Vermont Center on Behavior and Health, University of Vermont, Burlington, VT, United States; Department of Psychiatry, University of Vermont, Burlington, VT, United States; Department of Psychological Science, University of Vermont, Burlington, VT, United States.
Vermont Center on Behavior and Health, University of Vermont, Burlington, VT, United States; Department of Psychiatry, University of Vermont, Burlington, VT, United States.
Addict Behav. 2018 Sep;84:238-247. doi: 10.1016/j.addbeh.2018.04.024. Epub 2018 May 3.
Posttraumatic stress disorder (PTSD) and tobacco use are prevalent conditions that co-occur at striking rates in the US. Previous reviews examined prevalence and factors associated with cigarette smoking among individuals with PTSD but have not been summarized since 2007. Moreover, none explored rates and factors associated with the use of other tobacco products. This study aimed to systematically review the most recent literature examining the comorbidity of PTSD and tobacco use to provide prevalence rates, as well as summarize the literature exploring other factors associated with tobacco use among individuals with PTSD. Studies were identified using a systematic search of keywords related to tobacco use and PTSD within the following databases: PubMed, PsycINFO, Web of Knowledge, CINAHL, PsycARTICLES, and Cochrane Clinical Trials Library. The studies included in this review (N = 66) showed that the prevalence of current use of tobacco products in individuals with PTSD was 24.0% and the rate of PTSD among users of tobacco products was 20.2%. Additionally, results demonstrated that individuals with PTSD present with high levels of nicotine dependence and heavy use of tobacco products, as well as underscore the importance of negative emotional states as a contributing factor to tobacco use among individuals with PTSD. It is imperative that future studies continue monitoring tobacco use among individuals with PTSD while also assessing factors identified as having a prominent role in tobacco use among individuals with PTSD. These findings also demonstrate the need for more innovative approaches to reduce the pervasive tobacco use among individuals with PTSD.
创伤后应激障碍（PTSD）和烟草使用在全美是普遍存在的，两者的发生率都很高。之前的综述研究了 PTSD 患者中吸烟的流行率和相关因素，但自 2007 年以来，这些综述并未得到总结。此外，也没有研究过与其他烟草制品使用相关的流行率和因素。本研究旨在系统回顾最近有关 PTSD 和烟草使用共病的文献，以提供流行率，并总结探索 PTSD 患者烟草使用相关其他因素的文献。使用与烟草使用和 PTSD 相关的关键词在以下数据库中进行了系统检索：PubMed、PsycINFO、Web of Knowledge、CINAHL、PsycARTICLES 和 Cochrane 临床试验图书馆。本综述纳入的研究（N=66）表明，PTSD 患者当前使用烟草制品的流行率为 24.0%，烟草制品使用者中 PTSD 的发生率为 20.2%。此外，结果表明，PTSD 患者尼古丁依赖程度高，烟草制品使用量大，并强调了负面情绪状态是 PTSD 患者吸烟的一个促成因素。未来的研究必须继续监测 PTSD 患者的烟草使用情况，同时评估被确定为对 PTSD 患者烟草使用有显著作用的因素。这些发现还表明，需要采取更具创新性的方法来减少 PTSD 患者普遍存在的烟草使用。
