Association of smoking and nicotine dependence with trauma and posttraumatic stress disorder in a general population sample
Abstract
This study is aimed at investigating the association between trauma, posttraumatic stress disorder (PTSD), smoking, and nicotine dependence. Data were collected in a representative population sample of 4075 adults aged 18 to 64 with the Composite International Diagnostic Interview. Findings show increased odds ratios (ORs) for smoking (OR: 1.28; 95% CI: 1.09-1.51) and nicotine dependence (OR: 1.52; 95% CI: 1.26-1.82) in traumatized persons, independent of PTSD. Persons with PTSD tended to have higher odds for smoking (OR: 2.12; 95% CI: 1.16-3.90) and nicotine dependence (OR: 2.70; 95% CI: 1.57-4.65), but also had lower rates for quitting smoking (OR: 0.38; 95% CI: 0.17-0.84) and for remission from nicotine dependence (OR: 0.18; CI: 0.05-0.63). We conclude that persons suffering from PTSD might need comprehensive aid in smoking cessation.
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PTSD patients showed lower rates of quitting, worse nicotine withdrawal symptoms, and shorter times to first smoking lapse than the non-PTSD population.
“PTSD patients also showed lower rates of quitting (Hapke et al., 2005; Lasser et al., 2000), suffered from worse nicotine withdrawal symptoms (Dedert et al., 2011), and as a result showed shorter times to first smoking lapse (Beckham, Calhoun, Dennis, Wilson, & Dedert, 2012) than non-PTSD population.”
From Nicotine addiction and psychiatric disorders (2015) · cites this paper as Hapke et al., 2005
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- Authors
- Hapke, U., Schumann, A., Rumpf, H.-J., John, U., Konerding, U., & Meyer, C.
- Affiliations
- Universität Greifswald (DE)
- Corresponding author
- Hapke, Ulfert
- John, Ulrich
- Meyer, Christian
- Venue
- The Journal of Nervous and Mental Disease
- Published
- 2005-12
- Volume
- 193
- Issue
- 12
- Pages
- 843-846
- ISSN
- 0022-3018 (ISSN-L)
- OpenAlex
- W2009156912
- Cited by
- 133
- References
- 9
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 4 · 2022: 3 · 2021: 4 · 2020: 5 · 2019: 5 · 2018: 7 · 2017: 6 · 2016: 14 · 2015: 13 · 2014: 11 · 2013: 8 · 2012: 8
- FWCI
- 3.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Nervous and Mental Disease (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- smoking, nicotine dependence, post-traumatic stress disorder, trauma, smoking cessation, general adult population
- MeSH terms
- Smoking Prevention, Adolescent, Adult, Cross-Sectional Studies, Data Collection, Diagnosis, Computer-Assisted, Female, Germany, Humans, Life Change Events, Male, Middle Aged, Psychiatric Status Rating Scales, Risk Factors, Sampling Studies, Smoking, Stress Disorders, Post-Traumatic, Tobacco Use Disorder, Prevalence, Smoking Cessation
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