JOURNAL ARTICLE

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

  • Published In: Journal of the American Psychiatric Nurses Association, 2026, v. 32, n. 1. P. 47 1 of 3

  • Database: Psychology Source 2 of 3

  • Authored By: Abufarsakh, Bassema; Okoli, Chizimuzo T. C.; Williams, Lovoria B.; Darville, Audrey K.; Garcia, Antonio R.; Martin, Catherine 3 of 3

Abstract

This article examines the relationships among adverse childhood experiences (ACEs), nicotine dependence (ND), and depressive symptom severity in tobacco users living with mental illness (MI). Using a cross-sectional sample of 194 individuals with MI, the study found that ND partially mediates the impact of ACEs on depressive symptoms, while depressive symptoms also partially mediate the effect of ACEs on ND intensity, with these mediation effects differing by gender. Specifically, mediation effects were significant among males but not females, suggesting gender-specific pathways. The findings highlight the importance of integrating depression treatment into tobacco cessation programs and recommend early screening for ACEs and depressive symptoms in tobacco users with MI to improve treatment outcomes.

Additional Information

  • Source:Journal of the American Psychiatric Nurses Association. 2026/01, Vol. 32, Issue 1, p47
  • Document Type:Article
  • Subject Area:Health and Medicine
  • Publication Date:2026
  • ISSN:1078-3903
  • DOI:10.1177/10783903251356617
  • Accession Number:190798959
  • Copyright Statement:Copyright of Journal of the American Psychiatric Nurses Association is the property of Sage Publications Inc. 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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