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The association between childhood trauma and tobacco smoking in patients with psychosis, unaffected siblings, and healthy controls.

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Title: The association between childhood trauma and tobacco smoking in patients with psychosis, unaffected siblings, and healthy controls.
Authors: de With, Justine (AUTHOR), van der Heijden, Heleen S. (AUTHOR), van Amelsvoort, Therese (AUTHOR), Daemen, Maud (AUTHOR), Simons, Claudia (AUTHOR), Alizadeh, Behrooz (AUTHOR), van Aalst, Daphne (AUTHOR), de Haan, Lieuwe (AUTHOR), Vermeulen, Jentien (AUTHOR), Schirmbeck, Frederike (AUTHOR)
Source: European Archives of Psychiatry & Clinical Neuroscience. Oct2024, Vol. 274 Issue 7, p1575-1583. 9p.
Subjects: Tobacco smoke, Adverse childhood experiences, Smoking, Psychoses, Logistic regression analysis
Abstract: In patients with psychosis, rates of tobacco smoking and childhood trauma are significantly higher compared to the general population. Childhood trauma has been proposed as a risk factor for tobacco smoking. However, little is known about the relationship between childhood trauma and smoking in psychosis. In a subsample of the Genetic Risk and Outcome of Psychosis study (760 patients with psychosis, 991 unaffected siblings, and 491 healthy controls), tobacco smoking was assessed using the Composite International Diagnostic Interview and childhood trauma was measured with the Childhood Trauma Questionnaire. Logistic regression models were used to assess associations between trauma and smoking, while correcting for confounders. Positive associations were found between total trauma, abuse, and neglect, and an increased risk for smoking in patients, while correcting for age and gender (ORtrauma 1.77, 95% CI 1.30–2.42, p < 0.001; ORabuse 1.69, 95% CI 1.23–2.31, p = 0.001; ORneglect 1.48, 95% CI 1.08–2.02, p = 0.014). In controls, total trauma and abuse were positively associated with smoking, while correcting for age and gender (ORtrauma 2.40, 95% CI 1.49–3.88, p < 0.001; ORabuse 2.02, 96% CI 1.23–3.32, p = 0.006). All associations lost their significance after controlling for additional covariates and multiple testing. Findings suggest that the association between childhood trauma and tobacco smoking can be mainly explained by confounders (gender, cannabis use, and education) in patients with psychosis. These identified aspects should be acknowledged in tobacco cessation programs. [ABSTRACT FROM AUTHOR]
Copyright of European Archives of Psychiatry & Clinical Neuroscience is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: The association between childhood trauma and tobacco smoking in patients with psychosis, unaffected siblings, and healthy controls.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22de+With%2C+Justine%22&quot;&gt;de With, Justine&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22van+der+Heijden%2C+Heleen+S%2E%22&quot;&gt;van der Heijden, Heleen S.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22van+Amelsvoort%2C+Therese%22&quot;&gt;van Amelsvoort, Therese&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Daemen%2C+Maud%22&quot;&gt;Daemen, Maud&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Simons%2C+Claudia%22&quot;&gt;Simons, Claudia&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Alizadeh%2C+Behrooz%22&quot;&gt;Alizadeh, Behrooz&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22van+Aalst%2C+Daphne%22&quot;&gt;van Aalst, Daphne&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22de+Haan%2C+Lieuwe%22&quot;&gt;de Haan, Lieuwe&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Vermeulen%2C+Jentien%22&quot;&gt;Vermeulen, Jentien&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Schirmbeck%2C+Frederike%22&quot;&gt;Schirmbeck, Frederike&lt;/searchLink&gt; (AUTHOR)
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  Data: In patients with psychosis, rates of tobacco smoking and childhood trauma are significantly higher compared to the general population. Childhood trauma has been proposed as a risk factor for tobacco smoking. However, little is known about the relationship between childhood trauma and smoking in psychosis. In a subsample of the Genetic Risk and Outcome of Psychosis study (760 patients with psychosis, 991 unaffected siblings, and 491 healthy controls), tobacco smoking was assessed using the Composite International Diagnostic Interview and childhood trauma was measured with the Childhood Trauma Questionnaire. Logistic regression models were used to assess associations between trauma and smoking, while correcting for confounders. Positive associations were found between total trauma, abuse, and neglect, and an increased risk for smoking in patients, while correcting for age and gender (ORtrauma 1.77, 95% CI 1.30–2.42, p &lt; 0.001; ORabuse 1.69, 95% CI 1.23–2.31, p = 0.001; ORneglect 1.48, 95% CI 1.08–2.02, p = 0.014). In controls, total trauma and abuse were positively associated with smoking, while correcting for age and gender (ORtrauma 2.40, 95% CI 1.49–3.88, p &lt; 0.001; ORabuse 2.02, 96% CI 1.23–3.32, p = 0.006). All associations lost their significance after controlling for additional covariates and multiple testing. Findings suggest that the association between childhood trauma and tobacco smoking can be mainly explained by confounders (gender, cannabis use, and education) in patients with psychosis. These identified aspects should be acknowledged in tobacco cessation programs. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of European Archives of Psychiatry &amp; Clinical Neuroscience is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1007/s00406-023-01754-z
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        Text: English
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        Type: general
      – SubjectFull: Adverse childhood experiences
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              Text: Oct2024
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