Personality disorders and smoking in Spanish general and clinical population

  1. Elena Fernández del Río 1
  2. Ana López-Durán 1
  3. Úrsula Martínez 1
  4. Elisardo Becoña 1
  1. 1 Universidade de Santiago de Compostela (España)

ISSN: 0214-9915

Ano de publicación: 2016

Volume: 28

Número: 3

Páxinas: 278-283

Tipo: Artigo

Outras publicacións en: Psicothema


Background: There is consistent evidence about the relationship between smoking and mental health. This study compares the relationship between tobacco use and personality disorders (PDs) in Spanish adults from general and clinical population, taking into account nicotine dependence (ND), and the presence of any mental disorder. Method: The sample was made up of 1,079 smokers (519 from general population, 560 from clinical population). PDs were assessed by means of the International Personality Disorder Examination Questionnaire, Module DSM-IV. Results: Individuals seeking treatment to quit smoking had a higher likelihood of presenting a paranoid, schizoid, schizotypal, borderline, antisocial, and dependent PD compared to smokers from the general population. This likelihood was higher when ND was taken into account. Among smokers from the general population, ND was associated with a higher likelihood of presenting a borderline and dependent PD. Conclusions: A significant relationship between smoking and several PDs exist, especially in nicotine dependent smokers. Relevance of the findings regarding the influence of PDs in smoking cessation interventions is discussed.

Referencias bibliográficas

  • Afifi , T. O., Mather. A., Boman, J., Fleisher, W., Enns, M. W., MacMillan, H., & Sareen, J. (2011). Childhood adversity and personality disorders: Results from a nationally representative population-based study. Journal of Psychiatric Research, 45, 814-822.
  • Ansell, E. B., Sanislow, C. A., McGlashan, T. H., & Grilo, C. M. (2007). Psychosocial impairment and treatment utilization by patients with borderline personality disorder, other personality disorder, mood and anxiety disorders, and a healthy comparison group. Comprehensive Psychiatry, 48, 329-336.
  • Becoña, E. (2007). Programa para Dejar de Fumar [Smoking Cessation Program]. Vigo: Nova Galicia Edicións.
  • Becoña, E., Fernández del Río, E., López-Durán, A., Piñeiro, B., & Martínez, Ú. (2013). Axis II disorders and cigarette smoking among adults from the general population. Journal of Personality Disorders, 27, 411-424.
  • Becoña, E., & Vázquez, F. (1998). The Fagerström Test for Nicotine Dependence in a Spanish sample. Psychological Reports, 83, 1455-1458.
  • Bender, D., Dolan, R., Skodol, A., Sanislow, C., Dyck, I., McGlashan, T.,…, Gunderson, J. G. (2001). Treatment utilization by patients with personality disorders. American Journal of Psychiatry, 158, 295-302.
  • Brook, J. S., Zhang, C., Balka, E. B., Seltzer, N., & Brook, D. W. (2013). Personality characteristics in the mid-forties predict women’s smoking cessation in their mid-sixties. Psychological Reports, 113, 921-929.
  • Donald, S., Chartrand, H., & Bolton, J. M. (2013). The relationship between nicotine cessation and mental disorders in a nationally representative sample. Journal of Psychiatric Research, 47, 1673-1679.
  • Fernández del Río, E., López-Durán, A., & Becoña, E. (2011). El tratamiento psicológico de la adicción al tabaco en fumadores con trastornos de la personalidad [Psychological treatment of tobacco addiction in smokers with personality disorders]. Papeles del Psicólogo, 32, 175-184.
  • Fernández del Río, E., Martínez-Vispo, C., & Becoña, E. (2011). Concordancia entre el cuestionario de cribado del IPDE y el diagnóstico de trastornos de personalidad en fumadores [Concordance between the IPDE questionnaire and the diagnosis of personality disorders in smokers]. Behavioral Psychology/Psicología Conductual, 19, 303-315.
  • Fiore, M. C., Jaén, C. R., Baker, T. B., Bailey, W. C., Benowitz, N. L., Curry, S. J.,…, Wewers, M. E. (2008). Treating tobacco use and dependence: 2008 update. Rockville, MD: U. S. Department of Health and Human Services, Public Health Service.
  • Gariti, P., Alterman, A., Mulvaney, F., & Epperson, L. (2000). The relationship between psychopathology and smoking cessation treatment response. Drug and Alcohol Dependence, 60, 267-273.
  • Hasin, D., Fenton, M. C., Skodol, A., Krueger, R., Keyes, K., Geier, T.,…, Grant, B. (2011). Personality disorders and the 3-year course of alcohol, drug, and nicotine use disorders. Archives of General Psychiatry, 68, 1158-1167.
  • Heatherton, T. F., Kozlowski, L. T., Frecker, R. C., & Fagerström, K.O. (1991). The Fagerström Test for Nicotine Dependence: A revision of the Fagerström Tolerance Questionnaire. British Journal of Addiction, 86, 1119-1127.
  • Hughes, J. R., Giovino, G. A., Klevens, R. M., & Fiore, M. C. (1997). Assessing the generalizability of smoking studies. Addiction, 92, 469-472.
  • Jackson, H. J., & Burgess, P. M. (2004). Personality disorders in the community: Results from the Australian National Survey of Mental Health and Wellbeing. Part III. Relationships between specific type of personality disorder, Axis I mental disorders and physical conditions with disability and health consultations. Social Psychiatry and Psychiatric Epidemiology, 39, 765-776.
  • Kotz, D., Fidler, J., & West, R. (2009). Factors associated with the use of aids to cessation in English smokers. Addiction, 104, 1403-1410.
  • Le Strat, Y., Rehm, J., & Le Foll, B. (2011). How generalizable to community samples are clinical trial results for treatment of nicotine dependence: A comparison of common eligibility criteria with respondents of a large representative general population survey. Tobacco Control, 20, 338-343.
  • Lewin, T. J., Slade, T., Andrews, G., Carr, V. J., & Hornabrook, C. W. (2005). Assessing personality disorders in a national mental health survey. Social Psychiatry and Psychiatric Epidemiology, 40, 87-98.
  • López-Ibor, J. J., Pérez-Urdániz, A., & Rubio, V. (1996). Examen Internacional de los Trastornos de la Personalidad. Módulo DSM-IV. Versión española [The International Personality Disorders Examination. DSM-IV Module. Spanish version]. Madrid: World Health Organization.
  • Loranger, A. W. (1995). International Personality Disorder Examination (IPDE) DSM-IV module. Geneva: World Health Organization.
  • Loranger, A. W., Janca, A., & Sartorius, N. (Eds.) (1997). Assessment and diagnosis of personality disorders: The International Personality Disorder Examination (IPDE). Cambridge, United Kingdom: Cambridge University Press.
  • Piñeiro, B., Fernández del Río, E., López-Durán, A., Martínez, U., & Becoña, E. (2013). The association between probable personality disorders and smoking cessation and maintenance. Addictive Behaviors, 38, 2369-2373.
  • Powers, A. D., & Oltmanns, T. F. (2013). Personality pathology as a risk factor for negative health perception. Journal of Personality Disorders, 27, 359-370.
  • Pulay, A. J., Stinson, F. S., Ruan, W. J., Smith, S. M., Pickering, R. P., Dawson, D. A., & Grant, B. F. (2010). The relationship of DSM-IV personality disorders to nicotine dependence-results from a national survey. Drug and Alcohol Dependence, 108, 141-145.
  • Rüther, T., Bobes, J., De Hert, M., Svensson, T. H., Mann, K., Batra, A.,…, Möller, H. J. (2014). EPA guidance on tobacco dependence and strategies for smoking cessation in people with mental illness. European Psychiatry, 29, 65-82.
  • Shiffman, S., Brockwell, S. E., Pillitteri, J. L., & Gitchell, J. G. (2008). Individual differences in adoption of treatment for smoking cessation: Demographic and smoking history characteristics. Drug and Alcohol Dependence, 93, 121-131.
  • Trull, T. J., Jahng, S., Tomko, R. L., Wood, P. K., & Sher, K. J. (2010). Revised NESARC personality disorder diagnoses: Gender, prevalence, and comorbidity with substance dependence disorders. Journal of Personality Disorders, 24, 412-426.
  • Ziedonis, D., Hitsman, B., Beckham, J. C., Zvolensky, M., Adler, L. E., Audrain-McGovern, J.,…, Riley, W. T. (2008). Tobacco use and cessation in psychiatric disorders: National Institute of Mental Health Report. Nicotine & Tobacco Research, 10, 1691-1715.
  • Zvolensky, M. J., Jenkins, E. F., Johnson, K. A., & Goodwin, R. D. (2011). Personality disorders and cigarette smoking among adults in the United States. Journal of Psychiatric Research, 45, 835-841.