Association of smoking and nicotine dependence with trauma and posttraumatic stress disorder in a general population sample

J Nerv Ment Dis. 2005 Dec;193(12):843-6. doi: 10.1097/01.nmd.0000188964.83476.e0.

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.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Cross-Sectional Studies
  • Data Collection
  • Diagnosis, Computer-Assisted
  • Female
  • Germany / epidemiology
  • Humans
  • Life Change Events*
  • Male
  • Middle Aged
  • Prevalence
  • Psychiatric Status Rating Scales / statistics & numerical data
  • Risk Factors
  • Sampling Studies
  • Smoking / epidemiology*
  • Smoking / psychology
  • Smoking Cessation / methods
  • Smoking Prevention
  • Stress Disorders, Post-Traumatic / diagnosis*
  • Stress Disorders, Post-Traumatic / epidemiology*
  • Stress Disorders, Post-Traumatic / psychology
  • Tobacco Use Disorder / diagnosis*
  • Tobacco Use Disorder / epidemiology*
  • Tobacco Use Disorder / prevention & control