Objective:

To test whether smoking-specific risk factors in early adulthood mediate prediction to daily smoking from childhood ADHD.

Methods:

Participants were 237 with and 164 without childhood ADHD. A smoking risk profile score comprising smoking-specific factors measured between ages 18 to 25 (e.g., craving severity) and age of initiation was tested as mediator of the association between childhood ADHD and age 29 daily smoking.

Results:

Childhood ADHD predicted age 29 smoking (β = −.15, p = .019), 35% of ADHD versus 17% of nonADHD, and the profile score (β = −.07, p = .004), which in turn mediated prediction to age 29 daily smoking (β = −.03; p = .007). When tested individually, three profile variables (# cigarettes/day, difficulty concentrating during abstinence, and nicotine dependence) were significant mediators (ps = 0.005–0.038), above and beyond early adult smoking, ADHD persistence, and delinquency.

Conclusions:

These behavioral smoking characteristics help explain later daily cigarette smoking for adults with ADHD histories and may need to be targeted in intervention.

中文翻译：

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介导 29 岁多动症儿童每日吸烟风险的成年早期吸烟特有风险因素

客观的：

测试成年早期的特定吸烟风险因素是否介导儿童多动症对每日吸烟的预测。

方法：

参与者中有 237 人患有儿童多动症，164 人没有儿童多动症。吸烟风险概况评分包括 18 至 25 岁之间测量的特定吸烟因素（例如，渴望严重程度）和开始年龄，作为儿童 ADHD 与 29 岁每日吸烟之间关联的中介进行测试。

结果：

儿童 ADHD 预测 29 岁吸烟（β = −.15，p  = .019）、35% 的 ADHD 与 17% 的非 ADHD，以及个人资料评分（β = −.07，p  = .004），这反过来又介导对 29 岁每天吸烟的预测 (β = −.03; p  = .007)。单独测试时，三个概况变量（# 香烟/天、戒烟期间注意力不集中和尼古丁依赖）是显着的中介变量 ( p s = 0.005–0.038)，其作用高于成年早期吸烟、ADHD 持续存在和犯罪。

结论：

这些行为吸烟特征有助于解释有 ADHD 病史的成年人后来每天吸烟的原因，可能需要有针对性地进行干预。