Weaver Terri L, Cajdrić Aida, Jackson Erik R
Department of Psychology, Saint Louis University, 221 North Grand Blvd, Saint Louis, MO 63103, USA.
J Immigr Minor Health. 2008 Oct;10(5):407-14. doi: 10.1007/s10903-007-9102-6.
The interconnections among smoking status, severity of nicotine related physical dependence (NRPD), posttraumatic stress disorder (PTSD)-related physiological arousal and subjective health were explored within a sample of 66 resettled Bosnian refugees seeking primary healthcare services. Fifty-nine percent (n = 39/66) of the participants reported that they were current smokers and 44% (n = 29/66) indicated that they had smoked prior to the war. Both pre-war smoking and PTSD arousal independently predicted current smoking. In addition, total PTSD arousal and individual symptoms of sleep difficulties, irritability, concentration, and hypervigilance were significantly and positively associated with NRPD. Severity of PTSD arousal and age uniquely predicted NRPD. While poorer subjective health was significantly associated with positive current smoking status, neither poorer subjective health nor severity of PTSD arousal was significantly associated with interest in quitting/reducing smoking. Findings were discussed within the context of culture and stressor-related issues.
在66名寻求初级医疗服务的波斯尼亚难民安置样本中，探讨了吸烟状况、尼古丁相关身体依赖（NRPD）的严重程度、创伤后应激障碍（PTSD）相关的生理唤醒与主观健康之间的相互联系。59%（n = 39/66）的参与者报告称他们目前吸烟，44%（n = 29/66）表示他们在战前吸烟。战前吸烟和PTSD唤醒均独立预测当前吸烟情况。此外，PTSD唤醒总分以及睡眠困难、易怒、注意力不集中和过度警觉等个体症状与NRPD显著正相关。PTSD唤醒严重程度和年龄唯一地预测了NRPD。虽然较差的主观健康与当前吸烟阳性状态显著相关，但较差的主观健康和PTSD唤醒严重程度均与戒烟/减少吸烟的意愿无显著关联。研究结果在文化和应激源相关问题的背景下进行了讨论。
