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注意力不集中及多动/冲动症状对从青春期中期到青年期尼古丁依赖发展的影响。

Effects of inattention and hyperactivity/impulsivity symptoms on development of nicotine dependence from mid adolescence to young adulthood.

作者信息

Rodriguez Daniel, Tercyak Kenneth P, Audrain-McGovern Janet

机构信息

Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Suite 4100, Philadelphia, PA 19104, USA.

出版信息

J Pediatr Psychol. 2008 Jul;33(6):563-75. doi: 10.1093/jpepsy/jsm100. Epub 2007 Oct 23.

DOI:10.1093/jpepsy/jsm100
PMID:17956929
Abstract

OBJECTIVE

The relationship of Attention-Deficit/Hyperactivity Disorder (ADHD) and smoking is well documented. However, it is unclear whether ADHD symptoms relate to nicotine dependence (ND) symptoms from adolescence to young adulthood. We sought to assess the relationship of ADHD Hyperactivity-Impulsivity (H/I) and Inattention (I) symptoms with ND symptoms in a community sample from adolescence to young adulthood (ages 18-21).

METHODS

Participants were adolescents (n = 672) smoking at least one whole cigarette in their lifetime. Participants are members of a prospective cohort study (ages 14-22) evaluating the bio-behavioral predictors of smoking. Data were analyzed with a two-piece latent growth curve model.

RESULTS

ADHD-I symptoms were associated with ND symptoms acceleration in adolescence, but slowing acceleration in young adulthood, whereas ADHD-H/I symptoms were associated with ND symptoms acceleration in young adulthood.

CONCLUSIONS

The results suggest the relationship of ADHD and ND symptoms may differ by symptom type, and the developmental period assessed.

摘要

目的

注意缺陷多动障碍(ADHD)与吸烟之间的关系已有充分记录。然而,尚不清楚从青春期到青年期,ADHD症状是否与尼古丁依赖(ND)症状相关。我们试图在一个从青春期到青年期(18 - 21岁)的社区样本中评估ADHD多动冲动(H/I)和注意力不集中(I)症状与ND症状之间的关系。

方法

参与者为一生中至少吸食过一整支香烟的青少年(n = 672)。参与者是一项前瞻性队列研究(14 - 22岁)的成员,该研究评估吸烟的生物行为预测因素。数据采用两段式潜在增长曲线模型进行分析。

结果

ADHD - I症状在青春期与ND症状加速相关,但在青年期加速减缓,而ADHD - H/I症状在青年期与ND症状加速相关。

结论

结果表明,ADHD与ND症状之间的关系可能因症状类型和评估的发育阶段而异。

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