A network approach to the symptom-level associations between smoking and posttraumatic stress disorder (PTSD) among young adults exposed to childhood sexual abuse

被引:0
作者
Jin, Yu [1 ]
Xu, Shicun [2 ,3 ,4 ,10 ]
Luo, Xianyu [1 ]
Wang, Yinzhe [5 ]
Li, Jiaqi [6 ,7 ,8 ]
Liang, Beixiang [6 ,7 ,8 ]
Li, Hui [9 ]
Wang, Xiaofeng [2 ]
Sun, Xi [3 ]
Wang, Yuanyuan [6 ,7 ,8 ,11 ]
机构
[1] Beijing Normal Univ, Coll Educ Future, Beijing, Peoples R China
[2] Jilin Univ, Northeast Asian Res Ctr, Changchun, Peoples R China
[3] Jilin Univ, Northeast Asian Studies Coll, Dept Populat Resources & Environm, Changchun, Peoples R China
[4] Jilin Univ, China Ctr Aging Studies & Social Econ Dev, Changchun, Peoples R China
[5] Tsinghua Univ, Vanke Sch Publ Hlth, Beijing, Peoples R China
[6] South China Normal Univ, Key Lab Brain Cognit & Educ Sci, Minist Educ, Guangzhou, Peoples R China
[7] South China Normal Univ, Ctr Studies Psychol Applicat, Sch Psychol, Guangzhou, Peoples R China
[8] South China Normal Univ, Guangdong Key Lab Mental Hlth & Cognit Sci, Guangzhou, Peoples R China
[9] Jilin Univ, Sch Publ Hlth, Changchun, Peoples R China
[10] Jilin Univ, Changchun, Jilin, Peoples R China
[11] South China Normal Univ, Guangzhou, Guangdong, Peoples R China
基金
中国国家自然科学基金;
关键词
TRAUMA SCREENING QUESTIONNAIRE; E-CIGARETTE USE; FAGERSTROM TEST; NICOTINE DEPENDENCE; SUBSTANCE USE; PSYCHOMETRIC PROPERTIES; CHINESE VERSION; NEGATIVE AFFECT; UNITED-STATES; DEPRESSION;
D O I
10.7189/jogh.13.04037
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background Previous empirical literature has examined the associations between childhood sexual abuse (CSA) exposure, posttraumatic stress disorder (PTSD), and smoking. However, few studies examined symptom-level associations between smoking and PTSD among CSA victims. Thus, the aims of this study were 1) to explore symptom-level associations between smoking and PTSD among combustible cigarette (CC) and electronic cigarette (EC) users exposed to CSA and 2) to compare the differences manifested in two network structures between EC and CC users with CSA experiences. Methods This cross-sectional study covers all 63 universities and colleges in Jilin province, China, from October 26 to November 18, 2021. A total of 117 769 students participated in this study, while 3479 young adults were exposed to CSA (3.62%, 95% CI = 3.50%-3.73%). Childhood sexual abuse, PTSD, and smoking symptoms were measured using the Childhood Trauma Questionnaire-Short Form (CTQ-SF), 10-item Trauma Screening Questionnaire (TSQ-10), and the 6-item Fagerstrom Test for Nicotine Dependence (FTND-6), respectively. In addition, network analysis was applied to analyse psychopathological symptoms between EC and CC users with CSA experiences. Both the edges and centralities were computed, and the network properties were compared among the two groups. Results Four symptoms of PTSD (i.e. emotional cue reactivity, hypervigilance, nightmares, and difficulty concentrating) were both central and bridge symptoms between PTSD and smoking among EC and CC users with CSA experiences. Moreover, compared with CC users with CSA, there were significantly stronger associations between "nightmares" - "difficulty with restrictions" and "irritability / anger" - "more during wake up" among young EC users with CSA. Conclusions The four symptoms (i.e. emotional cue reactivity, hypervigilance, nightmares, and difficulty concentrating) were keystones for treatments or interventions targeting these CSA victims with PTSD and smoking symptoms. Increasing efforts should be taken to restrict morning smoking among EC users with CSA. In addition, target interventions and strategies founded on these core symptoms and associations should be implemented to relieve the comorbid PTSD and smoking in EC and CC users with CSA experiences.
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页数:12
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