Cook Jessica W, McFall Miles M, Calhoun Patrick S, Beckham Jean C
Puget Sound Heath Care System-Seattle Division, Department of Psychiatry and Behavioral Science, University of Washington, and Veterans Affairs VISN-20 Mental Illness Research Education and Clinical Center, Seattle, WA, USA.
J Trauma Stress. 2007 Dec;20(6):989-98. doi: 10.1002/jts.20275.
Posttraumatic stress disorder (PTSD) is associated with a high prevalence of cigarette smoking, heavy cigarette consumption, and low cessation rates. To date, little is known about mechanisms impeding smoking cessation among this recalcitrant group of smokers. An important first step in improving smoking cessation treatment efficacy is the assessment of knowledge about mechanisms pertinent to relapse. This theoretical study addresses the gap in the literature regarding factors potentially influencing smoking relapse among individuals with PTSD. Mechanisms reviewed that may be particularly relevant to smoking relapse among PTSD smokers include negative affect, positive affect, attention, anxiety sensitivity, distress tolerance, and self-efficacy. Treatment implications as well as methodological advances that may be relevant to examining the proposed relapse model are discussed.
创伤后应激障碍（PTSD）与吸烟率高、重度吸烟及戒烟率低相关。迄今为止，对于这群顽固吸烟者中阻碍戒烟的机制知之甚少。提高戒烟治疗效果的重要第一步是评估与复吸相关机制的知识。这项理论研究填补了文献中关于可能影响PTSD患者吸烟复吸因素的空白。所综述的可能与PTSD吸烟者吸烟复吸特别相关的机制包括消极情绪、积极情绪、注意力、焦虑敏感性、痛苦耐受性和自我效能感。讨论了与检验所提出的复吸模型可能相关的治疗意义及方法学进展。
