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

Predicting smoking and nicotine dependence from the DSM-5 alternative model for personality pathology.
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DOI:
10.1037/per0000487
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发表时间:
2022-01
期刊:
Personality disorders
影响因子:
--
通讯作者:
Creswell KG
Creswell KG
中科院分区:
其他
文献类型:
--
作者:
Halberstadt AL;Skrzynski CJ;Wright AGC;Creswell KG

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人格障碍(PD)患者的发病率和死亡率高于一般人群,这可能是由于不适应的健康行为,如吸烟。先前的研究已经检查了分类PD诊断/人格特征与吸烟/尼古丁依赖之间的联系,但对精神疾病诊断和统计手册(第5版; DSM-5)人格障碍替代模型与吸烟和尼古丁依赖的关系知之甚少。目前的研究在500名参与者的样本中检查了这个问题,使用人格功能量表评估一般人格病理学,DSM-5人格量表测量特定特征,Fagerström尼古丁依赖测试评估尼古丁依赖,以及关于当前和过去吸烟的问题来评估吸烟状况(即,当前、以前、从未)。多项逻辑回归结果表明,一般人格病理(标准A)是不相关的吸烟状况,有没有可靠的关联特质(标准B)和吸烟状况。然而,相关性表明,较高的负性情感和去抑制与吸烟者的尼古丁依赖水平较高。研究结果进行了讨论,在以前的研究结果将人格病理吸烟/尼古丁依赖,以及这种新的人格障碍诊断系统的一般有效性。
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. Prior 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 (5th Edition; DSM-5) 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 DSM-5 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 prior 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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