Associations Between Adverse Childhood Experiences, Depressive Symptoms, and Nicotine Dependence Among Tobacco Users With Mental Illnesses.

IF 1.5 4区医学 Q3 NURSING

Journal of the American Psychiatric Nurses Association Pub Date : 2025-07-22 DOI:10.1177/10783903251356617

Bassema Abufarsakh, Chizimuzo T C Okoli, Lovoria B Williams, Audrey K Darville, Antonio R Garcia, Catherine Martin

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引用次数: 0

Abstract

BackgroundAdverse childhood experiences (ACEs) are associated with both increased depressive symptomatology and nicotine dependence (ND) in the general population. However, the relationship between ACEs, depressive symptoms, and ND among people with mental illness (MI) remains unexplored.AimsIn this study, we examined (a) depressive symptoms mediating the relationship between ACEs and ND and (b) ND severity mediating the relationship between ACEs and depressive symptoms.MethodA cross-sectional design was used to recruit participants online and from community mental health settings. Data analysis was conducted using IBM SPSS version 29.ResultsResponses from 194 individuals were included in the analysis. ND intensity mediated the relationship between ACEs and depressive symptom severity. The indirect variance of the effects of this mediation was 10.9%, 6.9%, and 10.6% among the total sample, females, and males, respectively. In addition, depressive symptoms mediated the relationship between ACEs and ND intensity, and the indirect variance of the effect of this mediation was 7.9%, 3.6%, and 8.8% in the total sample, females, and males, respectively.ConclusionsAmong people living with MI, ND mediates the impact of ACEs on depression, with varying degrees of influence between genders. In addition, depressive symptoms mediate the effect of ACEs on ND intensity. Further research is needed to investigate effective depressive treatment modalities to be integrated into tobacco treatment plans among people living with MI. In addition, nurse clinicians should assess for childhood adversity and depressive symptoms among tobacco users while treating ND.

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儿童期不良经历、抑郁症状和精神疾病烟草使用者尼古丁依赖之间的关系

背景：在一般人群中，不良童年经历（ace）与抑郁症状和尼古丁依赖（ND）的增加有关。然而，在精神疾病（MI）患者中，ace、抑郁症状和ND之间的关系仍未被探索。目的在本研究中，我们检验了(a)抑郁症状在ace与ND之间的中介作用，以及(b) ND严重程度在ace与抑郁症状之间的中介作用。方法采用横断面设计，从网上和社区心理健康机构招募参与者。数据分析采用IBM SPSS version 29。结果194人的回复被纳入分析。ND强度介导了ace与抑郁症状严重程度的关系。该中介效应的间接方差在总样本、女性和男性中分别为10.9%、6.9%和10.6%。此外，抑郁症状在ace与ND强度之间起中介作用，该中介效应的间接方差在总样本、女性和男性中分别为7.9%、3.6%和8.8%。结论在MI患者中，ND介导了ace对抑郁的影响，且在性别间有不同程度的影响。此外，抑郁症状介导ace对ND强度的影响。需要进一步研究将有效的抑郁治疗方式整合到心梗患者的烟草治疗计划中。此外，临床护士在治疗心梗时应评估烟草使用者的童年逆境和抑郁症状。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the American Psychiatric Nurses Association NURSING-PSYCHIATRY

CiteScore

5.30

自引率

0.00%

发文量

期刊介绍： The Journal of the American Psychiatric Nurses Association (JAPNA) is a peer-reviewed bi-monthly journal publishing up-to-date information to promote psychiatric nursing, improve mental health care for culturally diverse individuals, families, groups, and communities, as well as shape health care policy for the delivery of mental health services. JAPNA publishes both clinical and research articles relevant to psychiatric nursing. This journal is a member of the Committee on Publication Ethics (COPE).