Smoking Cessation Unit, Department of Clinical Psychology and Psychobiology, Faculty of Psychology, University of Santiago de Compostela, Santiago de Compostela, Spain.
J Pers Disord. 2013 Jun;27(3):411-24. doi: 10.1521/pedi_2012_26_051. Epub 2012 Aug 28.
The present study examined whether personality disorders (PDs) are associated with cigarette smoking, and the possible influence of nicotine dependence, sociodemographic variables, and the presence of any lifetime Axis I mental disorder in these relationships. The sample was made up of 1,081 adult participants from the Spanish general population and was stratified by smoking status (519 smokers and 562 nonsmokers). PDs were assessed by means of the International Personality Disorder Examination Questionnaire, Module DSM-IV. Results indicated that participants with a paranoid, a narcissistic, a borderline, an antisocial, or an obsessive-compulsive PD had a higher probability for being smokers and for being nicotine-dependent. The only exception was the schizoid PD, because participants with this Axis II disorder had a lower probability for being nicotine-dependent smokers. The association between PDs and smoking was maintained even after adjusting for all covariates. Findings are discussed in relation to the influence of Axis II disorders on smoking cessation interventions.
本研究旨在探讨人格障碍（PD）是否与吸烟有关，以及尼古丁依赖、社会人口学变量和任何终生轴 I 精神障碍的存在对这些关系的可能影响。该样本由来自西班牙普通人群的 1081 名成年参与者组成，并按吸烟状况（519 名吸烟者和 562 名不吸烟者）进行分层。PD 通过国际人格障碍检查表问卷，DSM-IV 模块进行评估。结果表明，偏执型、自恋型、边缘型、反社会型或强迫型 PD 的参与者吸烟和尼古丁依赖的可能性更高。唯一的例外是分裂型 PD，因为患有这种轴 II 障碍的参与者尼古丁依赖吸烟者的可能性较低。即使在调整了所有协变量后，PD 与吸烟之间的关联仍然存在。研究结果与轴 II 障碍对戒烟干预的影响有关。
