Transition and change: prospective effects of posttraumatic stress on smoking trajectories in the first year of college.

Transition and change: prospective effects of posttraumatic stress on smoking trajectories in the first year of college.
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DOI:
10.1037/a0029085
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发表时间:
2013-07
期刊:
影响因子:
4.2
通讯作者:
White, Jacquelyn
White, Jacquelyn
中科院分区:
心理学2区
文献类型:
--
作者:
Read, Jennifer P.;Wardell, Jeffrey D.;Vermont, Leah N.;Colder, Craig R.;Ouimette, Paige;White, Jacquelyn

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大学入学开始了一个过渡期,以新的自由和责任为标志,各种危险行为,包括吸烟,都在增加。创伤和创伤后应激障碍(PTSD)是吸烟后果的公认危险因素,因此可能成为大学吸烟的一个干预点。然而,还没有研究调查大学生创伤、创伤后应激障碍和吸烟之间的关系。本研究提供了这样一种检查。参加入学的学生吸烟者(N=346)在9月份(T1)和随后的5个时间点(T2-T6)完成了大学第一年的调查。通过潜在增长分析,我们根据创伤后应激障碍症状状态(即无创伤后应激障碍症状与部分创伤后应激障碍与完全创伤后应激障碍)来模拟吸烟轨迹。结果表明,尽管在第一学期,所有组的吸烟率都有下降的趋势,但在第二学期吸烟加剧的显著风险是由于入学时存在创伤后应激障碍。为患有创伤后应激障碍的学生提供支持和资源的干预措施可能有助于防止吸烟行为升级,并最终可能阻止成年后每天吸烟。
College matriculation begins a period of transition that is marked by new freedoms and responsibilities by and increases in a variety of risky behaviors, including smoking. Trauma and post-traumatic stress disorder (PTSD) are well-established risk factors for smoking outcomes, and thus may be a point of intervention for college smoking. Yet, no studies have examined associations among trauma, PTSD, and smoking in college students. The present study provides such an examination. Matriculating student smokers (N=346) completed surveys in September (T1) and at five subsequent time points (T2-T6) over their first year of college. With latent growth analysis, we modeled smoking trajectories conditioned on PTSD symptom status (i.e., No PTSD Symptoms vs. Partial PTSD vs. Full PTSD). Results showed that, although smoking tended to decline during the first semester for all groups, significant risk for escalation in smoking during the second semester was conferred specifically by the presence of PTSD at matriculation. Interventions that offer support and resources to students entering college with PTSD may help to prevent smoking behaviors from escalating, and may ultimately prevent the adoption of daily smoking in later adulthood.
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