The burden of personality disorders on the DSM 5 addiction to tobacco during pregnancy

Giacomo, Ester di; Colmegna, Fabrizia; Pescatore, Francesca; Aspesi, Flora; Fotiadou, Maria; Clerici, Massimo

doi:10.1016/j.comppsych.2018.04.009

Cited by 5 publications

(3 citation statements)

References 37 publications

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“…Several recent studies, based on surveys led in the US general population in the last decade [2-4], showed an increase in cannabis use during pregnancy from 1.95 to 7%, with a 0.5% for medical-only purposes. Our group already demonstrated a higher rate of addiction to tobacco during pregnancy in patients affected by mental disorders, especially narcissistic and borderline personality disorders [5]. The public concern raised by such results stresses the importance of public information, screening, and timely interventions.…”

Section: Introductionmentioning

confidence: 99%

Cannabis and Pregnancy: A Psychiatric, Medical, or General Population Issue?

et al. 2020

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Background: Cannabis use during pregnancy may adversely affect the health of pregnant women and their fetus. Several recent surveys led in the US general population in the last decade showed an increase in cannabis use during pregnancy from 1.95 to 7%, with a 0.5% for medical-only purposes. Objectives: Our aim was to investigate if an increased incidence might be due to a greater public acceptability after introduction of cannabis medical use or due to psychiatric implications and unmet needs. Method: 500 pregnant women (302 psychiatric patients and 198 healthy controls) were tested with the Edimburgh Post-Natal Depression Scale, Beck Anxiety and Depression Inventory, and Structured Clinical Interview for the DSM-IV Axis II while substance use disorder was documented with the fulfillment of the DSM-5 criteria. Results: Five percent of the whole sample had a documented addiction to cannabis during pregnancy (all among psychiatric patients and none in the general population). All psychiatric patients with cannabis use disorder were affected by borderline personality disorder, except for 1 patient with cannabis and cocaine use disorders who suffered from adjustment disorder with anxiety. Conclusions: Addiction to cannabis during pregnancy has an increased rate confirming surveys on the general US population but seem entirely linked to psychiatric issues, especially borderline personality disorder. Personality disorders may have been underestimated in surveys in the general population until now because these are usually not assessed.

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Section: Introductionmentioning

confidence: 99%

Cannabis and Pregnancy: A Psychiatric, Medical, or General Population Issue?

et al. 2020

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“…Individuals with personality disorders (PDs) have higher morbidity and mortality than the general population (Dixon-Gordon et al, 2015; Fok et al, 2012), and studies suggest that this is at least partially due to maladaptive health behaviors, such as cigarette smoking (di Giacomo et al, 2018; Frankenburg & Zanarini, 2004). For example, using a nationally representative sample, Trull et al, (2010) found that the lifetime prevalence of nicotine dependence was more than double (48%) in those with PDs compared to those without PDs (21%).…”

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confidence: 99%

Predicting smoking and nicotine dependence from the DSM–5 alternative model for personality pathology.

Halberstadt¹,

Skrzynski²,

Wright³

et al. 2022

Personality Disorders: Theory, Research, and Treatment

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Individuals with personality disorders (PDs) have higher morbidity and mortality than the general population, which may be due to maladaptive health behaviors such as smoking. Previous studies have examined the links between categorical PD diagnoses/personality traits and smoking/nicotine dependence, but little is known about how the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition alternative model for personality disorders relates to smoking and nicotine dependence. The current study examined this question in a sample of 500 participants using the Levels of Personality Functioning Scale to assess general personality pathology, the Personality Inventory for the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition to measure specific traits, the Fagerström test for Nicotine Dependence to assess nicotine dependence, and questions about current and past smoking to assess smoking status (i.e., current, former, never). Multinomial logistic regression results demonstrated that general personality pathology (Criterion A) was not related to smoking status, and there were no reliable associations between traits (Criterion B) and smoking status. However, correlations showed that higher negative affectivity and disinhibition were related to higher levels of nicotine dependence within smokers. Findings are discussed in regard to previous findings linking personality pathology to smoking/nicotine dependence as well as the general validity of this new personality disorder diagnostic system.

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“…; DSM-IV) criteria, and tested using the EPDS, the Structured Clinical Interview for DSM-IV Axis II disorders (SCID-II), the Beck Depression Inventory–II (BDI-II), the Beck Anxiety Inventory (BAI), the World Health Organization Quality of Life (WHOQOL) and the Childhood Trau-ma Questionnaire (CTQ). Forty-six percent ( n = 69) of the sample was affected by at least one personality disorder, with the most represented being Borderline (‘BPD’; n = 30; 20%) and Narcissistic (‘NPD’; n = 22; 14.7%) personality disorders (di Giacomo et al, 2018). Women negative to the SCID-II ( n = 81) were affected by anxiety or depressive disorders.…”

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confidence: 99%