Marshall Erin C, Zvolensky Michael J, Vujanovic Anka A, Gibson Laura E, Gregor Kristin, Bernstein Amit
Department of Psychology, University of Vermont, 2 Cholchester Avenue, Burlington, VT 05405, USA.
J Anxiety Disord. 2008 Oct;22(7):1214-26. doi: 10.1016/j.janxdis.2008.01.003. Epub 2008 Jan 11.
The present investigation compared 123 community-recruited daily smokers with posttraumatic stress disorder (PTSD), panic disorder (PD), nonclinical panic attacks (PA), or no current Axis I psychopathology (controls; C) in terms of nicotine dependence, smoking rate, quit history, severity of symptoms during past quit attempts, and motivation for and expectancies about smoking. No differences were observed between groups in regard to smoking rate or nicotine dependence. The PTSD group reported making more lifetime quit attempts than the other groups, and the PTSD and PD groups perceived more severe symptoms during past quit attempts. The PD and PTSD groups reported greater motivation to smoke to reduce negative affect. Individuals with PTSD endorsed a stronger expectation that smoking would alleviate negative mood states and would produce negative consequences. Overall, results suggest that smokers with PD or PTSD differ from other smoking groups in a number of clinically significant ways.
本研究比较了123名社区招募的每日吸烟者,他们分别患有创伤后应激障碍(PTSD)、惊恐障碍(PD)、非临床惊恐发作(PA)或目前无轴I精神病理学问题(对照组;C),比较内容包括尼古丁依赖、吸烟率、戒烟史、过去戒烟尝试期间的症状严重程度以及吸烟动机和预期。在吸烟率或尼古丁依赖方面,各组之间未观察到差异。PTSD组报告的终身戒烟尝试次数比其他组更多,PTSD组和PD组在过去的戒烟尝试中感觉到症状更严重。PD组和PTSD组报告称,为减轻负面影响而吸烟的动机更强。患有PTSD的个体更坚信吸烟能缓解负面情绪状态并会产生负面后果。总体而言,结果表明,患有PD或PTSD的吸烟者在许多临床上具有重要意义的方面与其他吸烟群体不同。