Relationship of childhood trauma to depression and smoking outcomes in pregnant smokers.
Relationship of childhood trauma to depression and smoking outcomes in pregnant smokers.
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DOI：
10.1037/a0033381
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发表时间：
2013-10
影响因子：
5.9
通讯作者：
Cinciripini, Paul M.
中科院分区：
文献类型：
--
作者：
Blalock, Janice A.;Minnix, Jennifer A.;Mathew, Amanda R.;Wetter, David W.;McCullough, James P., Jr.;Cinciripini, Paul M.
我们评估了童年创伤是否减轻了对怀孕吸烟者抑郁和吸烟结果的治疗效果。该样本包括参与一项随机试验的怀孕吸烟者，该试验评估了 10 次人际聚焦疗法——心理治疗认知行为分析系统 (CBASP) 与时间匹配的健康和保健控制 (HW) 对戒烟和减少抑郁的疗效。完成了儿童创伤问卷 (CTQ) 的女性 (N = 248) 也被纳入其中。女性平均年龄为 25 岁 (SD = 5.91)，每天吸 10 支香烟 (SD = 6.9)。使用流行病学研究中心抑郁量表 (CES-D) 评估抑郁症状，女性的平均得分为 21 (SD = 11.03)。根据 CTQ 的评估，76% 的女性经历过某种形式的中度至重度童年创伤。对于有中度至重度童年创伤史的女性，治疗对产后 6 个月的抑郁结果存在剂量反应关系；那些童年创伤越来越多的人从 CBASP 中受益更多，而那些处于 HW 状况的人却没有。童年创伤并没有减弱治疗对戒断的影响，尽管创伤程度的增加与治疗后 6 个月戒断的可能性降低有关。对于有童年创伤史的怀孕吸烟者来说，以人际为中心的治疗可能有益于治疗产前抑郁症，并且随着创伤经历的累积，这种治疗变得越来越重要。童年创伤会增加怀孕吸烟者戒烟失败的风险。
We evaluated whether childhood trauma moderated the treatment effect on depression and smoking outcomes in pregnant smokers. The sample included pregnant smokers participating in a randomized trial evaluating the efficacy of a 10-session interpersonally focused therapy—cognitive behavioral analysis system of psychotherapy (CBASP), versus a time-matched health and wellness control (HW) for smoking cessation and depression reduction. Women (N = 248) who completed the Childhood Trauma Questionnaire (CTQ) were included. On average, women were 25 years old (SD = 5.91) and smoked 10 (SD = 6.9) cigarettes per day. Depressive symptoms were assessed with the Center for Epidemiological Studies-Depression Scale (CES-D) and women had an average score of 21 (SD = 11.03). Seventy-six percent of women had experienced some form of moderate to severe childhood trauma as assessed by the CTQ. In women with a history of moderate to severe childhood trauma, there was a dose-response association of treatment on depression outcome through 6 months postpartum; those with increasing amounts of childhood trauma benefitted more from CBASP, while those in the HW condition did not. Childhood trauma did not moderate the treatment effect on abstinence, although increasing amounts of trauma were associated with reduced likelihood of abstinence at 6 months post treatment. An interpersonally-focused therapy may be beneficial for the treatment of depression during the prenatal period in pregnant smokers with childhood trauma histories and such treatment becomes increasingly more important with cumulative trauma experience. Childhood trauma increases risk for cessation failure in pregnant smokers.
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影响因子：
--
作者：
Grote, Nancy K.;Bridge, Jeffrey A.;Gavin, Amelia R.;Melville, Jennifer L.;Iyengar, Satish;Katon, Wayne J.
通讯作者：
Katon, Wayne J.
影响因子：
7.4
作者：
Grote, Nancy K.;Spieker, Susan J.;Katon, Wayne
通讯作者：
Katon, Wayne
影响因子：
3.3
作者：
Briere, John;Kaltman, Stacey;Green, Bonnie L.
通讯作者：
Green, Bonnie L.
影响因子：
4.8
作者：
Bernstein, DP;Stein, JA;Zule, W
通讯作者：
Zule, W
影响因子：
5.9
作者：
Cinciripini, Paul M.;Blalock, Janice A.;Karam-Hage, Maher
通讯作者：
Karam-Hage, Maher