Prevalence of Smoking in Anxiety Disorders Uncomplicated by Comorbid Alcohol or Substance Abuse

This study examined the point prevalence of smoking in patients with anxiety disorders who do not have comorbid alcohol or substance abuse or dependence (ASAD). In a retrospective chart review, the smoking status of 581 patients with anxiety disorders was assessed. Patients, ages 18–65, were seeking treatment for anxiety disorders at an outpatient clinic that specialized in anxiety and related disorders. All participants were interviewed using the Anxiety Disorders Interview Schedule—IV, during which their smoking status was assessed. The prevalence of smoking across all anxiety disorders was 14.8%, which is much lower than found in the general population (23.3%; CDC, 2002) and even lower than previous estimates in individuals with comorbid anxiety and ASAD. Individuals with panic disorder and generalized anxiety disorder had the highest prevalence of smoking, although these rates were still considerably lower than those found in previous studies of smokers with anxiety disorders. Reasons for lower prevalence estimates are discussed.     

The Effects of Parental Tobacco and Marijuana Use and Personality Attributes on Child Rearing in African-American and Puerto Rican Young Adults

We assessed the effect of the interrelationship of mothers’ and fathers’ tobacco and marijuana use with their personality attributes on some of their child rearing behaviors. We used a longitudinal design to analyze the data of 258 males and females who were seen four times over a 13-year period from early adolescence through young adult parenthood. Thirty-one percent of the multiple regression analyses revealed significant interactions between the effect of tobacco or marijuana use and a personality attribute on child rearing. The majority of these significant interactions suggested that protective personality characteristics were offset by substance use risks resulting in less adequate child rearing. If these results are substantiated in an experimental intervention, it suggests that having resilient personality attributes does not protect against the negative effects of tobacco or marijuana use on child rearing.     

Assessment of Nicotine Dependence Among Substance Abusing Adolescent Smokers: A Comparison of the DSM-IV Criteria and the Modified Fagerström Tolerance Questionnaire

Nicotine dependence has been found to be a significant factor in adolescent smoking persistence. However, measures of this construct are primarily adult-derived, limiting their utility as bases for characterizing nicotine dependence and formulating youth intervention strategies. This issue is of particular importance among substance abusing youth who have substantially higher rates of cigarette smoking than do adolescents in the general population. The objectives of this preliminary study were to examine the construct validity of the DSM-IV nicotine dependence criteria and the modified Fagerström Tolerance Questionnaire (mFTQ) and to compare the DSM-IV diagnostic criteria for nicotine dependence with the mFTQ in a sample of 67 adolescent smokers in treatment for substance abuse. Results revealed that more participants were classified as nicotine dependent using DSM-IV criteria than by mFTQ scores. Little evidence was found for construct validity of these measures and convergence between the two measures was low. Findings also suggested that the present measures do not capture optimally broad dimensions of adolescent nicotine dependence.     

尼古丁依赖对男性吸烟者感知戒烟行为控制的预测：社会支持与抱怨批评的作用

考察尼古丁依赖对男性吸烟者感知戒烟行为控制的预测及他人戒烟社会支持和抱怨批评的调节作用。对326名男性吸烟者进行问卷调查,结果显示：（1）尼古丁依赖显著负向预测感知行为控制;（2）社会支持和抱怨批评共同调节两者关系;在高社会支持且低抱怨批评、高抱怨批评且低社会支持的条件下,尼古丁依赖的预测作用不显著。结果说明,高社会支持在尼古丁依赖削弱感知行为控制过程中起缓冲作用,而高抱怨批评削弱社会支持的缓冲作用。     

What Truth Depends on

What kinds of sentences with truth predicate may be inserted plausibly and consistently into the T-scheme? We state an answer in terms of dependence: those sentences which depend directly or indirectly on non-semantic states of affairs (only). In order to make this precise we introduce a theory of dependence according to which a sentence φ is said to depend on a set Φ of sentences iff the truth value of φ supervenes on the presence or absence of the sentences of Φ in/from the extension of the truth predicate. Both φ and the members of Φ are allowed to contain the truth predicate. On that basis we are able define notions such as ungroundedness or self-referentiality within a classical semantics, and we can show that there is an adequate definition of truth for the class of sentences which depend on non-semantic states of affairs.     

The Professor and the Saint

I review James E. Dittes' scholarship on St. Augustine through the perspective of my experiences as a student in his seminar on The `Theologies' of Freud and Jung, sponsored by the National Endowment for the Humanities. Throughout this review, I emphasize Dittes' personal engagement with Augustine, and note his unabashed introspection as a mode of theological reflection.     

Effects of Enforcement of Youth Access Laws on Smoking Prevalence

Smoking is the primary preventable cause of death, and yet 3,000 adolescents become smokers each day. Most adult smokers begin this deadly habit when they are under the age of 18, which is the minimum legal age for the purchase of cigarettes. The majority of adolescent smokers are able to purchase cigarettes even though laws prohibit the sale of cigarettes to minors. In the late 1980s, Woodridge, IL, became one of the first towns in the nation to demonstrate a significant reduction in the ability of youth to purchase cigarettes. Almost 2 years after passage of this legislation, the percentage of regular smokers among 7th- and 8th-grade students had been reduced from 16 to 5%. Seven-year follow-up data in a sample of high school youths indicate that youths living in communities with regular enforcement had significantly less smoking than those living in communities without regular enforcement. In particular, rates of regular smoking were 8.1% in communities with regular enforcement versus 15.5% in communities without regular enforcement. It is possible that adolescents who had restricted access to tobacco products were less likely to become regular smokers. These findings have important public health implications, particularly in light of recent federal legislation mandating that all states develop programs to reduce access of youth to tobacco products.     

Correlates of illicit drug use among university students in Africa and the Caribbean

The goal of this study was to estimate the prevalence and correlates of illicit drug use (IDU) among university students from eight countries in Africa and three countries in the Caribbean. In a cross-sectional survey, data were collected from 7 017 undergraduate university students (mean age 21.1, SD = 2.7, age range of 18–30 years) from 11 countries. Overall, 17.2% and 3.5% reported infrequent (1–9 times) and frequent (10 or more times) IDU in the past 12 months. In multivariate logistic regression models, residing on or off campus on their own, living in an upper middle or high income country, current tobacco use, binge drinking, and having been in a physical fight in the past 12 months were associated with both frequent and infrequent IDU. In addition, higher intrinsic religiosity and older age was found to be protective from infrequent IDU and associated with never using illicit drugs. The influences on IDU identified may be utilised for the design and implementation of social intervention programmes to curtail IDU by college students.     

心理戒毒实验研究

1问题以往对毒品依赖者的临床治疗,偏重于躯体依赖的药物戒治,实践表明,克服戒断反应并不困难。然而,戒断反应消除了,毒瘾却并没戒除,表现是：复吸率非常高──达98％。如此之高的复吸率引起我们的注意：反复吸毒到底是一个生理问题还是一个心理问题？吸毒者在反复吸毒过程中追求的是什么？由此,导向另一个更深层次的问题：“戒毒要戒掉什么？”我们就此问题进行了调查,调查对象包括广州、探圳等戒毒所收治的150名吸毒者。结果显示：（1）开始吸毒时有非常强烈的情绪体验,这种情绪体验的强烈程度和愉快程度远远超过性交的体验。随…