Anxiety sensitivity (AS)-fearfulness of anxiety symptoms-has been implicated in the etiology of emotional disorders (e.g., depressive and anxiety disorders) and linked to cigarette smoking and other substance use (SU). However, studies examining AS in relation to SU primarily have been conducted with racially/ethnically heterogeneous or mostly European American samples. Hence, this cross-sectional study involving secondary analysis of baseline data focused on investigating associations of AS with cigarette smoking and other SU in a sample of 630 non-treatment-seeking African American smokers (37.3% female; M age = 49.6 years; M cigarettes smoked per day = 15.4). After screening out individuals with non-nicotine substance dependence, participants reported their demographics, AS, dysphoria symptoms (i.e., depression and anxiety symptoms), and SU. In regression analyses controlling for dysphoria symptoms, age, education level, income level, and years of regular smoking, AS was positively associated with tobacco withdrawal severity (β = .12, p = .007), overall smoking motives (β = .17, p < .001), alcohol use problems (β = .12, p = .005), and other (non-nicotine, nonalcohol) SU problems (β = .16, p < .001). Though lacking the passage of time between assessments needed to provide strong evidence of mediation, unplanned analyses further revealed indirect associations of AS with several SU variables through dysphoria symptoms. Current findings are consistent with those found in prior samples and suggest that AS is similarly related to SU in African Americans, who may benefit from interventions that have been helpful in improving AS, dysphoria symptoms, and SU in other groups. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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非洲裔美国吸烟者与吸烟和其他物质使用有关的焦虑敏感性。

焦虑敏感性（AS）——对焦虑症状的恐惧——与情绪障碍（如抑郁症和焦虑症）的病因有关，并与吸烟和其他物质使用（SU）有关。然而，检查 AS 与 SU 相关的研究主要是针对种族/民族异质或主要是欧洲裔美国人的样本进​​行的。因此，这项涉及基线数据二次分析的横断面研究侧重于在 630 名非寻求治疗的非裔美国吸烟者（37.3% 女性；M 年龄 = 49.6 岁；M每天抽的香烟 = 15.4)。在筛选出非尼古丁物质依赖的个体后，参与者报告了他们的人口统计数据、AS、烦躁症状（即抑郁和焦虑症状）和 SU。在控制烦躁症状、年龄、教育水平、收入水平和定期吸烟年限的回归分析中，AS 与戒烟严重程度（β = .12，p = .007）、总体吸烟动机（β = .17）呈正相关, p < .001)、酒精使用问题 (β = .12, p = .005) 和其他（非尼古丁、非酒精）SU 问题 (β = .16, p < .001)。虽然缺乏提供强有力的调解证据所需的评估之间的时间流逝，但计划外的分析进一步揭示了 AS 通过烦躁症状与几个 SU 变量的间接关联。目前的研究结果与先前样本中的结果一致，表明 AS 与非裔美国人的 SU 类似，他们可能受益于有助于改善其他群体的 AS、烦躁症状和 SU 的干预措施。