Ad lib smoking in post-traumatic stress disorder: An electronic diary study

Ad lib smoking in post-traumatic stress disorder: An electronic diary study
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DOI:
10.1080/14622200802123302
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发表时间:
2008-01-01
影响因子:
4.7
通讯作者:
Calhoun, Patrick S.
Calhoun, Patrick S.
中科院分区:
医学2区
文献类型:
--
作者:
Beckham, Jean C.;Wiley, Matthew T.;Calhoun, Patrick S.

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本研究采用动态监测方法,对22名吸烟者和23名无创伤后应激障碍(PTSD)的吸烟者进行了为期1周的监测,研究了吸烟与情境线索之间的关系。广义估计方程对比了1,759吸烟和1,088不吸烟的情况下,组状态控制多个协变量。PTSD吸烟者在日常活动中报告了更高的压力和PTSD症状。对于所有吸烟者来说,更高的尼古丁依赖性,渴望,食物和咖啡因消费以及外出都与吸烟有关。PTSD吸烟者在经历PTSD症状、焦虑和压力时更容易吸烟。吸烟后,患有PTSD的吸烟者报告负面影响显着减少。这些结果与先前关于吸烟者情绪的动态研究结果一致,并强调在患有PTSD的吸烟者中,PTSD症状变量以及压力和焦虑与随意吸烟显著相关。
Using ambulatory methods for 1 week of monitoring, this study investigated the association between smoking and situational cues in 22 smokers with post-traumatic stress disorder (PTSD) and 23 smokers without PTSD. Generalized estimating equations contrasted 1,759 smoking and 1,088 nonsmoking situations by group status controlling for multiple covariates. PTSD smokers reported higher stress and PTSD symptoms across daily activities. For all smokers, higher nicotine dependence, craving, food and caffeine consumption, and being outside were related to smoking. PTSD smokers were more likely to smoke when experiencing PTSD symptoms, anxiety, and stress. Following smoking, smokers with PTSD reported a significant reduction in negative affect. These results are consistent with previous ambulatory findings regarding mood in smokers, and underscore that in smokers with PTSD, PTSD symptom variables as well as stress and anxiety are significantly associated with ad lib smoking.