Co-occurring tobacco use and posttraumatic stress disorder: Smoking cessation treatment implications.
Co-occurring tobacco use and posttraumatic stress disorder: Smoking cessation treatment implications.
复制标题
同时发生的烟草使用和创伤后应激障碍：戒烟治疗的影响。
DOI：
10.1111/ajad.12304
复制
发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Sofuoglu,Mehmet
中科院分区：
文献类型：
--
作者：
Kelly,MeganM;Jensen,KevinP;Sofuoglu,Mehmet
Background and ObjectivesPTSD and cigarette smoking frequently co‐occur for reasons that are not well understood. The current behavioral and pharmacological treatments and emerging new treatment targets for smoking cessation are discussed.MethodsHere we describe recent research on PTSD and smoking with an emphasis on 1) the clinical characteristics of smokers with PTSD, 2) smoking treatment trials that specifically targeted smokers with PTSD, 3) recent research on stress‐response and affect regulation pathways that might link the two disorders and 4) potential ways to leverage new findings on stress response systems and affect regulation mechanisms to improve treatment outcomes for smokers with PTSD.ResultsSmokers with PTSD have higher rates of smoking compared to the general population and have greater difficulty quitting compared to smokers without PTSD. There have been several studies of adjunctive and integrated smoking cessation interventions for smokers with PTSD, but fewer tailored interventions that intensively target stress‐response pathways or affect regulation related to both tobacco use and PTSD. Stress‐response pathways and affect regulation appear to be important mechanisms involved in the development and maintenance of smoking in individuals with PTSD.Conclusions and Scientific SignificanceAdditional research that focuses on smokers with PTSD is warranted given that successful tobacco treatment response is low and the negative health effects of each disorder can be greatly amplified. (Am J Addict 2015;XX:1–10)
