Personality disorders and smoking in Spanish general and clinical population ; Trastornos de personalidad y consumo de tabaco en la población general y clínica española

Background: There is consistent evidence about the relationship between smoking and mental health. This study compares the relationship between tobacco use and personality disorders (PDs) in Spanish adults from general and clinical population, taking into account nicotine dependence (ND), and the presence of any mental disorder. Method: The sample was made up of 1,079 smokers (519 from general population, 560 from clinical population). PDs were assessed by means of the International Personality Disorder Examination Questionnaire, Module DSM-IV. Results: Individuals seeking treatment to quit smoking had a higher likelihood of presenting a paranoid, schizoid, schizotypal, borderline, antisocial, and dependent PD compared to smokers from the general population. This likelihood was higher when ND was taken into account. Among smokers from the general population, ND was associated with a higher likelihood of presenting a borderline and dependent PD. Conclusions: A signifi cant relationship between smoking and several PDs exist, especially in nicotine dependent smokers. Relevance of the fi ndings regarding the infl uence of PDs in smoking cessation interventions is discussed ; Antecedentes: existe evidencia sólida sobre la relación entre fumar y salud mental. Este estudio compara la relación entre consumo de tabaco y trastornos de personalidad (TP) en adultos españoles de población general y población clínica, teniendo en cuenta la dependencia de la nicotina (DN) y la presencia de algún trastorno mental. Método: la muestra estuvo formada por 1.079 fumadores (519 de población general, 560 de población clínica). Los TP se evaluaron con el cuestionario del International Personality Disorders Examination, Módulo DSM-IV. Resultados: los individuos que demandaron tratamiento para dejar de fumar tenían una mayor probabilidad de presentar un TP paranoide, esquizoide, esquizotípico, límite, antisocial y dependiente que los fumadores de población general. Esta probabilidad fue mayor cuando además existía DN. Entre los fumadores ...