Khazaal Yasser, Cornuz Jacques, Zullino Daniele
Département universitaire de psychiatrie adulte, Hôpital de Cery, Lausanne.
Sante Ment Que. 2004 Spring;29(1):73-80. doi: 10.7202/008821ar.
This paper describes the relationship between several types of anxiety disorders and tobacco use. Possible explanations of those relationships are presented. Nicotine probably modulates the function of pathways involved in stress response and anxiety in the normal brain, which results in alterations of anxiety levels. Anxiety disorders do not seem to be related to a particular form of tobacco consumption. However, smoking is more frequent in these patients and seems to be implicated in some of their coping strategies. Understanding neurobiological and behavioral mechanisms underlying the association between smoking and anxiety disorders may improve physician's ability to assist smokers in their efforts to quit.
本文描述了几种焦虑症与烟草使用之间的关系。文中提出了对这些关系的可能解释。尼古丁可能调节正常大脑中参与应激反应和焦虑的神经通路功能,从而导致焦虑水平的改变。焦虑症似乎与特定形式的烟草消费无关。然而,这些患者吸烟更为频繁,且吸烟似乎在他们的一些应对策略中起作用。了解吸烟与焦虑症之间关联背后的神经生物学和行为机制,可能会提高医生帮助吸烟者戒烟的能力。