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青春期と成人期前半の喫煙と不安障害との関連
J G Johnson1, P Cohen, D S Pine
1Box 60, New York State Psychiatric Institute, 1051 Riverside Dr, New York, NY 10032, USA. jjohnso@pi.cpmc.columbia.edu
JAMA
|November 7, 2000
まとめ
青少年の喫煙は,成人初期にアゴラフォビア,一般的な不安障害,パニック障害を発症するリスクを大幅に高めます. しかし,十代の不安障害は,大人の喫煙習慣を予測するものではありません.
科学分野:
- 精神科医は精神病を患っている.
- エピデミオロジー エピデミオロジー
- 青少年の健康について
背景:
- 喫煙は不安障害と関連しているが,因果関係は不明である.
- 喫煙と特定の不安障害との関連の方向性については,さらなる調査が必要である.
研究 の 目的:
- 青少年および若い成人の喫煙と不安障害の間の縦断的な関連性を調べる.
- 青年の喫煙が成人の不安障害を予測するか,その逆かを判断する.
主な方法:
- 展望的長期研究:コミュニティにおける子どもの研究.
- 青春期 (平均16歳) と成人期 (平均22歳) で評価された688人の若者のコミュニティベースのサンプル.
- 子どもの診断面接スケジュールを活用して,喫煙と精神疾患の測定を行いました.
主要な成果:
- 青少年の重度の喫煙 (≥20本/日) は,成人期の初期にアゴラフォビア (OR=6.79),一般性不安障害 (OR=5.53),パニック障害 (OR=15.58) を発症する確率の増加と関連していました.
- これらの関連性は,幼児期の気質,薬物使用,親の精神病理学を含む様々な混乱要因を制御した後も依然として重要でした.
- 青少年における不安障害は,成人期前期の慢性的なタバコ喫煙と有意に関連していない (OR=0.88).
結論:
- 青春期の喫煙は,後期の青春期および成人期の初期に特定の不安障害を発症する危険因子である可能性があります.
- この発見は,喫煙が特定の不安障害の発生に先行し,それに寄与する潜在的な因果関係を示唆しています.
- 対照的に,思春期の不安障害は,成人期の初期に慢性喫煙の発展を予測するものとは見えません.
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