Authors
Adam M Leventhal, Michael J Zvolensky
Publication date
2015/1
Source
Psychological bulletin
Volume
141
Issue
1
Pages
176
Publisher
American Psychological Association
Description
Research into the comorbidity between emotional psychopathology and cigarette smoking has often focused upon anxiety and depression’s manifest symptoms and syndromes, with limited theoretical and clinical advancement. This article presents a novel framework to understanding emotion–smoking comorbidity. We propose that transdiagnostic emotional vulnerabilities—core biobehavioral traits reflecting maladaptive responses to emotional states that underpin multiple types of emotional psychopathology—link various anxiety and depressive psychopathologies to smoking. This framework is applied in a review and synthesis of the empirical literature on 3 transdiagnostic emotional vulnerabilities implicated in smoking:(a) anhedonia (Anh; diminished pleasure/interest in response to rewards),(b) anxiety sensitivity (AS; fear of anxiety-related sensations), and (c) distress tolerance (DT; ability to withstand …
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