Substance use during pregnancy and personality dimensions

Autor: Imaz M, Navines R, Gelabert E, Fonseca F, Gutierrez-Zotes A, Guillamat R, Langohr K, Canellas F, Gornemann I, Costas J, Mayoral F, Valles V, De Diego Y, Roca M, Iborra J, Gratacos M, Vilella E, Garcia-Esteve L, Sanjuan J, Torrens M, Martin-Santos Laffon R
Rok vydání: 2020
Zdroj: Adicciones
r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
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ISSN: 0214-4840
Popis: Our aim was to assess personality traits associated with substance use during pregnancy in a population-based, multicentre study of 1804 pregnant women. On day 2-3 postpartum, participants completed a semi-structured interview, including self-reported drug use (alcohol, tobacco, caffeine, cannabis, cocaine, opioids) during pregnancy, and socio-demographic, reproductive and obstetric variables, personal and family psychiatric history, social support, and the Eysenck personality questionnaire, short version (EPQ-RS). Logistic regression models were conducted. Fifty per cent of women reported substance use during pregnancy: 40% caffeine, 21% tobacco, 3.5% alcohol, and 0.3 % cannabis. Mean T-scores (SD) for personality dimensions were 51.1 (9.6) for extraversion, 48 (8.9) for psychoticism, and 43.6 (8.5) for neuroticism. Extroversion (p = .029) and psychoticism (p = .009) were identified as risk factors after adjustment by age, level of education, employment status during pregnancy, low social support, and previous psychiatric history. For each increment of 10 units in their scores, the odds of substance use increased by 12% and 16% respectively. Low education, being on leave during pregnancy, and previous psychiatric history were independent factors (p < .05) associated with substance use during pregnancy. Primiparity was a protective factor (p = .001). The final models showed a good fit (p = .26). The screening of substance use during pregnancy should include personality dimensions apart from psychosocial variables and history of psychiatric disorders. It is important to identify the associated risk factors for substance use during pregnancy to prevent and improve foetal/neonatal and maternal health during perinatal period. Este estudio evalua los patrones de consumo de substancias durante el embarazo y las dimensiones de personalidad asociadas, en una muestra multicentrica de 1804 mujeres de poblacion general. En el 2-3 dia posparto, completaron una entrevista auto-administrada sobre el consumo de alcohol, tabaco, cafeina, cannabis, cocaina, opiaceos, drogas de diseno, ademas de variables socio-demograficas, obstetricas/reproductivas, historia psiquiatrica previa, apoyo social durante el embarazo y el cuestionario de personalidad de Eysenck (EPQ-RS). Se generaron modelos de regresion logistica multiple. La prevalencia del consumo fue del 50% (N=909): 40% cafeina, 21% tabaco, 3,5% alcohol, y 0,3 cannabis. Las puntuaciones T medias (DE) de personalidad fueron: extraversion 51,1 (9,6), psicoticismo 48 (8,9) y neuroticismo 43,6 (8,5). Las dimensiones de extraversion (p=0,029) y psicoticismo (p=0,009), fueron identificadas como factores de riesgo tras ajustar por edad, nivel educacion, estatus laboral durante el embarazo, bajo apoyo social, e historia psiquiatrica previa. Para cada incremento de 10 unidades en sus puntuaciones, el odds de consumo de substancias durante el embarazo se incremento un 12% y un 16% respectivamente. Menor educacion, estar de baja, y antecedentes psiquiatricos fueron tambien factores independientes (p
Databáze: OpenAIRE
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