美国成年人的人格障碍与吸烟。
Personality disorders and cigarette smoking among adults in the United States.
机构信息
University of Vermont, Department of Psychology, 2 Colchester Avenue, John Dewey Hall, Burlington, VT 05405 0134, USA.
出版信息
J Psychiatr Res. 2011 Jun;45(6):835-41. doi: 10.1016/j.jpsychires.2010.11.009. Epub 2010 Dec 17.
INTRODUCTION
There is a paucity of empirical information pertaining to the association between personality disorders and cigarette smoking. The present study examined whether, and to what degree, personality disorders are associated with cigarette smoking; investigated the specificity of any observed smoking-personality disorder association; and the role of mood/anxiety disorders, substance use, and nicotine dependence in those relations.
METHODS
Data were drawn from the National Epidemiologic Survey of Alcohol and Related Conditions (NESARC), a nationally representative sample of 43,083 adults in the United States.
RESULTS
Results indicated a substantial percentage of those with personality disorders are nicotine dependent. Interestingly, the association between dependent, avoidant, histrionic, schizoid and paranoid personality disorders as well as former dependent smoking was partially explained by co-occurring mood/anxiety disorders, and adjusting for such clinical conditions appeared to generally attenuate the strength of many other associations. Finally, the association between personality disorders and smoking appears to differ by specific personality disorder, with some of the strongest relations being evident for antisocial personality disorder.
DISCUSSION
These novel empirical findings are discussed in relation to the relevance of cigarette smoking among those with personality disorders.
简介
有关人格障碍与吸烟之间的关联，实证资料十分有限。本研究旨在检验人格障碍是否以及在何种程度上与吸烟有关；探讨观察到的吸烟与人格障碍之间关联的特异性；以及心境/焦虑障碍、物质使用和尼古丁依赖在这些关系中的作用。
方法
数据来自美国全国酒精和相关条件流行病学调查（NESARC），这是一个具有全国代表性的 43083 名成年人样本。
结果
结果表明，相当一部分人格障碍患者存在尼古丁依赖。有趣的是，依赖型、回避型、表演型、分裂型和偏执型人格障碍以及以前依赖型吸烟与心境/焦虑障碍共病有关，调整这些临床状况后，似乎普遍减弱了许多其他关联的强度。最后，人格障碍与吸烟之间的关联似乎因特定的人格障碍而异，其中与反社会型人格障碍的关联最为明显。
讨论
这些新的实证发现与人格障碍患者中吸烟的相关性有关。
Zotero 插件