Alcohol use patterns and disorders among individuals with personality disorders in the Sao Paulo Metropolitan Area
Introduction Alcohol Use Disorders are frequently comorbid with personality disorders. However, the heterogeneity of the prevalence estimates is high, and most data come from high income countries. Our aim is to estimate the prevalence and association between alcohol use outcomes and the three DSM-5...
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| description | Introduction
Alcohol Use Disorders are frequently comorbid with personality disorders. However, the heterogeneity of the prevalence estimates is high, and most data come from high income countries. Our aim is to estimate the prevalence and association between alcohol use outcomes and the three DSM-5 clusters of personality disorders in a representative sample of the Sao Paulo Metropolitan Area.
Materials and methods
A representative household sample of 2,942 adults was interviewed using the WHO Composite International Diagnostic Interview and the International Personality Disorder Examination Screening Questionnaire. Lifetime PD diagnoses were multiply imputed, and AUD diagnoses were obtained using DSM-5 criteria. We conducted cross-tabulations and logistic regression to estimate the associations between AUDs and PDs.
Results and discussion
Our study did not find significant associations of PDs with heavy drinking patterns or mild AUD. Cluster B PD respondents tended to show the highest conditional prevalence estimates of most alcohol use patterns and AUD, including its severity subtypes. When alcohol outcomes were regressed on all PD Clusters simultaneously, with adjustment for sex and age, only cluster B was significantly associated with past-year alcohol use (OR 3.0), regular drinking (OR 3.2), and AUDs (OR 8.5), especially moderate and severe cases of alcohol use disorders (OR 9.7 and 16.6, respectively). These associations between Cluster B PDs and these alcohol outcomes were shown to be independent of other PD Clusters and individuals ' sex and age.
Conclusion
The main finding of our study is that AUDs are highly comorbid with PDs. The presence of Cluster B PDs significantly increases the odds of alcohol consumption and disorders and of more severe forms of AUDs. Considering the local context of poor treatment provision, more specific prevention and intervention strategies should be directed to this population. |
| doi_str_mv | 10.1371/journal.pone.0248403 |
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Alcohol Use Disorders are frequently comorbid with personality disorders. However, the heterogeneity of the prevalence estimates is high, and most data come from high income countries. Our aim is to estimate the prevalence and association between alcohol use outcomes and the three DSM-5 clusters of personality disorders in a representative sample of the Sao Paulo Metropolitan Area.
Materials and methods
A representative household sample of 2,942 adults was interviewed using the WHO Composite International Diagnostic Interview and the International Personality Disorder Examination Screening Questionnaire. Lifetime PD diagnoses were multiply imputed, and AUD diagnoses were obtained using DSM-5 criteria. We conducted cross-tabulations and logistic regression to estimate the associations between AUDs and PDs.
Results and discussion
Our study did not find significant associations of PDs with heavy drinking patterns or mild AUD. Cluster B PD respondents tended to show the highest conditional prevalence estimates of most alcohol use patterns and AUD, including its severity subtypes. When alcohol outcomes were regressed on all PD Clusters simultaneously, with adjustment for sex and age, only cluster B was significantly associated with past-year alcohol use (OR 3.0), regular drinking (OR 3.2), and AUDs (OR 8.5), especially moderate and severe cases of alcohol use disorders (OR 9.7 and 16.6, respectively). These associations between Cluster B PDs and these alcohol outcomes were shown to be independent of other PD Clusters and individuals ' sex and age.
Conclusion
The main finding of our study is that AUDs are highly comorbid with PDs. The presence of Cluster B PDs significantly increases the odds of alcohol consumption and disorders and of more severe forms of AUDs. Considering the local context of poor treatment provision, more specific prevention and intervention strategies should be directed to this population.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0248403</identifier><identifier>PMID: 33755679</identifier><language>eng</language><publisher>SAN FRANCISCO: Public Library Science</publisher><subject>Alcohol use ; Alcoholism ; Biology and Life Sciences ; Children ; Comorbidity ; Demographic aspects ; Drinking behavior ; Earth Sciences ; Editing ; Environmental factors ; Epidemiology ; Epigenetics ; Genotypes ; Households ; Medicine and Health Sciences ; Mental disorders ; Methodology ; Metropolitan areas ; Multidisciplinary Sciences ; Narcissism ; People and places ; Personality disorders ; Psychiatry ; Psychological aspects ; Reviews ; Science & Technology ; Science & Technology - Other Topics ; Social aspects ; Social Sciences</subject><ispartof>PloS one, 2021-03, Vol.16 (3), p.e0248403-e0248403, Article 0248403</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Chaim et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided by the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 Chaim et al 2021 Chaim et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>4</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000632916600023</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c692t-1f4893634b2d212dfca870b1b7dd1861a170f31e2eb4f001dc5d30e207c659703</citedby><cites>FETCH-LOGICAL-c692t-1f4893634b2d212dfca870b1b7dd1861a170f31e2eb4f001dc5d30e207c659703</cites><orcidid>0000-0001-8227-0423 ; 0000-0002-6752-033X ; 0000-0001-7492-7579 ; 0000-0002-6611-1702</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7987194/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7987194/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,729,782,786,866,887,2104,2116,2930,23873,27931,27932,39264,39265,53798,53800</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33755679$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Francis, Joel Msafiri</contributor><creatorcontrib>Chaim, Carolina Hanna</creatorcontrib><creatorcontrib>Santana, Geilson Lima</creatorcontrib><creatorcontrib>de Vries Albertin, Paula</creatorcontrib><creatorcontrib>Silveira, Camila Magalhaes</creatorcontrib><creatorcontrib>Siu, Erica Rosanna</creatorcontrib><creatorcontrib>Viana, Maria Carmen</creatorcontrib><creatorcontrib>Pang, Wang Yuan</creatorcontrib><creatorcontrib>Andrade, Laura Helena</creatorcontrib><title>Alcohol use patterns and disorders among individuals with personality disorders in the Sao Paulo Metropolitan Area</title><title>PloS one</title><addtitle>PLOS ONE</addtitle><addtitle>PLoS One</addtitle><description>Introduction
Alcohol Use Disorders are frequently comorbid with personality disorders. However, the heterogeneity of the prevalence estimates is high, and most data come from high income countries. Our aim is to estimate the prevalence and association between alcohol use outcomes and the three DSM-5 clusters of personality disorders in a representative sample of the Sao Paulo Metropolitan Area.
Materials and methods
A representative household sample of 2,942 adults was interviewed using the WHO Composite International Diagnostic Interview and the International Personality Disorder Examination Screening Questionnaire. Lifetime PD diagnoses were multiply imputed, and AUD diagnoses were obtained using DSM-5 criteria. We conducted cross-tabulations and logistic regression to estimate the associations between AUDs and PDs.
Results and discussion
Our study did not find significant associations of PDs with heavy drinking patterns or mild AUD. Cluster B PD respondents tended to show the highest conditional prevalence estimates of most alcohol use patterns and AUD, including its severity subtypes. When alcohol outcomes were regressed on all PD Clusters simultaneously, with adjustment for sex and age, only cluster B was significantly associated with past-year alcohol use (OR 3.0), regular drinking (OR 3.2), and AUDs (OR 8.5), especially moderate and severe cases of alcohol use disorders (OR 9.7 and 16.6, respectively). These associations between Cluster B PDs and these alcohol outcomes were shown to be independent of other PD Clusters and individuals ' sex and age.
Conclusion
The main finding of our study is that AUDs are highly comorbid with PDs. The presence of Cluster B PDs significantly increases the odds of alcohol consumption and disorders and of more severe forms of AUDs. Considering the local context of poor treatment provision, more specific prevention and intervention strategies should be directed to this population.</description><subject>Alcohol use</subject><subject>Alcoholism</subject><subject>Biology and Life Sciences</subject><subject>Children</subject><subject>Comorbidity</subject><subject>Demographic aspects</subject><subject>Drinking behavior</subject><subject>Earth Sciences</subject><subject>Editing</subject><subject>Environmental factors</subject><subject>Epidemiology</subject><subject>Epigenetics</subject><subject>Genotypes</subject><subject>Households</subject><subject>Medicine and Health Sciences</subject><subject>Mental disorders</subject><subject>Methodology</subject><subject>Metropolitan areas</subject><subject>Multidisciplinary Sciences</subject><subject>Narcissism</subject><subject>People and places</subject><subject>Personality disorders</subject><subject>Psychiatry</subject><subject>Psychological 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use patterns and disorders among individuals with personality disorders in the Sao Paulo Metropolitan Area</title><author>Chaim, Carolina Hanna ; Santana, Geilson Lima ; de Vries Albertin, Paula ; Silveira, Camila Magalhaes ; Siu, Erica Rosanna ; Viana, Maria Carmen ; Pang, Wang Yuan ; Andrade, Laura Helena</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-1f4893634b2d212dfca870b1b7dd1861a170f31e2eb4f001dc5d30e207c659703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Alcohol use</topic><topic>Alcoholism</topic><topic>Biology and Life Sciences</topic><topic>Children</topic><topic>Comorbidity</topic><topic>Demographic aspects</topic><topic>Drinking behavior</topic><topic>Earth Sciences</topic><topic>Editing</topic><topic>Environmental factors</topic><topic>Epidemiology</topic><topic>Epigenetics</topic><topic>Genotypes</topic><topic>Households</topic><topic>Medicine and Health Sciences</topic><topic>Mental disorders</topic><topic>Methodology</topic><topic>Metropolitan areas</topic><topic>Multidisciplinary Sciences</topic><topic>Narcissism</topic><topic>People and places</topic><topic>Personality disorders</topic><topic>Psychiatry</topic><topic>Psychological aspects</topic><topic>Reviews</topic><topic>Science & Technology</topic><topic>Science & Technology - Other Topics</topic><topic>Social aspects</topic><topic>Social Sciences</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chaim, Carolina Hanna</creatorcontrib><creatorcontrib>Santana, Geilson Lima</creatorcontrib><creatorcontrib>de Vries Albertin, Paula</creatorcontrib><creatorcontrib>Silveira, Camila Magalhaes</creatorcontrib><creatorcontrib>Siu, Erica Rosanna</creatorcontrib><creatorcontrib>Viana, Maria Carmen</creatorcontrib><creatorcontrib>Pang, Wang Yuan</creatorcontrib><creatorcontrib>Andrade, Laura Helena</creatorcontrib><collection>Web of 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Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chaim, Carolina Hanna</au><au>Santana, Geilson Lima</au><au>de Vries Albertin, Paula</au><au>Silveira, Camila Magalhaes</au><au>Siu, Erica Rosanna</au><au>Viana, Maria Carmen</au><au>Pang, Wang Yuan</au><au>Andrade, Laura Helena</au><au>Francis, Joel Msafiri</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Alcohol use patterns and disorders among individuals with personality disorders in the Sao Paulo Metropolitan Area</atitle><jtitle>PloS one</jtitle><stitle>PLOS ONE</stitle><addtitle>PLoS One</addtitle><date>2021-03-23</date><risdate>2021</risdate><volume>16</volume><issue>3</issue><spage>e0248403</spage><epage>e0248403</epage><pages>e0248403-e0248403</pages><artnum>0248403</artnum><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Introduction
Alcohol Use Disorders are frequently comorbid with personality disorders. However, the heterogeneity of the prevalence estimates is high, and most data come from high income countries. Our aim is to estimate the prevalence and association between alcohol use outcomes and the three DSM-5 clusters of personality disorders in a representative sample of the Sao Paulo Metropolitan Area.
Materials and methods
A representative household sample of 2,942 adults was interviewed using the WHO Composite International Diagnostic Interview and the International Personality Disorder Examination Screening Questionnaire. Lifetime PD diagnoses were multiply imputed, and AUD diagnoses were obtained using DSM-5 criteria. We conducted cross-tabulations and logistic regression to estimate the associations between AUDs and PDs.
Results and discussion
Our study did not find significant associations of PDs with heavy drinking patterns or mild AUD. Cluster B PD respondents tended to show the highest conditional prevalence estimates of most alcohol use patterns and AUD, including its severity subtypes. When alcohol outcomes were regressed on all PD Clusters simultaneously, with adjustment for sex and age, only cluster B was significantly associated with past-year alcohol use (OR 3.0), regular drinking (OR 3.2), and AUDs (OR 8.5), especially moderate and severe cases of alcohol use disorders (OR 9.7 and 16.6, respectively). These associations between Cluster B PDs and these alcohol outcomes were shown to be independent of other PD Clusters and individuals ' sex and age.
Conclusion
The main finding of our study is that AUDs are highly comorbid with PDs. The presence of Cluster B PDs significantly increases the odds of alcohol consumption and disorders and of more severe forms of AUDs. Considering the local context of poor treatment provision, more specific prevention and intervention strategies should be directed to this population.</abstract><cop>SAN FRANCISCO</cop><pub>Public Library Science</pub><pmid>33755679</pmid><doi>10.1371/journal.pone.0248403</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0001-8227-0423</orcidid><orcidid>https://orcid.org/0000-0002-6752-033X</orcidid><orcidid>https://orcid.org/0000-0001-7492-7579</orcidid><orcidid>https://orcid.org/0000-0002-6611-1702</orcidid><oa>free_for_read</oa></addata></record> |
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| language | eng |
| recordid | cdi_crossref_primary_10_1371_journal_pone_0248403 |
| source | DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; Web of Science - Science Citation Index Expanded - 2021<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" />; EZB-FREE-00999 freely available EZB journals; PubMed Central; Web of Science - Social Sciences Citation Index – 2021<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" />; Free Full-Text Journals in Chemistry |
| subjects | Alcohol use Alcoholism Biology and Life Sciences Children Comorbidity Demographic aspects Drinking behavior Earth Sciences Editing Environmental factors Epidemiology Epigenetics Genotypes Households Medicine and Health Sciences Mental disorders Methodology Metropolitan areas Multidisciplinary Sciences Narcissism People and places Personality disorders Psychiatry Psychological aspects Reviews Science & Technology Science & Technology - Other Topics Social aspects Social Sciences |
| title | Alcohol use patterns and disorders among individuals with personality disorders in the Sao Paulo Metropolitan Area |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-04T13%3A50%3A34IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Alcohol%20use%20patterns%20and%20disorders%20among%20individuals%20with%20personality%20disorders%20in%20the%20Sao%20Paulo%20Metropolitan%20Area&rft.jtitle=PloS%20one&rft.au=Chaim,%20Carolina%20Hanna&rft.date=2021-03-23&rft.volume=16&rft.issue=3&rft.spage=e0248403&rft.epage=e0248403&rft.pages=e0248403-e0248403&rft.artnum=0248403&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0248403&rft_dat=%3Cgale_cross%3EA656020310%3C/gale_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2504306994&rft_id=info:pmid/33755679&rft_galeid=A656020310&rft_doaj_id=oai_doaj_org_article_be50c3f8124349149eb0d9601119585a&rfr_iscdi=true |