期刊
AMERICAN JOURNAL ON ADDICTIONS
卷 21, 期 4, 页码 302-312出版社
WILEY
DOI: 10.1111/j.1521-0391.2012.00237.x
关键词
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资金
- NCI NIH HHS [R01 CA122128, R01 CA122128-02, 5R01 CA122128-02] Funding Source: Medline
- NIDA NIH HHS [DA00244, K05 DA000244, K05 DA000244-16, R01 DA032603] Funding Source: Medline
Although there is considerable research demonstrating the prospective association between earlier maladaptive personal attributes and later nicotine dependence, there is less work on the psychosocial mediators of this relationship. Maladaptive personal attributes appear in the form of depression, anxiety, and interpersonal sensitivity. This study was designed to assess the prospective relationship between earlier maladaptive personal attributes (mean age = 40) and later nicotine dependence ((X) over bar age = 65.2) within an understudied female community sample. The participants were given self-administered questionnaires. The results supported a model by which earlier maladaptive personal attributes predicted later nicotine dependence through several indirect pathways. In addition to cigarette smoking, several domains mediated the relation of earlier maladaptive personal attributes and later nicotine dependence. These domains included internal factors (ie, later maladaptive personal attributes), interpersonal factors (ie, marital/partner conflict), later contextual factors (ie, family financial difficulty). Our multidimensional longitudinal findings have important implications for the prevention and treatment of nicotine dependence. The results identify earlier and later significant psychosocial risk factors to be targeted, and suggest the timing of interventions to reduce or eliminate nicotine dependence. (Am J Addict 2012;21:302-312)
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