al.  Comorbid cannabis use and panic disorder: short term and long term follow‐up study , 2004, Human psychopharmacology.

[32]  M. Zvolensky,et al.  A review of psychological factors/processes affecting anxious responding during voluntary hyperventilation and inhalations of carbon dioxide-enriched air. , 2001, Clinical psychology review.

[33]  D. Watson.  Mood and temperament , 2000 .

[34]  L. Kozlowski,et al.  The Fagerström Test for Nicotine Dependence: a revision of the Fagerström Tolerance Questionnaire. , 1991, British journal of addiction.

[35]  Bernard Arons,et al.  Substance Abuse and Mental Health Services Administration Center for Mental Health Services , 2001 .

[36]  M. Zvolensky,et al.  Evaluating the Role of Anxiety Sensitivity in Smoking Outcome Expectancies Among Regular Smokers , 2004, Cognitive Therapy and Research.

[37]  G. Bovasso,et al.  Cannabis Abuse as a Risk Factor for Depressive Symptoms , 2003 .

[38]  N. Schmidt,et al.  The role of anxiety sensitivity in the pathogenesis of panic: prospective evaluation of spontaneous panic attacks during acute stress. , 1997, Journal of abnormal psychology.

[39]  E. Nunes,et al.  Rates of Psychiatric Comorbidity Among U.S. Residents with Lifetime Cannabis Dependence , 2002, The American journal of drug and alcohol abuse.

[40]  O. Aasland,et al.  Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption--II. , 1993, Addiction.

[41]  Jacob Cohen.  Statistical Power Analysis for the Behavioral Sciences , 1969, The SAGE Encyclopedia of Research Design.

[42]  C. Correia,et al.  An affective-motivational model of marijuana and alcohol problems among college students. , 2005, Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors.

[43]  W. M. Cox,et al.  A motivational model of alcohol use. , 1988, Journal of abnormal psychology.

[44]  Heather C. Lench,et al.  Incremental validity of new clinical assessment measures. , 2003, Psychological assessment.

[45]  S. Taylor.  Anxiety sensitivity. , 1998, The Harvard mental health letter.

[46]  A. Amos,et al.  'You can't go without a fag...you need it for your hash'--a qualitative exploration of smoking, cannabis and young people. , 2004, Addiction.

[47]  J. Peto,et al.  The Classification of Smoking by Factorial Structure of Motives , 1974 .

[48]  Sherry H. Stewart,et al.  Negative-reinforcement drinking motives mediate the relation between anxiety sensitivity and increased drinking behavior , 2001 .

[49]  G. Eifert,et al.  Evoking analogue subtypes of panic attacks in a nonclinical population using carbon dioxide-enriched air. , 2000, Behaviour research and therapy.

[50]  Robert P. Abelson,et al.  A Variance Explanation Paradox : When a Little is a Lot , 1985 .

[51]  M. Zvolensky,et al.  Marijuana use motives and social anxiety among marijuana-using young adults. , 2007, Addictive behaviors.

[52]  S. Reiss,et al.  Anxiety sensitivity in 1984 and panic attacks in 1987 , 1992 .

[53]  Maristela Monteiro,et al.  AUDIT - The alcohol use disorders identification test: guidelines for use in primary care. , 2001 .

[54]  M. Lebowitz,et al.  Respiratory effects of non-tobacco cigarettes. , 1987, British medical journal.

[55]  P. Lachenbruch.  Statistical Power Analysis for the Behavioral Sciences (2nd ed.) , 1989 .

[56]  Megan E. Piper,et al.  A multiple motives approach to tobacco dependence: the Wisconsin Inventory of Smoking Dependence Motives (WISDM-68). , 2004, Journal of consulting and clinical psychology.

[57]  R. Rapee,et al.  Fear of physical sensations and trait anxiety as mediators of the response to hyperventilation in nonclinical subjects. , 1994, Journal of abnormal psychology.

[58]  M. L. Cooper,et al.  Motivations for alcohol use among adolescents: development and validation of a four-factor model , 1994 .

[59]  J. Halikas,et al.  Marijuana use and psychiatric illness: a follow-up study. , 1985, The American journal of psychiatry.

[60]  J. P. Forsyth,et al.  Classification of panic attack subtypes in patients and normal controls in response to biological challenge: implications for assessment and treatment. , 2002, Journal of anxiety disorders.

[61]  Steven Taylor,et al.  Robust dimensions of anxiety sensitivity: development and initial validation of the Anxiety Sensitivity Index-3. , 2007, Psychological assessment.

[62]  M. Zvolensky,et al.  Incremental Validity of Coping-oriented Marijuana Use Motives in the Prediction of Affect-based Psychological Vulnerability , 2007 .

[63]  M. Zvolensky,et al.  Marijuana Use Among Daily Tobacco Smokers: Relationship to Anxiety-Related Factors , 2005 .

[64]  K. Carey,et al.  A comparison of motives for marijuana and alcohol use among experienced users. , 2000, Addictive behaviors.

[65]  R. McNally,et al.  Anxiety sensitivity and panic disorder , 2002, Biological Psychiatry.

[66]  Lindsey M. Dorflinger,et al.  Fear reactivity to bodily sensations among heavy smokers and nonsmokers. , 2008, Experimental and clinical psychopharmacology.

[67]  H. Kraemer,et al.  Predictors of panic attacks in adolescents. , 2000, Journal of the American Academy of Child and Adolescent Psychiatry.

[68]  M. Zvolensky,et al.  Posttraumatic stress symptom severity predicts marijuana use coping motives among traumatic event-exposed marijuana users. , 2007, Journal of traumatic stress.

[69]  E. E. Simpson,et al.  Adult marijuana users seeking treatment. , 1993, Journal of consulting and clinical psychology.

[70]  R. Rapee,et al.  Panic induction via inhalation of 5.5% CO2 enriched air: a single subject analysis of psychological and physiological effects. , 1988, Behaviour research and therapy.

[71]  S. Reiss,et al.  Anxiety sensitivity, anxiety frequency and the prediction of fearfulness. , 1986, Behaviour research and therapy.

[72]  S. Stewart,et al.  The relations of trait anxiety, anxiety sensitivity, and sensation seeking to adolescents' motivations for alcohol, cigarette, and marijuana use. , 2001, Addictive behaviors.

[73]  M. Zvolensky,et al.  Diathesis stress model for panic-related distress: a test in a Russian epidemiological sample. , 2005, Behaviour research and therapy.

[74]  J. Richards,et al.  Effects of THC on Behavioral Measures of Impulsivity in Humans , 2003, Neuropsychopharmacology.

[75]  M. Zvolensky,et al.  Anxiety sensitivity: prospective prediction of panic attacks and Axis I pathology. , 2006, Journal of psychiatric research.

[76]  B. Grant,et al.  Comorbidity between DSM-IV drug use disorders and major depression: results of a national survey of adults. , 1995, Journal of substance abuse.

[77]  M. Zvolensky,et al.  Panic reactivity to voluntary hyperventilation challenge predicts distress tolerance to bodily sensations among daily cigarette smokers. , 2008, Experimental and clinical psychopharmacology.