Tobacco Cigarette Smokers Who Endorse Greater Intolerance for Nicotine Withdrawal Also Report More Severe Insomnia Symptoms

Overview

Journal Exp Clin Psychopharmacol

Publisher American Psychological Association

Specialty Pharmacology

Date 2021 Feb 25

PMID 33630648

Authors

Emma C Lape

Lisa R LaRowe

Emily L Zale

Les A Gellis

Aesoon Park

Joseph W Ditre

Affiliations

Soon will be listed here.

Abstract

It has been suggested that nighttime nicotine withdrawal may help to explain why tobacco cigarette smokers are more likely than nonsmokers to experience clinically significant insomnia. There is also reason to believe that intolerance for withdrawal symptoms could play a role in withdrawal-related sleep disturbance. However, we are not aware of any previous research that examined whether smokers who endorse greater intolerance for smoking abstinence also report greater difficulty initiating and/or maintaining sleep. To address this question, 224 adult cigarette smokers (42.9% female, = 21.3) completed the baseline portion of an experimental study that included assessment of current/historical smoking behavior, perceived intolerance for smoking abstinence, and insomnia severity and impact on functioning. The results indicated that, after accounting for general distress intolerance and sociodemographic factors, smokers who endorsed greater intolerance for nicotine withdrawal also reported greater insomnia severity and impact. Logistic regression further revealed that, for every 1-point increase in nicotine withdrawal intolerance scores, smokers were nearly twice as likely to score above threshold for clinically significant insomnia ( = .001). Collectively, these initial findings suggest that intolerance for nicotine withdrawal may warrant consideration as a potentially modifiable mechanistic factor in comorbid insomnia and nicotine/tobacco dependence. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

References

Herrero Babiloni A, De Koninck B, Beetz G, De Beaumont L, Martel M, Lavigne G . Sleep and pain: recent insights, mechanisms, and future directions in the investigation of this relationship. J Neural Transm (Vienna). 2019; 127(4):647-660. DOI: 10.1007/s00702-019-02067-z. View

Bazargan M, Mian N, Cobb S, Vargas R, Assari S . Insomnia Symptoms among African-American Older Adults in Economically Disadvantaged Areas of South Los Angeles. Brain Sci. 2019; 9(11). PMC: 6896036. DOI: 10.3390/brainsci9110306. View

Zhang L, Samet J, Caffo B, Punjabi N . Cigarette smoking and nocturnal sleep architecture. Am J Epidemiol. 2006; 164(6):529-37. DOI: 10.1093/aje/kwj231. View

Wetter D, YOUNG T . The relation between cigarette smoking and sleep disturbance. Prev Med. 1994; 23(3):328-34. DOI: 10.1006/pmed.1994.1046. View

Lauriola M, Carleton R, Tempesta D, Calanna P, Socci V, Mosca O . A Correlational Analysis of the Relationships among Intolerance of Uncertainty, Anxiety Sensitivity, Subjective Sleep Quality, and Insomnia Symptoms. Int J Environ Res Public Health. 2019; 16(18). PMC: 6765836. DOI: 10.3390/ijerph16183253. View

Roth T, Coulouvrat C, Hajak G, Lakoma M, Sampson N, Shahly V . Prevalence and perceived health associated with insomnia based on DSM-IV-TR; International Statistical Classification of Diseases and Related Health Problems, Tenth Revision; and Research Diagnostic Criteria/International Classification of Sleep.... Biol Psychiatry. 2011; 69(6):592-600. DOI: 10.1016/j.biopsych.2010.10.023. View

Kozlowski L, Porter C, Orleans C, Pope M, Heatherton T . Predicting smoking cessation with self-reported measures of nicotine dependence: FTQ, FTND, and HSI. Drug Alcohol Depend. 1994; 34(3):211-6. DOI: 10.1016/0376-8716(94)90158-9. View

Schmidt N, Richey J, Fitzpatrick K . Discomfort intolerance: Development of a construct and measure relevant to panic disorder. J Anxiety Disord. 2006; 20(3):263-80. DOI: 10.1016/j.janxdis.2005.02.002. View

Sirota A, Rohsenow D, Dolan S, Martin R, Kahler C . Intolerance for discomfort among smokers: comparison of smoking-specific and non-specific measures to smoking history and patterns. Addict Behav. 2012; 38(3):1782-7. PMC: 3558609. DOI: 10.1016/j.addbeh.2012.10.009. View

10.

Ditre J, Zale E, LaRowe L, Kosiba J, De Vita M . Nicotine deprivation increases pain intensity, neurogenic inflammation, and mechanical hyperalgesia among daily tobacco smokers. J Abnorm Psychol. 2018; 127(6):578-589. PMC: 6089646. DOI: 10.1037/abn0000353. View

11.

Purani H, Friedrichsen S, Allen A . Sleep quality in cigarette smokers: Associations with smoking-related outcomes and exercise. Addict Behav. 2018; 90:71-76. PMC: 6324958. DOI: 10.1016/j.addbeh.2018.10.023. View

12.

Ohayon M . Epidemiology of insomnia: what we know and what we still need to learn. Sleep Med Rev. 2003; 6(2):97-111. DOI: 10.1053/smrv.2002.0186. View

13.

Hughes J . Effects of abstinence from tobacco: valid symptoms and time course. Nicotine Tob Res. 2007; 9(3):315-27. DOI: 10.1080/14622200701188919. View

14.

Taylor D, Lichstein K, Heith Durrence H . Insomnia as a health risk factor. Behav Sleep Med. 2004; 1(4):227-47. DOI: 10.1207/S15402010BSM0104_5. View

15.

McHugh R, Otto M . Domain-general and domain-specific strategies for the assessment of distress intolerance. Psychol Addict Behav. 2011; 25(4):745-9. PMC: 3232280. DOI: 10.1037/a0025094. View

16.

Cohen A, Ben Abu N, Haimov I . The Interplay Between Tobacco Dependence and Sleep Quality Among Young Adults. Behav Sleep Med. 2018; 18(2):163-176. DOI: 10.1080/15402002.2018.1546707. View

17.

Sirota A, Rohsenow D, Mackinnon S, Martin R, Eaton C, Kaplan G . Intolerance for Smoking Abstinence Questionnaire: psychometric properties and relationship to tobacco dependence and abstinence. Addict Behav. 2010; 35(7):686-93. PMC: 3746812. DOI: 10.1016/j.addbeh.2010.02.014. View

18.

Taylor D, Peterson A, Pruiksma K, Hale W, Young-McCaughan S, Wilkerson A . Impact of cognitive behavioral therapy for insomnia disorder on sleep and comorbid symptoms in military personnel: a randomized clinical trial. Sleep. 2018; 41(6). DOI: 10.1093/sleep/zsy069. View

19.

Wicklow A, Espie C . Intrusive thoughts and their relationship to actigraphic measurement of sleep: towards a cognitive model of insomnia. Behav Res Ther. 2000; 38(7):679-93. DOI: 10.1016/s0005-7967(99)00136-9. View

20.

Steinberg M, Williams J, Gandhi K, Foulds J, Epstein E, Brandon T . Task persistence predicts smoking cessation in smokers with and without schizophrenia. Psychol Addict Behav. 2012; 26(4):850-8. PMC: 3605732. DOI: 10.1037/a0028375. View