Document Detail


Hazardous alcohol users during pregnancy: psychiatric health and personality traits.
MedLine Citation:
PMID:  17363194     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: We examined alcohol use disorders, psychiatric symptoms and personality traits in women reporting alcohol use during pregnancy. METHODS: In a pilot cohort (n=139), subjects were screened for alcohol use disorders, and assessed for psychopathology, personality traits, and alcohol use during the first trimester. Those reporting consumption exceeding a conservative threshold for harmful use were offered a diagnostic psychiatric interview. The main findings of the pilot study were replicated using a large sample of women in the third trimester (n=715), who were screened for alcohol use disorders, had their consumption during pregnancy assessed, and were assessed for personality traits. RESULTS: In the pilot cohort, only a minority of women who consumed significant amounts of alcohol during pregnancy fulfilled alcohol dependence criteria, or had scores on the Alcohol Use Disorder Identification Test typically associated with such a diagnosis. Psychiatric morbidity was also unremarkable as assessed by self-reported symptom intensity. The distinguishing feature was high novelty seeking. The results were robustly confirmed in the replication study. CONCLUSIONS: Most women with significant alcohol consumption during pregnancy do not seem to be alcohol dependent. Instead, use during pregnancy may reflect impulsive personality traits, and be correlated with additional risk behaviors.
Authors:
Asa Magnusson; Mona Göransson; Markus Heilig
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2007-03-23
Journal Detail:
Title:  Drug and alcohol dependence     Volume:  89     ISSN:  0376-8716     ISO Abbreviation:  Drug Alcohol Depend     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-05-21     Completed Date:  2007-08-17     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7513587     Medline TA:  Drug Alcohol Depend     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  275-81     Citation Subset:  IM    
Affiliation:
Department of Clinical Neuroscience, Karolinska University Hospital Huddinge, 14186 Stockholm, Sweden.
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MeSH Terms
Descriptor/Qualifier:
Adult
Alcoholism / diagnosis,  epidemiology,  psychology*
Cohort Studies
Comorbidity
Exploratory Behavior
Female
Fetal Alcohol Syndrome / epidemiology,  prevention & control
Follow-Up Studies
Humans
Infant, Newborn
Mass Screening
Mental Disorders / diagnosis,  epidemiology,  psychology*
Personality Disorders / diagnosis,  epidemiology,  psychology*
Pilot Projects
Pregnancy
Pregnancy Complications / diagnosis,  epidemiology,  psychology*
Prenatal Diagnosis
Risk-Taking
Statistics as Topic
Sweden

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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