Journal article
Nicotine Withdrawal and Dependence Among Smokers With a History of Childhood Abuse
Nicotine & tobacco research, v 15(12), pp 2016-2021
01 Dec 2013
PMID: 23873980
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Previous studies have found that those with a history of childhood abuse are more likely to smoke cigarettes than those without a history of abuse. Mechanisms underlying this greater prevalence are unclear. We examined whether current smokers with a history of childhood abuse reported greater levels of nicotine dependence and more severe nicotine withdrawal symptoms.
We analyzed data from a 2-wave, national, random-digit-dial survey of adult cigarette smokers (n 751). We examined whether childhood physical, emotional, and sexual abuse were associated with greater levels of nicotine dependence. Among those who made a quit attempt (n 368), we examined whether abuse was associated with more severe withdrawal symptoms recalled during the 14 months between surveys. For both dependence and withdrawal, we tested a mediation pathway through current serious mental illness (SMI).
All 3 types of childhood abuse were associated with more severe withdrawal symptoms. These associations were partially mediated by SMI. Sexual abuse and physical abuse were directly associated with dependence, whereas emotional abuse was indirectly associated with dependence through SMI.
All 3 forms of childhood abuse were associated with both dependence and withdrawal. The greater prevalence of smoking found among those with a history of childhood abuse may be explained by heightened vulnerability to nicotine dependence and withdrawal and may be partially due to comorbid mental illness.
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Details
- Title
- Nicotine Withdrawal and Dependence Among Smokers With a History of Childhood Abuse
- Creators
- Philip H. Smith - University at Buffalo, State University of New YorkGregory G. Homish - University at Buffalo, State University of New YorkMegan L. Saddleson - University at Buffalo, State University of New YorkLynn T. Kozlowski - University at Buffalo, State University of New YorkGary A. Giovino - University at Buffalo, State University of New York
- Publication Details
- Nicotine & tobacco research, v 15(12), pp 2016-2021
- Publisher
- Oxford Univ Press
- Number of pages
- 6
- Grant note
- American Legacy Foundation Robert Wood Johnson Foundation Innovators Combatting Substance Abuse Program
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- A.J. Drexel Autism Institute
- Web of Science ID
- WOS:000326978400007
- Scopus ID
- 2-s2.0-84887543658
- Other Identifier
- 991022030931604721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Public, Environmental & Occupational Health
- Substance Abuse