Stress and Cigarette Smoking among Black and Latinx Adults with Psychiatric Disorders

60 Minutes

Danielle M. Shpigel, PhD

Licensed Clinical Psychologist, Arlington, DC Behavior Therapy Institute, Rehabilitation Neuropsychologist & Founder, NeuroCognitive & Behavioral Diagnostics, Adjunct Faculty, Department of Applied Psychology, Steinhardt School of Culture, Education, and Human Development, New York University

Danielle M. Shpigel, PhD is a Licensed Clinical Psychologist specializing in brain-behavior relationships and the application of psychological science to promote health and prevent illness. Dr. Shpigel has contributed to research at the Brain Injury Research Center at the Icahn School of Medicine at Mount Sinai and Translational Research Institute for Pain in Later Life at Weill Cornell Medicine. During her doctoral graduate studies, she was a member of research labs examining eating behaviors and smoking and nicotine dependence at the Ferkauf Graduate School of Psychology at Yeshiva University. Dr. Shpigel also serves as Adjunct Faculty at NYU Steinhardt School of Culture, Education, and Human Development where she teaches graduate students within the Department of Applied Psychology. Her clinical work and research has focused, in large part, on psychological factors that impact individuals’ physical and cognitive health, including their health behaviors and ability to manage chronic medical conditions. Providing services to populations that experience health disparities, have multiple psychosocial vulnerabilities to developing medical conditions, and demonstrate adverse ways of coping with these vulnerabilities (e.g., smoking, binge eating, opioid abuse) has been a very rewarding part of her academic and professional career.

Andrea H. Weinberger, PhD

Licensed Clinical Psychologist (New York) Associate Professor, Ferkauf Graduate School of Psychology, Yeshiva University Research Assistant Professor, Department of Epidemiology and Population Health, Albert Einstein College of Medicine

Andrea H. Weinberger, PhD is a clinical psychologist and an Associate Professor in the Clinical Psychology (Health Emphasis) PhD program at Yeshiva University’s Ferkauf Graduate School of Psychology. She also has a secondary appointment in the Department of Epidemiology and Population Health at the Albert Einstein College of Medicine. Dr. Weinberger’s research focuses on groups who face disparities in tobacco use and consequences including women, racial/ethnic minority individuals, and adults with psychiatric, substance use, and medical conditions. She also conducts research on the epidemiology of tobacco use and quitting and smoking cessation treatment development. Dr. Weinberger has published over 130 papers and received grant funding from the National Institutes of Health. In addition to serving as the co-chair of Treatment Research Network in the Society for Research on Nicotine and Tobacco, she is a Deputy Editor at Nicotine & Tobacco Research and a Consulting Editor at Psychology of Addictive Behaviors.

Webinar Objectives
  1. Identify two disparities in cigarette use and consequences for individuals with psychiatric disorders and/or who are from racial/ethnic minority groups.
  2. Analyze the relationship between stress and cigarette smoking.
  3. Explain two of the findings from a study about stress and cigarette smoking in a sample of adults from racial/ethnic minoritized groups with psychiatric disorders.
  4. Describe psychosocial stress and psychiatric-related stress and smoking in relation to working with clients.
Instructions for CME/CE Credit

CME/CEUs are available for the recorded version of this webinar. Scroll down and click on the "Get Credit" button to begin.


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ACCME Accreditation

The University of California, San Francisco (UCSF) School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

UCSF designates this live activity for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the webinar activity.

Advance Practice Registered Nurses and Registered Nurses: For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 CreditTM issued by organizations accredited by the ACCME.

Physician Assistants: The National Commission on Certification of Physician Assistants (NCCPA) states that the AMA PRA Category 1 CreditTM are acceptable for continuing medical education requirements for recertification.

California Pharmacists: The California Board of Pharmacy accepts as continuing professional education those courses that meet the standard of relevance to pharmacy practice and have been approved for AMA PRA category 1 CreditTM. If you are a pharmacist in another state, you should check with your state board for approval of this credit.

California Psychologists: The California Board of Psychology recognizes and accepts for continuing education credit courses that are provided by entities approved by the Accreditation Council for Continuing Medical Education (ACCME). AMA PRA Category 1 CreditTM is acceptable to meeting the CE requirements for the California Board of Psychology. Providers in other states should check with their state boards for acceptance of CME credit.

California Behavioral Science Professionals: University of California, San Francisco School of Medicine (UCSF) is approved by the California Association of Marriage and Family Therapists to sponsor continuing education for behavioral health providers. UCSF maintains responsibility for this program/course and its content.

Course meets the qualifications for 1.0 hour of continuing education credit for LMFTs, LCSWs, LPCCs, and/or LEPs as required by the California Board of Behavioral Sciences. Provider # 64239.


The UCSF office of continuing medical education is accredited by the California Consortium of Addiction Programs and Professionals (CCAPP), to provide continuing education credit for California addiction counselors. UCSF designates this live, virtual activity, for a maximum of 1.0 CCAPP credit. Addiction counselors should claim only the credit commensurate with the extent of their participation in the activity. Provider number: 7-20-322-0722.


This UCSF CME activity was planned and developed to uphold academic standards to ensure balance, independence, objectivity, and scientific rigor; adhere to requirements to protect health information under the Health Insurance Portability and Accountability Act of 1996 (HIPAA); and include a mechanism to inform learners when unapproved or unlabeled uses of therapeutic products or agents are discussed or referenced.

All speakers, planning committee members and reviewers have disclosed they have no relevant financial relationships to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Anita Browning, Christine Cheng, Brian Clark, Jennifer Matekuare, Ma Krisanta Pamatmat, MPH, Jessica Safier, MA, Catherine Saucedo, Steven A. Schroeder, MD, Danielle Shpigel, PhD, Andrea H. Weinberger, PhD, and Aria Yow, MA.

Additional Resources Cited in the Webinar