Resilient but addicted: The impact of resilience on the relationship between smoking withdrawal and PTSD.
Resilient but addicted: The impact of resilience on the relationship between smoking withdrawal and PTSD.
复制标题
有弹性但上瘾：弹性对戒烟和创伤后应激障碍之间关系的影响。
DOI：
10.1016/j.jpsychires.2015.03.021
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发表时间：
2015
影响因子：
4.8
通讯作者：
Foa,EdnaB
中科院分区：
文献类型：
--
作者：
Asnaani,Anu;Alpert,Elizabeth;McLean,CarmenP;Foa,EdnaB
尼古丁的使用在创伤后应激障碍(PTSD)患者中很常见。韧性反映在一个人应对压力的能力上，已被证明与较少吸烟和创伤后应激症状有关，但这三个变量之间的关系尚未得到研究。这项研究调查了复原力和尼古丁戒断之间的相互关系以及与创伤后应激障碍症状的关系。参与者是118名患有创伤后应激障碍的吸烟者，他们正在寻求创伤后应激障碍和尼古丁的治疗。数据从研究的第0周、第12周和第27周这三个时间点随机横断面抽样。分层多元回归分析显示，弹性和尼古丁戒断症状对创伤后应激障碍严重程度的主要影响，控制了样本时间点、负面影响和过期一氧化碳浓度。与之前的研究一致，创伤后应激障碍的严重性在弹性较差的人和尼古丁戒断程度较高的人中更高。恢复力和尼古丁戒断之间在自我报告的创伤后应激障碍严重程度上存在交互作用，因此只有在尼古丁戒断症状较低的参与者中，较强的恢复力与较低的创伤后应激障碍严重程度相关。在尼古丁戒断程度高的人中，无论弹性水平如何，创伤后应激障碍的严重程度都很高。这些结果表明，对于尼古丁戒断水平较低的人来说，弹性是PTSD严重程度的保护因素，但在尼古丁戒断水平较高的人，弹性的保护功能会减弱。
Nicotine use is common among people with posttraumatic stress disorder (PTSD). Resilience, which is reflected in one's ability to cope with stress, has been shown to be associated with lower cigarette smoking and posttraumatic stress symptoms, but relationships among these three variables have not been examined. This study investigates the relationships of resilience and nicotine withdrawal with each other and in relation to PTSD symptoms. Participants were 118 cigarette smokers with PTSD seeking treatment for PTSD and nicotine use. Data were randomly cross-sectionally sampled from three time points: week 0, week 12, and week 27 of the study. Hierarchical multiple regression analyses revealed main effects of both resilience and nicotine withdrawal symptoms on PTSD severity, controlling for the sampled time point, negative affect, and expired carbon monoxide concentration. Consistent with prior research, PTSD severity was higher among individuals who were less resilient and for those who had greater nicotine withdrawal. There was an interaction between resilience and nicotine withdrawal on self-reported PTSD severity, such that greater resilience was associated with lower PTSD severity only among participants with low nicotine withdrawal symptoms. Among individuals with high nicotine withdrawal, PTSD severity was high, regardless of resilience level. These results suggest that resilience is a protective factor for PTSD severity for those with low levels of nicotine withdrawal, but at high levels of nicotine withdrawal, the protective function of resilience is mitigated.