Smoking, traumatic event exposure, and post-traumatic stress: A critical review of the empirical literature
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The current review critically examines the extant empirical literature focused on the associations among cigarette smoking, trauma, and post-traumatic stress. Inspection of the extant literature suggests that smoking rates are significantly higher among persons exposed to a traumatic event relative to those without such exposure. Moreover, smoking rates appear particularly high among persons with post-traumatic stress disorder (PTSD). In terms of the direction of this relation, evidence most clearly suggests that post-traumatic stress is involved in the development of smoking. Significantly less is known about the role of trauma and PTSD in terms of cessation outcome. Limitations of extant work, clinical implications, and key directions for future study are delineated.
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The presence of PTSD symptoms such as hyperarousal and emotional numbing is a predictor for nicotine dependence, and these symptoms are reduced by nicotine intake.
“Furthermore, several studies have shown that the presence of PTSD symptoms, such as hyperarousal and emotional numbing, is a predictor for nicotine dependence and these symptoms are reduced by nicotine intake (Beckham et al., 2005; Feldner et al., 2007; Greenberg et al., 2012; Thorndike, Wernicke, Pearlman, & Haaga, 2006).”
From Nicotine addiction and psychiatric disorders (2015) · cites this paper as Feldner et al., 2007
PTSD symptoms are reduced during nicotine intake.
“while PTSD symptoms are reduced during nicotine intake (Beckham et al., 2005; Feldner et al., 2007; Greenberg et al., 2012; Thorndike et al., 2006)”
From Nicotine addiction and psychiatric disorders (2015) · cites this paper as Feldner et al., 2007
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Babson, K. A., Feldner, M. T., Sachs‐Ericsson, N., Schmidt, N. B., & Zvolensky, M. J. (2007) · Depression and Anxiety · doi:10.1002/da.20374 · Cited by 21 · see citing works
Self-citationPlasma lipidomics in subjects with combat posttraumatic stress disorder
Konjevod, M., Sáiz, J., Perković, M. N., Erjavec, G. N., Tudor, L., Uzun, S., Kozumplik, O., Barbas, C., Žarković, N., Pivac, N., et al. (2022) · Free Radical Biology and Medicine · doi:10.1016/j.freeradbiomed.2022.07.012 · Cited by 20 · see citing works
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Self-citationZacarias, A. E., Svanström, L., & Antai, D. (2012) · International Journal of Women s Health · doi:10.2147/ijwh.s29427 · Cited by 21 · see citing works
Relationship between PTSD symptomatology and nicotine dependence severity in crime victims
Baschnagel, J. S., Coffey, S. F., Schumacher, J. A., Drobes, D. J., & Saladin, M. E. (2008) · Addictive Behaviors · doi:10.1016/j.addbeh.2008.03.004 · Cited by 20 · see citing works
Maples‐Keller, J. L., Yasinski, C. W., Stojek, M. M., Ravi, M., Watkins, L. E., Patton, S. C., Rothbaum, A. O., Unongo, M. H., Dunlop, B. W., Rauch, S. A. M., et al. (2022) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2021.12.025 · Cited by 19 · see citing works
Childhood Trauma, Combat Trauma, and Substance Use in National Guard and Reserve Soldiers
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Anxiety, Health Risk Factors, and Chronic Disease
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- Authors
- Feldner, M. T., Babson, K. A., & Zvolensky, M. J.
- Affiliations
- University of Arkansas at Fayetteville (US)
- University of Vermont (US)
- Corresponding author
- Feldner, Matthew T.
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2007-01
- Volume
- 27
- Issue
- 1
- Pages
- 14-45
- ISSN
- 0272-7358 (ISSN-L)
- PMC
- PMC2575106
- OpenAlex
- W2124664856
- Cited by
- 240
- References
- 123
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 5 · 2023: 10 · 2022: 9 · 2021: 7 · 2020: 10 · 2019: 14 · 2018: 10 · 2017: 12 · 2016: 17 · 2015: 21 · 2014: 20 · 2013: 15 · 2012: 17
- FWCI
- 1.51
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5r21da016227-02, 5r01da018734-03)
- National Institute on Drug Abuse (R21 DA016227, R03DA016307, R03 DA16307-01, R01 DA 018734, R21 DA016227-01)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- cigarette smoking, post-traumatic stress disorder, trauma exposure, smoking initiation, smoking cessation, tobacco use
- MeSH terms
- Cross-Sectional Studies, Humans, Life Change Events, Smoking, Statistics as Topic, Stress Disorders, Post-Traumatic, Smoking Cessation, Treatment Outcome
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