PhD program in Neuroscience, Doctorate School of the University of Milano-Bicocca, Italy; School of Medicine and Surgery-University of Milano Bicocca, Italy; Psychiatric Department-ASST Monza, Italy.
Psychiatric Department-ASST Monza, Italy.
Compr Psychiatry. 2018 Jul;84:101-105. doi: 10.1016/j.comppsych.2018.04.009. Epub 2018 Apr 25.
Tobacco smoking is a major health concern. Many women smoke during their reproductive years, some of them during their pregnancy. Adverse outcomes for the newborns physical health are well recognized, while the influence on their mental health is still under investigation. We aim at demonstrating the contribution of maternal personality disorders in maintaining addiction to tobacco during pregnancy, to underline their role and the need of their detection as a preventive effort.
150 women, consecutively admitted to the Perinatal Psychiatric Outpatient Department were tested with the SCID II, CTQ, WHOQOL-BREF, EPDS, BDI and BAI. Tobacco use disorder was attested with the fulfillment of DSM 5 criteria.
46% (n = 69) of the sample was affected by at least one personality disorder ("PD"). "PD" showed a significant higher rate of pregnant women addicted to tobacco (p = 0.021). The average number of cigarettes per day was notably distinct, since patients affected by "NPD" smokes twice the amount compared to "PD" and "other PDs", while those affected by Borderline PD has a halfway consumption (7.20 ± 5.54 vs 3.37 ± 4.62 vs 3 ± 3.39 vs 5.50 ± 4.10). ANOVA and POST HOC showed a significance between "NPD" and "other PDs" (p = 0.035), and "other PDs" has significantly the highest rate of active smokers.
Personality disorders demonstrate to be a clear contributor in supporting addiction to tobacco during pregnancy. Short and long term health and mental consequences attested in the newborn, encourage awareness in detecting tobacco dependency during this sensitive period. The inclusion of personality evaluation and management in tobacco dependency treatment programs is strictly encouraged to boost their efficiency and increase tobacco abstinence.
吸烟是一个主要的健康问题。许多女性在生育期吸烟，其中一些女性在怀孕期间吸烟。新生儿身体健康的不良后果是众所周知的，而其心理健康的影响仍在调查中。我们的目的是证明母亲的人格障碍在怀孕期间对烟草成瘾的维持有贡献，以强调其作用和检测其作为预防措施的必要性。
连续收治于围产期精神科门诊的 150 名妇女接受了 SCID II、CTQ、WHOQOL-BREF、EPDS、BDI 和 BAI 测试。烟草使用障碍通过满足 DSM 5 标准来证实。
样本中 46%（n=69）患有至少一种人格障碍（“PD”）。“PD”组吸烟的孕妇成瘾率显著更高（p=0.021）。每天吸烟的平均数量明显不同，因为患有“NPD”的患者比“PD”和“其他 PD”的患者吸烟量多一倍，而患有边缘型 PD 的患者则处于中等吸烟量（7.20±5.54 与 3.37±4.62 与 3±3.39 与 5.50±4.10）。ANOVA 和 POST HOC 显示“NPD”与“其他 PD”之间存在显著差异（p=0.035），而“其他 PD”组吸烟者的比例明显更高。
人格障碍在支持怀孕期间对烟草的成瘾方面表现出明显的贡献。在新生儿中证实了短期和长期的健康和心理后果，鼓励在这个敏感时期意识到烟草依赖，并进行检测。强烈鼓励将人格评估和管理纳入烟草依赖治疗计划，以提高其效率并增加戒烟率。
