Cross-lagged effects of posttraumatic stress disorder symptom severity and cigarette smoking among OEF/OIF/OND veterans.
Cross-lagged effects of posttraumatic stress disorder symptom severity and cigarette smoking among OEF/OIF/OND veterans.
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DOI：
10.1002/da.23091
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发表时间：
2020-11
影响因子：
7.4
通讯作者：
Keane, Terence M.
中科院分区：
文献类型：
--
作者：
Mahoney, Colin T.;Zweig, Ilana R.;Marx, Brian P.;Keane, Terence M.
众所周知，患有创伤后应激障碍(PTSD)的退伍军人吸烟水平高于没有PTSD的退伍军人和平民。这项研究旨在阐明吸烟和创伤后应激障碍症状是如何随着时间的推移而相互作用的。这项研究考察了在一大群男性和女性重返OEF/OIF/OND退伍军人的三个(T1-T3)时间点(N=851)中，平均每天吸烟与PTSD症状严重程度之间的方向性和强度(男性年龄=37.56岁；SD=10.10岁)。我们使用交叉滞后面板分析来评估它们的时间关系。分析表明，T1时的创伤后应激障碍症状严重程度显著预测T2时的吸烟行为，这种预测关联在T2至T3期间保持不变。相反，在T1和T2吸烟分别不能预测T2和T3的创伤后应激障碍症状严重程度。尽管效应规模很小，但在T1和T2时，PTSD症状的严重程度与吸烟有关，但与T3无关。此外，当按性别进行分析时，发现了相同的结果，只是从横向来看，这些联系对女性比对男性更强。我们的发现为创伤后应激障碍症状严重程度与烟草使用之间的纵向关联提供了一些证据，并强调了潜在的干预目标。
Veterans with posttraumatic stress disorder (PTSD) are known to smoke cigarettes at elevated levels in comparison to both veterans without PTSD and civilians. This study aims to elucidate how cigarette smoking and PTSD symptoms interact over time. This study examined the directionality and strength of the relationship between average daily cigarette smoking and PTSD symptom severity across three (T1-T3) time points in a large cohort (N = 851) of male and female returning OEF/OIF/OND veterans who were either current or former smokers at T1 (M age = 37.56; SD = 10.10). We used cross-lagged panel analyses to evaluate their temporal relations. The analyses indicated that PTSD symptom severity at T1 significantly predicted cigarette smoking at T2, and this predictive association was maintained from T2 to T3. Conversely, smoking at T1 and T2 did not predict PTSD symptom severity at T2 and T3, respectively. Although effect sizes were small, PTSD symptom severity was cross-sectionally related to smoking at T1 and T2, but not T3. In addition, when analyses were examined by gender, the same results were found except these associations were stronger for women than for men cross-sectionally. Our findings provide some evidence of a longitudinal association between PTSD symptom severity and tobacco use and highlights potential targets of intervention.
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