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人格对孕期用药、饮酒和吸烟的影响。

Effects of personality on use of medications, alcohol, and cigarettes during pregnancy.

机构信息

Division of Mental Health, Norwegian Institute of Public Health, PO Box 4404 Nydalen, 0403, Oslo, Norway.

出版信息

Eur J Clin Pharmacol. 2012 May;68(5):845-51. doi: 10.1007/s00228-011-1197-y. Epub 2011 Dec 22.

Abstract

PURPOSE

The aim of the study was to examine the role of personality in a pregnant woman's consumption of medications, cigarettes, and alcohol.

METHODS

The study included 835 pregnant women in Norway who responded to an electronic questionnaire posted on websites for pregnant women. On the questionnaire, the women reported their use of medications, cigarettes, and alcohol during pregnancy. They also filled out a personality assessment questionnaire, the Big Five Inventory.

RESULTS

Use of medications, alcohol, and cigarettes was significantly associated with different personality traits. Women with high scores for conscientiousness were less likely to use an over-the-counter medication such as paracetamol than other women (odds ratio (OR) 0.74; 95% confidence interval (CI) 0.55-0.99). Women who scored high for neuroticism were four- to sixfold more likely to use prescription medications such as sedatives/anxiolytics (OR 4.07; 95% CI 1.48-11.20) or antidepressants (OR 5.73, 95% CI 2.33-14.09). Women with high scores for openness to experience were more likely to use herbal remedies (OR 1.59; 95% CI 1.00-2.52). Women who continued consuming alcohol during pregnancy were more likely to score high on extraversion and low on conscientiousness than women who quit alcohol use. Scoring high on neuroticism increased the likelihood of quitting smoking during pregnancy.

CONCLUSIONS

This study shows that a woman's personality traits are associated with use of medications, cigarettes, and alcohol during pregnancy. This knowledge could be of clinical importance to health care personnel providing prenatal care.

摘要

目的

本研究旨在探讨人格在孕妇用药、吸烟和饮酒行为中的作用。

方法

本研究纳入了 835 名挪威孕妇,她们通过电子问卷的形式在孕妇网站上作答。问卷内容包括孕妇在孕期的用药、吸烟和饮酒情况,以及人格评估问卷——大五人格量表。

结果

用药、饮酒和吸烟行为与不同的人格特质显著相关。尽责性得分较高的女性使用扑热息痛等非处方药物的可能性低于其他女性(比值比 0.74;95%置信区间 0.55-0.99)。神经质得分较高的女性使用镇静剂/抗焦虑药(比值比 4.07;95%置信区间 1.48-11.20)或抗抑郁药(比值比 5.73,95%置信区间 2.33-14.09)的可能性是其他女性的 4-6 倍。开放性得分较高的女性更可能使用草药(比值比 1.59;95%置信区间 1.00-2.52)。继续饮酒的女性比戒酒的女性更有可能在外向性上得分较高,而在尽责性上得分较低。神经质得分较高会增加女性在孕期戒烟的可能性。

结论

本研究表明,女性的人格特质与孕期的用药、吸烟和饮酒行为有关。这些知识对提供产前保健的医护人员可能具有重要的临床意义。

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