This report concerns the case of a female client with a probable borderline personality disorder who requested psychological treatment for the cessation of smoking. After six sessions, this client gave up smoking and remained abstinent at follow-up after 1, 3, 6, and 12 months. The presence of a probable borderline personality disorder did not interfere in the cessation of tobacco use or in the maintenance of abstinence.
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References
1.
AltermanA. I.RutherfordM. J.CacciolaJ. S.McKayJ. R., & BoardmanC. R. (1998) Prediction of 7 months methadone maintenance treatment response by four measures of antisociality. Drug and Alcohol Dependence, 49, 217–223.
2.
American Psychiatric Association. (1994) Diagnostic and statistical manual of mental disorders. (4th ed.) Washington, DC: American Psychiatric Association.
3.
BeckA.SteerR. A., & BrownG. K. (1996) BDI–II: Beck Depression Inventory, manual. (2nd ed.) San Antonio, TX: The Psychological Corporation.
4.
BecoñaE. (1993) Programa para dejar de fumar [Smoking cessation program]. Santiago de Compostela, Spain: Servicio de Publicaciones de la Universidad de Santiago de Compostela.
5.
BecoñaE. (1994) Evaluación de la conducta de fumar [Assessment of smoking behavior]. In GrañaJ. L. (Ed.), Conductas adictivas: teoría, evaluación y tratamiento [Addictive behaviors: theory, assessment, and treatment]. Madrid, Spain: Debate. Pp. 403–454.
6.
BecoñaE. (2007) Programa para dejar de fumar [Smoking cessation program]. Vigo, Spain: Nova Galicia Edicións.
7.
BecoñaE., & MíguezM. C. (2004a) Consumo de tabaco y psicopatología asociada [Tobacco use and associated psychopathology]. Psicooncología, 1, 99–112.
8.
BecoñaE., & MíguezM. C. (2004b) Smoking and depressive symptoms among children aged 11 to 16 years. Psychological Reports, 94, 953–956.
9.
BecoñaE., & VázquezF. (1998) The Fagerström Test for Nicotine Dependence in a Spanish sample. Psychological Reports, 83, 1455–1458.
10.
BreslauN.KilbeyM., & AndreskiP. (1991) Nicotine dependence, major depression, and anxiety in young adults. Archives of General Psychiatry, 48, 1069–1074.
11.
BreslauN.PetersonE.SchultzL.ChilcoatH., & AndreskiP. (1998) Major depression and stages of smoking. Archives of General Psychiatry, 55, 161–166.
12.
CacciolaJ. S.RutherfordM. J.AltermanA. I.McKayJ. R., & SniderE. C. (1996) Personality disorders and treatment outcome in methadone maintenance patients. Journal of Nervous and Mental Disease, 184, 234–239.
13.
CharneyD. A.ZikosE., & GillK. J. (2010) Early recovery from alcohol dependence: factors that promote or impede abstinence. Journal of Substance Abuse Treatment, 38, 42–50.
14.
CoveyL. S.HughesD.GlassmanA.BlazerD., & GeorgeL. (1994) Ever-smoking, quitting, and psychiatric disorders: evidence from the Durham, North Carolina, Epidemiological Catchment Area. Tobacco Control, 3, 222–227.
15.
Crits-CristophP.SiquelandL.BlaineJ.FrankA.LuborskyL.OnkenL. S.MuenzL. R.ThaseM. E.WeissR. D.GastfriendD. R.WoodyG. E.BarberJ. P.ButlerS. F.DaleyD.SalloumI.BishopS.NajavitsL. M.LisJ.MercerD.GriffinM. L.MorasK., & BeckA. T. (1999) Psychosocial treatments for cocaine dependence: National Institute on Drug Abuse Collaborative Cocaine Treatment Study. Archives of General Psychiatry, 56, 493–502.
16.
DalleryJ., & RaiffB. R. (2007) Delay discounting predicts cigarette smoking in a laboratory model of abstinence reinforcement. Psychopharmacology, 190, 485–496.
17.
DoranN.SpringB., & McChargueD. (2007) Effect of impulsivity on craving and behavioural reactivity to smoking cues. Psychopharmacology, 194, 279–288.
El-GuebalyN.CathcartJ.CurrieS.BrownD., & GolsterS. (2002) Smoking cessation approaches for persons with mental illness or addictive disorders. Psychiatry Services, 53, 1166–1170.
20.
FeldnerM. T.SmithR. C.BabsonK. A.Sachs-EricssonN.SchmidtN. B., & ZvolenskyM. J. (2009) Test of the role of nicotine dependence in the relation between posttraumatic stress disorder and panic spectrum problems. Journal of Traumatic Stress, 22, 36–44.
21.
FergusonJ. A.PattenC. A.ShroederD. R.OffordK. P.EbermanK. M., & HurtR. D. (2003) Predictors of 6-month tobacco abstinence among 1,224 cigarette smokers treated for nicotine dependence. Addictive Behaviors, 28, 1203–1218.
22.
GaritiP.AltermanA.MulvaneyF., & EppersonL. (2000) The relationship between psychopathology and smoking cessation treatment response. Drug and Alcohol Dependence, 60, 267–273.
23.
GrantB. F.HasinD. S.ChouP.StinsonF. S., & DawsonD. A. (2004) Nicotine dependence and psychiatric disorders in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Archives of General Psychiatry, 61, 1107–1115.
24.
HeathertonT. F.KozlowskiL. T.FreckerR. C., & FagerströmK. O. (1991) The Fagerström Test for Nicotine Dependence: a revision of the Fagerström Tolerance Questionnaire. British Journal of Addictions, 86, 1119–1127.
25.
HughesJ. R. (2007) Depression during tobacco abstinence. Nicotine & Tobacco Research, 9, 443–446.
26.
HumfleetG.MuñozR.SeesK.ReusV., & HallS. (1999) History of alcohol or drug problems, current use of alcohol or marijuana and success in quitting smoking. Addictive Behaviors, 24, 149–154.
27.
JohnU.MeyerC.RumpfH., & HapkeU. (2004) Smoking, nicotine dependence, and psychiatric comorbidity: a population-based study including smoking cessation after three years. Drug and Alcohol Dependence, 76, 287–295.
28.
LasserK.WesleyJ.WoolhandlerS.HimmelsteinD.McCormickD., & BorD. (2000) Smoking and mental illness: a population-based prevalence study. Journal of the American Medical Association, 284, 2606–2610.
29.
LawnS. J.PolsR. G., & BarberJ. G. (2002) Smoking and quitting: a qualitative study with community-living psychiatric clients. Social Science & Medicine, 54, 93–104.
30.
LorangerA. W. (1995) International Personality Disorder Examination (IPDE): DSM–IV module.Geneva, Switzerland: World Health Organization.
31.
LorangerA. W.JancaA., & SartoriusN. (Eds.) (1997) Assessment and diagnosis of personality disorders: the International Personality Disorder Examination (IPDE).Cambridge, UK: Cambridge Univer. Press.
32.
MitchellS. H. (1999) Measures of impulsivity in cigarette smokers and non-smokers. Psychopharmacology, 146, 455–464.
33.
NurnbergH. G.RifkinA., & DoddiS. (1993) A systematic assessment of the comorbidity of DSM-III–R personality disorders in alcoholic outpatients. Comprehensive Psychiatry, 34, 447–454.
34.
O'LoughlinJ.KarpI.KoulisT.ParadisG., & DiFranzaJ. (2009) Determinants of first puf and daily cigarette smoking in adolescents. American Journal of Epidemiology, 170, 585–597.
35.
ParisJ. (2009) The treatment of borderline personality disorder: implications of research on diagnosis, etiology, and outcome. Annual Review of Clinical Psychology, 5, 277–290.
36.
PereaJ. M.OñaS., & OrtizM. (2009) Differencias de rasgos clínicos de personalidad en el mantenimiento de la abstinencia y recaídas en tratamiento del tabaquismo. Psicothema, 21, 39–44.
37.
PerryJ. L., & CarrollM. E. (2008) The role of impulsive behaviour in drug abuse. Psychopharmacology, 200, 1–26.
38.
RanneyL.MelvinC.LuxL.McClainE., & LohrK. (2006) Systematic review: smoking cessation intervention strategies for adults and adults in special populations. Annals of Internal Medicine, 145, 845–856.
39.
SkinnerM. D.AubinH., & BerlinI. (2004) Impulsivity in smoking, non-smoking, and ex-smoking alcoholics. Addictive Behaviors, 29, 973–978.
40.
U.S. Department of Health and Human Services. (2004) The health consequences of smoking: a report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health.
41.
VanderVeenJ. M.CohenL. M.CukrowiczK. C., & TrotterD. R. (2008) The role of impulsivity on smoking maintenance. Nicotine & Tobacco Research, 10, 1397–1404.
42.
VerheulR. (2001) Comorbidity of personality disorders in individuals with substance use disorders. European Psychiatry, 16, 274–282.
43.
VerheulR.van den BrinkW., & HartgersC. (1998) Personality disorders predict relapse in alcoholic patients. Addictive Behaviors, 23, 869–882.
44.
WestR.HajekP.SteadL., & StapletonJ. (2005) Outcome criteria in smoking cessation trials: proposal for a common standard. Addiction, 100, 299–303.
45.
WilhelmK.WedgwoodL.NivenH., & Kay-LambkinF. (2006) Smoking cessation and depression: current knowledge and future directions. Drug and Alcohol Review, 25, 97–197.
46.
WölwerW.BurtscheidtW.RednerC.SchwarzR., & GaebelW. (2001) Out-patient behaviour therapy in alcoholism: impact of personality disorders and cognitive impairments. Acta Psychiatrica Scandinavica, 103, 30–37.
47.
YakirA.RigbiA.KanyasK.PollakY.KahanaG.KarniO.EitanR.KertzmanS., & LererB. (2007) Why do young women smoke? III. Attention and impulsivity as neurocognitive predisposing factors. European Neuropsychopharmacology, 17, 339–351.
