Smoking Outcome Expectancies in Military Veteran Smokers With Posttraumatic Stress Disorder

被引:18
|
作者
Carmody, Timothy P. [1 ,2 ]
McFall, Miles [3 ]
Saxon, Andrew J. [3 ]
Malte, Carol A. [4 ]
Chow, Bruce [5 ]
Joseph, Anne M. [6 ]
Beckham, Jean C. [7 ,8 ]
Cook, Jessica W. [9 ]
机构
[1] Univ Calif San Francisco, San Francisco VA Med Ctr, San Francisco, CA 94121 USA
[2] Univ Calif San Francisco, Dept Psychiat, San Francisco, CA USA
[3] Univ Washington, Dept Psychiat & Behav Sci, Seattle, WA 98195 USA
[4] Vet Affairs Puget Sound Hlth Care Syst, Ctr Excellence Substance Abuse Treatment & Educ, Seattle, WA USA
[5] VA Palo Alto Hlth Care Syst, Vet Affairs Cooperat Studies Program, Palo Alto, CA USA
[6] Univ Minnesota, Dept Med, Minneapolis, MN 55455 USA
[7] Durham Vet Affairs Med Ctr, Vet Affairs Mid Atlantic Reg Mental Illness Res E, Durham, NC USA
[8] Duke Univ, Med Ctr, Dept Psychiat & Behav Sci, Durham, NC USA
[9] Univ Wisconsin, Sch Med & Publ Hlth, Madison, WI USA
关键词
CONSEQUENCES QUESTIONNAIRE-ADULT; ADMINISTERED PTSD SCALE; MENTAL-HEALTH-CARE; NEGATIVE AFFECT; NICOTINE DEPENDENCE; CIGARETTE-SMOKING; SELF-EFFICACY; MOTIVATION; CESSATION; RELAPSE;
D O I
10.1093/ntr/ntr304
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Introduction: Smoking outcome expectancies were investigated in treatment-seeking military Veteran smokers with post-traumatic stress disorder (PTSD). The investigation of smoking outcome expectancies may enhance our understanding of the relationship between PTSD and cigarette smoking. Methods: Participants were 943 military Veterans with a diagnosis of PTSD who were current smokers enrolled in a randomized multisite effectiveness trial to test whether the integration of smoking cessation treatment into mental health care (integrated care) improves prolonged abstinence rates compared with referral to specialized smoking cessation clinics (usual care). Using confirmatory factor analysis (CFA), we evaluated the conceptual model of smoking outcome expectancies measured on the Smoking Consequences Questionnaire Adult (SCQ-A) version. The Kraemer method of mediation analysis was used to investigate the role of smoking outcome expectancies in mediating relationships between PTSD symptoms and smoking behavior, tobacco dependence, and abstinence self-efficacy. Results: The CFA supported the 10-factor structure of the SCQ-A in smokers with PTSD. Relationships between measures of PTSD symptoms and tobacco dependence were mediated by the smoking outcome expectancy regarding negative affect reduction. This same smoking outcome expectancy mediated relationships between PTSD symptoms and smoking abstinence self-efficacy. Conclusions: The findings support the use of the SCQ-A as a valid measure of smoking outcome expectancies in military Veteran smokers with PTSD. Moreover, they suggest that smoking outcome expectancies may play an important role in explaining the relationship between PTSD and cigarette smoking.
引用
收藏
页码:919 / 926
页数:8
相关论文
共 50 条
  • [1] Posttraumatic Stress Symptoms and Their Association With Smoking Outcome Expectancies Among Homeless Smokers in Boston
    Baggett, Travis P.
    Campbell, Eric G.
    Chang, Yuchiao
    Magid, Leah M.
    Rigotti, Nancy A.
    [J]. NICOTINE & TOBACCO RESEARCH, 2016, 18 (06) : 1526 - 1532
  • [2] POSTTRAUMATIC-STRESS-DISORDER IN THE MILITARY VETERAN
    FRIEDMAN, MJ
    SCHNURR, PP
    MCDONAGHCOYLE, A
    [J]. PSYCHIATRIC CLINICS OF NORTH AMERICA, 1994, 17 (02) : 265 - 277
  • [3] Treatment of posttraumatic stress disorder in military and veteran populations
    Creamer, M
    Forbes, D
    [J]. PSYCHOTHERAPY, 2004, 41 (04) : 388 - 398
  • [4] Posttraumatic Stress Disorder in a Young Adult Military Veteran
    Ross, David A.
    Travis, Michael J.
    Arbuckle, Melissa R.
    [J]. JAMA PSYCHIATRY, 2017, 74 (04) : 417 - 418
  • [5] Smoking Withdrawal in Smokers With and Without Posttraumatic Stress Disorder
    Dedert, Eric A.
    Calhoun, Patrick S.
    Harper, Leia A.
    Dutton, Courtney E.
    McClernon, Francis Joseph
    Beckham, Jean C.
    [J]. NICOTINE & TOBACCO RESEARCH, 2012, 14 (03) : 372 - 376
  • [6] Mobile Technology for Treatment Augmentation in Veteran Smokers With Posttraumatic Stress Disorder
    Herbst, Ellen
    Pennington, David
    Kuhn, Eric
    McCaslin, Shannon E.
    Delucchi, Kevin
    Batki, Steven L.
    Dickter, Benjamin
    Carmody, Timothy
    [J]. AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2018, 54 (01) : 124 - 128
  • [7] The Relationship Between Posttraumatic Stress Disorder and Smoking Outcome Expectancies Among US Military Veterans Who Served Since September 11, 2001
    Calhoun, Patrick S.
    Levin, Holly F.
    Dedert, Eric A.
    Johnson, Yashika
    Beckham, Jean C.
    [J]. JOURNAL OF TRAUMATIC STRESS, 2011, 24 (03) : 303 - 308
  • [8] Posttraumatic stress disorder and anesthesia: Respect for the military veteran's mind
    Tolly, Brian
    Erbes, Christopher R.
    Apostolidou, Ioanna
    [J]. JOURNAL OF CLINICAL ANESTHESIA, 2021, 71
  • [9] The Lived Experience of Caring for an Australian Military Veteran With Posttraumatic Stress Disorder
    Waddell, Elaine
    Pulvirenti, Mariastella
    Lawn, Sharon
    [J]. QUALITATIVE HEALTH RESEARCH, 2016, 26 (12) : 1603 - 1613