Fernández del Río Elena, Becoña Iglesias Elisardo
Unidad de Tabaquismo, Universidad de Santiago de Compostela, Santiago de Compostela, A Coruña.
Adicciones. 2010;22(2):155-72.
The association between psychopathology and nicotine dependence in smokers has been a relevant topic in recent years. Nevertheless, little is known about personality disorders in smokers. The aim of this article is to review research published nationally and internationally which analyzes the relation between tobacco use and personality disorders. Our review permits us to affirm that research on the presence of Axis II disorders in smokers is rather scarce. Of 12 studies analyzed, it can be concluded that the prevalence of personality disorders in smokers is highly variable (between 9% and 45%), and that, in the majority of the studies, smoking is associated first with the presence of cluster C disorders (dependent, avoidant and obsessive-compulsive), and second, with cluster B disorders (histrionic, narcissistic, borderline and antisocial). Finally, we note the various limitations of previous studies and stress the need to better understand these disorders, given their relevance to the treatment of smokers.
近年来，吸烟者的精神病理学与尼古丁依赖之间的关联一直是一个备受关注的话题。然而，对于吸烟者中的人格障碍却知之甚少。本文旨在综述国内外发表的有关分析烟草使用与人格障碍之间关系的研究。我们的综述使我们能够肯定，关于吸烟者中轴II障碍存在情况的研究相当匮乏。在分析的12项研究中，可以得出结论，吸烟者中人格障碍的患病率差异很大（在9%至45%之间），并且在大多数研究中，吸烟首先与C类障碍（依赖型、回避型和强迫型）的存在相关，其次与B类障碍（表演型、自恋型、边缘型和反社会型）相关。最后，我们指出了先前研究的各种局限性，并强调鉴于这些障碍与吸烟者治疗的相关性，有必要更好地理解它们。
