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BMC Public Health
Published in: BMC Public Health 1/2013

Open Access 01-12-2013 | Research article

Gender differences in personality patterns and smoking status after a smoking cessation treatment

Authors: Bárbara Piñeiro, Ana López-Durán, Elena Fernández del Río, Úrsula Martínez, Elisardo Becoña

Published in: BMC Public Health | Issue 1/2013

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Abstract

Background

The lack of conclusive results and the scarce use of the Millon Clinical Multiaxial Inventory-III (MCMI-III) in the study of the relationship between smoking and personality are the reasons that motivated the study reported here. The aim of the present study was to analyze the influence of personality patterns, assessed with the MCMI-III, and of nicotine dependence on treatment outcomes at the end of the treatment and at 12 months follow-up in men and women smokers receiving cognitive-behavioral treatment for smoking cessation.

Methods

The sample was made up of 288 smokers who received cognitive-behavioral treatment for smoking cessation. Personality patterns were assessed with the Millon Clinical Multiaxial Inventory-III (MCMI-III). Abstinence at the end of the treatment and at 12-month follow-up was validated with the test for carbon monoxide in expired air.

Results

The results showed significant differences by personality patterns that predict nicotine dependence (Narcissistic and Antisocial in men and Schizoid in women). At the end of the treatment it is more likely that quit smoking males with a Compulsive pattern and less likely in those scoring high in Depressive, Antisocial, Sadistic, Negativistic, Masochistic, Schizotypal and Borderline. In women, it is less likely that quit smoking those with the Schizoid pattern. At 12 months follow-up it is more likely that continue abstinent those males with a high score in the Compulsive pattern. Furthermore, nicotine dependence was an important variable for predicting outcome at the end of the treatment and smoking status at 12 months follow-up in both men and women.

Conclusions

We found substantial differences by gender in some personality patterns in a sample of smokers who received cognitive-behavioral treatment for smoking cessation. We should consider the existence of different personality patterns in men and women who seek treatment for smoking cessation.
Literature
1.
Gurpegui M, Jurado D, Luna JD, Fernandez-Molina C, Moreno-Abril O, Galvez R: Personality traits associated with caffeine intake and smoking. Prog Neuropsychopharmacol Biol Psychiatry. 2007, 31: 997-1005. 10.1016/j.pnpbp.2007.02.006.CrossRefPubMed
2.
3.
Williams JH, Wellman NA, Allan LM, Taylor E, Tonin J, Feldon J, Rawlins JNP: Tobacco smoking correlates with schizotypal and borderline personality traits. Pers Individ Dif. 1996, 20: 267-270. 10.1016/0191-8869(95)00179-4.CrossRef
4.
Malouff JM, Thorsteinsson EB, Schutte NS: The five-factor model of personality and smoking: a meta-analysis. J Drug Educ. 2006, 36: 47-58.CrossRefPubMed
5.
Grekin ER, Sher KJ, Wood PK: Personality and substance dependence symptoms: modeling substance-specific traits. Psychol Addict Behav. 2006, 20: 415-424.CrossRefPubMed
6.
7.
Hooten WM, Ames SC, Vickers KS, Hays JT, Wolter TD, Hurt RD, Offord KP: Personality correlates related to tobacco abstinence following treatment. Int J Psychiatry Med. 2005, 35: 59-74. 10.2190/N9F1-1R9G-6EDW-9BFL.CrossRefPubMed
8.
Sher KJ, Bartholow BD, Wood MD: Personality and substance use disorders: a prospective study. J Consult Clin Psychol. 2000, 68: 818-829.CrossRefPubMed
9.
Cosci F, Corlando A, Fornai E, Pistelli F, Paoletti P, Carozzi L: Nicotine dependence, psychological distress and personality traits as possible predictors of smoking cessation. Results of a double-blind study with nicotine patch. Addict Behav. 2009, 34: 28-35. 10.1016/j.addbeh.2008.08.003.CrossRefPubMed
10.
Nieva G, Valero S, Bruguera E, Andion O, Trasovares MV, Gual A, Casas M: The alternative five-factor model of personality, nicotine dependence and relapse after treatment for smoking cessation. Addict Behav. 2011, 36: 965-971. 10.1016/j.addbeh.2011.05.008.CrossRefPubMed
11.
Zuckerman M, Kuhlman D, Joireman J, Teta P, Kraft M: A comparison of the three structural models for personality: The big three, the big five, and the alternative five. J Pers Soc Psychol. 1993, 65: 757-768.CrossRef
12.
Strack S, Millon T: Contributions to the dimensional assessment of personality disorders using Millon’s model and the Millon Clinical Multiaxial Inventory (MCMI-III). J Pers Assess. 2007, 89: 56-69. 10.1080/00223890701357217.CrossRefPubMed
13.
Millon T: Disorders of Personality: Introducing a DSM/ICD Spectrum from Normal to Abnormal. 2011, New York: John Wiley & SonsCrossRef
14.
Fernández del Río E, Becoña E, López A: Trastornos de personalidad en fumadores y no fumadores de la población general [Personality disorders in smokers and non-smokers of the general population]. Behavioral Psychology. 2010, 18: 241-258.
15.
Becoña E, Fernández del Río E, López-Durán A, Martínez U, Piñeiro B, Míguez MC, Vázquez MI: Do cigarette smokers have different personality patterns than non-smokers?. Span J Psychol. in press
16.
Perea JM, Oña S, Ortiz M: Diferencias de rasgos clínicos de personalidad en el mantenimiento de la abstinencia y recaídas en tratamiento del tabaquismo [Differences in clinical personality traits in maintaining abstinence and relapse in tobacco treatment]. Psicothema. 2009, 21: 39-44.
17.
Fernández del Río E, López A, Becoña E: Trastornos de personalidad y abstinencia del consumo de tabaco en un tratamiento psicológico para dejar de fumar [Personality disorders and abstinence from tobacco use in a psychological treatment for smoking cessation]. Psicothema. 2010, 22: 357-362.PubMed
18.
Millon T, Davis R, Millon C: Millon Clinical Multiaxial Inventory (MCMI-III). 1997, Minneapolis: Pearson
19.
Fiore MC, Jaén CR, Baker TB, Bailey WC, Benowitz NL, Curry SJ, Dorfman SF, Froelicher ES, Goldstein MG, Healton CG, Henderson PN, Heyman RB, Koh HK, Kottke TE, Lando HA, Mecklenburg RE, Mermelstein RJ, Mullen PD, Orlenas CT, Robinson L, Stitzer ML, Tommasello AC, Villejo L, Wewers ME: Treating tobacco use and dependence: 2008 Update. 2008, Rockville, MD: U. S. Department of Health and Human Services, Public Health Service
20.
Míguez MC, Becoña E: Abstinence from smoking ten years after participation in a randomized controlled trial of a self-help program. Addict Behav. 2008, 33: 1369-1374. 10.1016/j.addbeh.2008.06.015.CrossRefPubMed
21.
Sledjeski EM, Dierker LC, Costello D, Shiffman S, Donny E, Flay BR: Predictive utility of four nicotine dependence measures in a college sample. Drug Alcohol Depend. 2007, 87: 10-19. 10.1016/j.drugalcdep.2006.07.005.CrossRefPubMed
22.
Japuntich SJ, Leventhal AM, Piper ME, Bolt DM, Roberts LJ, Fiore MC, Baker TB: Smoker characteristics and smoking-cessation milestones. Am J Prev Med. 2011, 40: 286-294. 10.1016/j.amepre.2010.11.016.CrossRefPubMedPubMedCentral
23.
Powell J, Dawkins L, West R, Powell J, Pickering A: Relapse to smoking during unaided cessation: Clinical, cognitive and motivational predictors. Psychopharmacology (Berl). 2010, 212: 537-549. 10.1007/s00213-010-1975-8.CrossRef
24.
Ferguson JA, Patten CA, Schroeder DR, Offord KP, Eberman KM, Hurt RD: Predictors of 6-month tobacco abstinence among 1224 cigarette smokers treated for nicotine dependence. Addict Behav. 2003, 28: 1203-1218. 10.1016/S0306-4603(02)00260-5.CrossRefPubMed
25.
Becoña E, Lorenzo MC: Evaluación de la conducta de fumar [Assessment of smoking behavior]. Adicciones. 2004, 16 (Suppl 2): 201-226.
26.
Cardenal V, Sánchez MP: Adaptación y baremación españolas del Inventario Clínico Multiaxial de Millon-III (MCMI-III) [Spanish adaptation and baremación of the Millon Multiaxial Clinical Inventory-III (MCMI-III)]. 2007, Madrid: TEA Ediciones
27.
McKinney AA, Canu WH, Schneider HG: Distinct ADHD Symptom Clusters Differentially Associated With Personality Traits. J Atten Disord. 2012, 30: 1-9.
28.
Picci RL, Vigna-Taglianti F, Oliva F, Mathis F, Salmaso S, Ostacoli L, Sodano AJ, Furlan PM: Personality disorders among patients accessing alcohol detoxification treatment: prevalence and gender differences. Compr Psychiatry. 2012, 53: 355-363. 10.1016/j.comppsych.2011.05.011.CrossRefPubMed
29.
Knabb JJ, Vogt RG: Assessing Old Order Amish outpatients with the MCMI-III. J Pers Assess. 2012, 93: 290-299.CrossRef
30.
Saulsman LM: Depression, anxiety, and the MCMI-III: construct validity and diagnostic efficiency. J Pers Assess. 2011, 93: 76-83. 10.1080/00223891.2010.528481.CrossRefPubMed
31.
Heatherton TF, Kozlowski LT, Frecker RC, Fagerstrom KO: The Fagerstrom Test for Nicotine Dependence: a revision of the Fagerstrom Tolerance Questionnaire. Br J Addiction. 1991, 86: 1119-1127. 10.1111/j.1360-0443.1991.tb01879.x.CrossRef
32.
Becoña E, Vázquez F: The Fagerström Test for Nicotine Dependence in a Spanish sample. Psychol Rep. 1998, 83: 1455-1458.CrossRefPubMed
33.
Becoña E: Programa para Dejar de Fumar [Smoking Cessation Program]. 2007, Vigo: Nova Galicia Edicións
34.
Becoña E, Míguez MC: Group behavior therapy for smoking cessation. Journal of Groups in Addiction & Recovery. 2008, 3: 63-78. 10.1080/15560350802157528.CrossRef
35.
West R, Hajek P, Stead L, Stapleton J: Outcome criteria in smoking cessation trials: proposal for a common standard. Addiction. 2005, 100: 299-303. 10.1111/j.1360-0443.2004.00995.x.CrossRefPubMed
36.
Berlin I, Singleton EG, Pedarriosse A, Lancrenon S, Rames A, Aubin H, Niaura R: The modified reasons for smoking scale: Factorial structure, gender effects and relationship with nicotine dependence and smoking cessation in French smokers. Addiction. 2003, 98: 1575-1583. 10.1046/j.1360-0443.2003.00523.x.CrossRefPubMed
37.
Millon T: Personality disorders in modern life. 2004, Nueva York: John Wiley & Sons, 2
38.
Hasin D, Fenton MC, Skodol A, Krueger R, Keyes K, Geier T, Greenstein E, Blanco C, Grant B: Personality disorders and the 3-year course of alcohol, drug, and nicotine use disorders. Arch Gen Psychiatry. 2011, 68: 1158-1167. 10.1001/archgenpsychiatry.2011.136.CrossRefPubMedPubMedCentral
39.
López A, Becoña E: Patrones y trastornos de personalidad en personas con dependencia de la cocaína en tratamiento [Patterns and personality disorders in individuals with cocaine dependence in treatment]. Psicothema. 2006, 18: 578-583.
40.
Caponnetto P, Polosa R: Common predictors of smoking cessation in clinical practice. Respiratory Medicine. 2008, 102: 1182-1192. 10.1016/j.rmed.2008.02.017.CrossRefPubMed
41.
Hagimoto A, Nakamura M, Morita T, Masui S, Oshima A: Smoking cessation patterns and predictors of quitting smoking among the Japanese general population: a 1-year follow-up study. Addiction. 2010, 105: 164-173. 10.1111/j.1360-0443.2009.02735.x.CrossRefPubMed
42.
Hughes JR, Giovino GA, Klevens RM, Fiore MC: Assessing the generalizability of smoking studies. Addiction. 1997, 92: 469-472. 10.1111/j.1360-0443.1997.tb03378.x.CrossRefPubMed
43.
Le Strat Y, Rehm J, Le Foll B: How generalisable to community samples are clinical trial results for treatment of nicotine dependence: a comparison of common eligibility criteria with respondents of a large representative general population survey. Tob Control. 2011, 20: 338-343. 10.1136/tc.2010.038703.CrossRefPubMed
44.
Butcher JN, Rouse SV: Personality: individual differences and clinical assessment. Annu Rev Psychol. 1996, 47: 87-111. 10.1146/annurev.psych.47.1.87.CrossRefPubMed
45.
Piotrowski C: Use of the Million Clinical Multiaxial Inventory in clinical practice. Percept Motor Skills. 1997, 84: 1185-1186. 10.2466/pms.1997.84.3c.1185.CrossRefPubMed
46.
Marqueta A, Nerín I, Jiménez-Muro A, Gargallo P, Beamonte A: Factores predictores de éxito según género en el tratamiento del tabaquismo [Factors predictors of success by gender in tobacco treatment]. Gaceta Universitaria. 2012, 26: 138-144.
Metadata
Title
Gender differences in personality patterns and smoking status after a smoking cessation treatment
Authors
Bárbara Piñeiro
Ana López-Durán
Elena Fernández del Río
Úrsula Martínez
Elisardo Becoña
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2013
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-306

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