Smith Philip H, Saddleson Megan L, Homish Gregory G, McKee Sherry A, Kozlowski Lynn T, Giovino Gary A
Department of Psychiatry, Yale University School of Medicine.
Department of Community Health and Health Behavior, University at Buffalo, SUNY.
Psychol Addict Behav. 2015 Jun;29(2):338-46. doi: 10.1037/adb0000033. Epub 2014 Oct 27.
Childhood maltreatment is associated with increased likelihood of smoking. The purpose of the current investigation was to compare quitting motives, quit attempts, and quit success between U.S. adult smokers with or without childhood maltreatment (physical or emotional abuse), and those with or without serious psychological distress (SPD). We also examined whether SPD mediated associations between childhood maltreatment and all outcomes. We analyzed data from a 2-wave cohort telephone survey of a national U.S. sample of current cigarette smokers (n = 751). We used generalized path modeling to examine associations between maltreatment/SPD and concerns about smoking, motivation to quit, quit attempts, and smoking cessation (among the overall sample and selecting for those who made at least 1 quit attempt between waves; n = 368). Among women, maltreatment and SPD were associated with lower likelihood of quitting as well as making a successful quit attempt. SPD mediated the association between maltreatment and likelihood of successfully quitting. Women with maltreatment also had stronger concerns about smoking and motivation to quit than those without maltreatment, although there were no differences in actual quit attempts made. Neither childhood maltreatment nor SPD was associated with smoking outcomes among men. Findings suggest that female smokers with a history of childhood maltreatment are motivated to quit smoking; however, they may have more difficulty quitting smoking as a result of SPD. (PsycINFO Database Record
童年期受虐与吸烟可能性增加有关。本调查的目的是比较有或没有童年期受虐（身体或情感虐待）的美国成年吸烟者以及有或没有严重心理困扰（SPD）的吸烟者之间的戒烟动机、戒烟尝试和戒烟成功率。我们还研究了SPD是否介导了童年期受虐与所有结果之间的关联。我们分析了来自美国全国当前吸烟者样本（n = 751）的两波队列电话调查数据。我们使用广义路径模型来研究虐待/SPD与对吸烟的担忧、戒烟动机、戒烟尝试和戒烟（在总体样本中以及选择在两波之间至少进行过一次戒烟尝试的人；n = 368）之间的关联。在女性中，受虐和SPD与较低的戒烟可能性以及成功戒烟尝试的可能性相关。SPD介导了受虐与成功戒烟可能性之间的关联。有受虐经历的女性对吸烟的担忧和戒烟动机也比没有受虐经历的女性更强，尽管在实际戒烟尝试方面没有差异。童年期受虐和SPD均与男性的吸烟结果无关。研究结果表明，有童年期受虐史的女性吸烟者有戒烟动机；然而，由于SPD，她们可能在戒烟方面有更多困难。（PsycINFO数据库记录
