0805 Adolescent Cigarette Smoking Interacts with Anxiety Sensitivity in Relation to Sleep Onset Latency. (12th April 2019)

• Record Type: Journal Article
• Authors: Campbell, Rebecca L; Bilsky, Sarah; Feldner, Matthew; Leen-Feldner, Ellen
• Is Part Of: Sleep. Volume 42(2019)Supplement 1
• Page Start: A323
• Page End: A323
• Publication Date: 2019-04-12
• Subjects: Sleep -- Physiological aspects -- Periodicals; Sleep disorders -- Periodicals; Sommeil -- Aspect physiologique -- Périodiques; Sommeil, Troubles du -- Périodiques; Sleep disorders; Sleep -- Physiological aspects; Sleep -- physiological aspects; Sleep Wake Disorders; Psychophysiology; Electronic journals; Periodicals; 616.8498
• DOI: 10.1093/sleep/zsz067.803
• Languages: English
• ISSNs: 0161-8105

Abstract

Abstract: Introduction: Studies suggest adolescent cigarette smoking is associated with sleep difficulties (Pasch, Latimer, Cance, Moe, & Lytle, 2012), yet little work has examined smoking and sleep onset latency (SOL). Adult research suggests smoking prospectively relates to SOL (Cohrs et al., 2014). A meta-analysis found mixed evidence for adolescents (Bartel, Gradisar, & Williamson, 2015). Inconsistent findings may be due to anxiety sensitivity (AS), which has been linked to smoking (e.g., Leventhal & Zvolensky, 2014) and sleep disturbances (e.g., Gregory & Eley, 2005). The current study examined AS and the relation between smoking and SOL among adolescents. Methods: We hypothesized AS would interact with smoking such that as levels of AS increased, smoking level would be more strongly, positively related to extended SOL. Ninety-four adolescents ( n = 50 males) ages 12-17 ( M age = 15.72; SD = 1.38) were included. The Childhood Anxiety Sensitivity Index (CASI; Silverman, Fleisig, Rabian, & Peterson, 1991) was used to measure AS. The Pittsburgh Sleep Quality Index (PSQI; Buysse, Reynolds, Monk, Berman, & Kupfer, 1989) was used to index SOL. Daily smoking was measured using a continuous question from the Smoking History Questionnaire (SHQ). Results: Separate hierarchical multiple regression analyses were conducted revealing a significant omnibus regression model, F (5, 88) = 9.60, p < .001, explaining 18.24% of variance in SOL. Age and gender did not account for significant variance in SOL scores in step 1. In step 2, CASI, β = 0.06, p < .001, sr 2 = 0.09, and cigarettes per day, β = 0.03, p = .052, sr 2 = 0.01, were significantly related to prolonged SOL. At step 3, there was a significant interaction between cigarettes smoked and CASI scores, β = 0.01, p < .001, sr 2 = 0.09. Post hoc probing analyses suggested cigarettes smoked was associated with prolonged SOL, but only for adolescents who were at high or mean levels of AS. Conclusion: The link between smoking, AS, and SOL suggests a complicated process requiring consideration in smoking prevention and treatment, as sleep disturbances may exacerbate symptoms. Support (If Any)