灾后吸烟与创伤暴露及创伤后应激障碍的关系研究
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摘要
目的了解吸烟与创伤暴露及创伤后应激障碍(Post-traumatic stress disorders,PTSD)之间的关系。方法对1056名参加汶川抗震救灾的一线救援军人PTSD的患病率及吸烟情况进行调查。结果创伤暴露后,吸烟人数和吸烟量未有明显改变。PTSD组中吸烟率为76.8%,显著高于非PTSD组(60%)。多元Logistic回归分析显示,服役满意度低、创伤暴露后患PTSD、军龄长是地震现场救援军人创伤暴露后吸烟行为增加的危险因素。结论创伤暴露对吸烟无明显影响,吸烟主要与PTSD有关,吸烟会增加创伤暴露后患PTSD的危险,而患PTSD后又会增加吸烟的危险。
引文
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[5]Amstadter AB,Nuqent NR,Koenen KC.Association between COMT,PTSD,and increased smoking following hurricane exposure in an epi-demiologic sample[J].Psychiatry,2009,72(4):360-369.
[6]Parslow RA,Jorm AF.Tobacco use after experiencing a major naturaldisaster:analysis of a longitudinal study of 2063 young adults[J].Ad-diction,2006,101(7):1044-1050.
[7]Davidson JRT,Book SW,Colaet JT,et al.Assessment of a new self-ratingScale for post-traumatic stress disorder[J].Psy Med,1997,27:153-160.
[8]WHO.Guidelines for the conduct of tobacco smoking surveys of thegeneral population[J].Geneva:WHO/SMO,1983:14-16.
[2]Morissette SB,Tull MT,Gulliver SB,et al.Anxiety,anxiety disorders,to-bacco use,and nicotine:a critical review of interrelationships[J].Psybulletin,2007,13(2):245-272.
[3]Fu SS,McFall M,Saxon AJ,et al.Post-traumatic stress disorder and smok-ing:a systematic review[J].Nicotine Tob Res,2007,9(11):1071-1084.
[4]Hapke U,Schumann A,Rumpf HJ,et al.Association of smoking and nico-tine dependence with trauma and posttraumatic stress disorder in a gen-eral population sample[J].J Nerv Ment Dis,2005,193(12):843-846.
[5]Amstadter AB,Nuqent NR,Koenen KC.Association between COMT,PTSD,and increased smoking following hurricane exposure in an epi-demiologic sample[J].Psychiatry,2009,72(4):360-369.
[6]Parslow RA,Jorm AF.Tobacco use after experiencing a major naturaldisaster:analysis of a longitudinal study of 2063 young adults[J].Ad-diction,2006,101(7):1044-1050.
[7]Davidson JRT,Book SW,Colaet JT,et al.Assessment of a new self-ratingScale for post-traumatic stress disorder[J].Psy Med,1997,27:153-160.
[8]WHO.Guidelines for the conduct of tobacco smoking surveys of thegeneral population[J].Geneva:WHO/SMO,1983:14-16.
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