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Rapid Response Abstract Book FIRENZE FIERA CONGRESS & EXHIBITION CENTER FLORENCE, ITALY MARCH 8-11, 2017 RAPID ABSTRACTS WWW.SRNT.ORG Poster Session 5 • Saturday, March 11, 2017 • 12:30 p.m.-2:00 p.m. knowledge-sharing (82%), with 18% knowledge-seeking (e.g., clinical consulta- POSTER SESSION 5 tions, requests for curricula, articles, or treatment materials). To better understand acuity concerns, we ran a frequency word count with the 47 listserv emails con- taining the keyword stem “suicid”. The most frequent word in conversations ref- erencing suicide was Chantix (varenicline). With tobacco treatment professionals POS5-1 dispersed across the US and globally, the ATTUD network and listserv is fostering DEVELOPMENT OF A MEASURE FOR AFFECT DURING interprofessional exchange. Analysis of the ATTUD listserv provided insight into CIGARETTE SMOKING ANTICIPATION what tobacco treatment professionals, across a variety of disciplines, are discuss- ing, sharing, and seeking in their work to address smoking among individuals with Philip Smith*1, Neelam Prashad1, Sara Lunden1, Christine Sheffer2, Adam mental illness. Leventhal3, Sherry McKee4, 1CUNY School of Medicine, NY, 2Roswell Park Cancer 3 4 Institute, NM, University of Southern California, CA, Yale University School of FUNDING: No Funding. Medicine, CT CORRESPONDING AUTHOR: Allison DeCastro, Stanford Prevention Research Anticipatory affect is the emotional states that individuals’ experience while expect- Center - Stanford Department of Medicine, CA, USA, [email protected] ing a significant event. In the context of substance use, individuals often experi- ence a range of emotional states each with specific valence and salience when expecting to use a particular substance. Such affective experiences are likely to have trait and state components, and might play an important role in initiating, maintaining, and extinguishing substance use. The aim of this study was to con- POS5-3 duct an initial investigation into the development of a measure of positive, high STUDY ON THE RELATIONSHIP BETWEEN ANXIETY activation (e.g. excitement) trait anticipatory affect for cigarette smokers. An iter- SENSITIVITY AND TOBACCO ABSTINENCE SYMPTOMS, ative process was used to modify the Positive and Negative Affect Schedule to SMOKING ABSTINENCE EXPECTANCIES, CIGARETTE develop the Behavioral Anticipatory Affect Measure (BAAM). Past-month cigarette DEPENDENCE smokers were recruited through Amazon Mechanical Turk, an online worker plat- 1 2 1 1 form. Respondents were asked to rate levels of affect while expecting to smoke Andrea Svicher* , Michael Zvolensky , Fiammetta Cosci , University of Florence, 2 a cigarette. Affect levels ranged in both valence and saliency. Respondents were Italy, University of Texas MD Anderson Cancer Center, TX re-administered the questionnaire after 1 week to examine test-retest reliability. BACKGROUND: Anxiety sensitivity (AS) is an amplifier of physiological and psy- Analyses examined variability, internal consistency, discriminant validity for pos- chological states that increases the cognitive tendency to catastrophize somat- itive, high activation affect, and test-re-test reliability. Participants (n=197; n=97 ic-affective symptoms. It seems to amplify the effects of experimentally manipulat- men, n=100 women) were primarily white (86%); 81% completed both administra- ed acute abstinence on subjective nicotine withdrawal symptoms. And, in a sample tions. Variability covered the full range of the scale (1-5; higher scores = stronger of treatment-seeking smokers, AS has been associated with reinforcement-relat- affect), with a slightly right-skewed distribution. The initial administration showed ed smoking variables as well as nicotine dependence (weak correlation). In this high internal consistency (alpha = 0.92) and high discriminant validity in relation framework, we investigated the relationship between AS and abstinence-related to negative affect and low-activation. Results were confirmed after 1 week (alpha problems, smoking abstinence expectancies, tobacco dependence. METHODS: = 0.90); Test-retest reliability was good (alpha = 0.80). Our initial examination of AS was assessed in 366 smokers of general population. Anxiety sensitivity (Anx- the BAAM demonstrated sound statistical and psycho-metric properties among iety Sensitivity Index 3 - ASI-3), tobacco abstinence symptoms (Minnesota Nic- cigarette smokers. Further analyses will explore concurrent/discriminant validity in otine Withdrawal Scale-Revised - MNWS-R, Smoker Complaint Scale - SCS), relation to other cigarette-smoking variables, and predictive validity in relation to expected consequences of short-term nicotine abstinence (Smoking Abstinence change in smoking behavior over time. Expectancies Questionnaire - SAEQ), cigarette dependence (Fagerström Test for FUNDING: NIMHD (R01 MD007054), NCI (P20 CA192993 and P20 CA192991), Cigarette Dependence – FTCD, Heaviness of Smoking Index - HSI), Negative Af- NIDA/NIAAA (K12 DA031050) fect (NA) (Positive and Negative Affect Schedule - PANAS) were measured. Linear regression analyses, adjusted for age and NA, were run. RESULTS: AS Cognitive CORRESPONDING AUTHOR: Philip Smith, CUNY School of Medicine, NY, concerns were strongly associated with self-perceived tobacco withdrawal symp- USA, [email protected] toms with an Odds Ratio (OR) of 0.87 (p = 0.001) for MNWS-R and of 0.90 (p = 0.001) for SCS. AS Physical Concerns were moderately associated with withdraw- al symptoms (OR = 0.49, p = 0.001 for MNWS-R; OR = 0.39, p = 0.01 for SCS) as well as with consequences of negative mood and lack of control (OR = 0.53, p = POS5-2 0.001). AS Social concerns were related only with MNWS-R scores (OR = 0.50, p TOBACCO TREATMENT COMMUNICATIONS ON MENTAL = 0.001). Not statistically significant results were found for AS and cigarette depen- dence. DISCUSSION: AS-related cognitive distortions have a strong influence on ILLNESS, TOBACCO USE AND CESSATION the perception of tobacco withdrawal symptoms whereas AS Physical Concerns Allison DeCastro*, Judith Prochaska, Catherine Brown-Johnson, Stanford have a moderate influence on perception of tobacco withdrawal as well as on Prevention Research Center - Stanford Department of Medicine, CA expectancies of negative mood and loss of control. AS does not correlate with the level of cigarette dependence. High prevalence of cigarette smoking among those with mental illness causes significant disparities in health and raises potential challenges to treatment. We FUNDING: No funding aimed to characterize the discourse of tobacco treatment professionals regarding CORRESPONDING AUTHOR: Andrea Svicher, University of Florence, Italy, an- smoking and psychiatric comorbidities. The data source was electronic communi- [email protected] cations on the ATTUD interprofessional listserv sent between April 2011 and June 2016. Of 10,486 emails, 968 (9.2%) included one or more of 17 keyword stems related to mental illness. In the identified subset, the most common keywords were “psych” (48.2%), “mental” (42.4%), “depress” (19.3%), “behavioral health” (14.4%), “anxiety” (10%), “schizo” (5.6%), and “suicid” (4.8%). The listserv par- POS5-4 ticipants represented in these communications were treatment specialists (25%), THE USE OF ELECTRONIC CIGARETTES: A NARRATIVE psychologists/researchers with doctoral degrees (17%), staff administrators or co- SYSTEMATIC LITERATURE REVIEW OF PREVALENCE AND ordinators (15.9%), psychiatrists (10.7%), other physicians (9.7%), nurses (7.3%), DETERMINANTS social workers (1.3%), and pharmacists (0.8%), with 12.3% profession unstated. Across professions, 37% identified as having tobacco treatment certification. We Kim Romijnders*1, Elizabeth den Boogert2, Liesbeth van Osch2, Hein de Vries2, coded the emails for content themes and mapped to a socioecological framework, Reinskje Talhout1, 1Dutch National Institute for Public Health and the Environment, allowing for coding in multiple levels due to the length of the email communica- Netherlands, 2Maastricht University - the Netherlands, Netherlands tions. The proportions were: intrapersonal (54.2%), interpersonal (28.2%), orga- OBJECTIVE. To inform public health communication, we explore prevalence and nizational (45.1%), community (54.3%), and public policy (28.5%). By profession, determinants of electronic cigarettes use for both adults and adolescents. DATA treatment specialists were represented highly across all levels with psychologists SOURCES. The search was conducted using OvidMedline and Scopus for articles also highly represented in the “intrapersonal” and “interpersonal” levels, and staff published up to the 10th of February 2016 that contained variations of ‘electronic administrators or coordinators represented highly in the “organizational”, “com- cigarette’, ‘motivation’, ‘perception’, and ‘attitude’. Restrictions included English munity”, and “public policy” levels. Most communications were characterized as 1 Poster Session 5 • Saturday, March 11, 2017 • 12:30 p.m.-2:00 p.m. and Dutch language and human subjects. STUDY SELECTION. Two reviewers screened all the titles and abstracts independently, blinded to authors and journal POS5-6 titles. Of the 904 articles identified, articles that were included revolved around RACIAL/ETHNIC DISCRIMINATION, MARKETING, AND prevalence and subjective reports related to e-cigarette use. DATA EXTRACTION. SUBSTANCE USE AMONG YOUNG ADULTS Two authors independently screened a random sample of publications to reach agreement (Cohen’s Kappa = 0.83). All titles
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