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Updated: Nov 25, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Substance use during pregnancy and personality dimensions.
María Luisa Imaz1, Ricard Navinés, Estel Gelabert
1Servicio de Psiquiatría y Psicología, Unidad de Psiquiatría Perinatal, Hospital Clinic, Institut d'Investigació Biomèdica August Pi i Sunyer (IDIBAPS), Centro de Investigación en Red en Salud Mental (CIBERSAM), y Departmento de Medicina, Instituto de Neurociencias, Universidad de Barcelona (UB), Barcelona. rmsantos@clinic.cat.
Personality traits like extroversion and psychoticism are linked to increased substance use during pregnancy. Screening should consider these traits alongside psychosocial factors to improve maternal and infant health outcomes.
Area of Science:
- Psychiatry
- Obstetrics
- Public Health
Background:
- Substance use during pregnancy poses risks to maternal and fetal health.
- Identifying associated risk factors is crucial for effective prevention strategies.
Purpose of the Study:
- To assess personality traits associated with substance use in a large population of pregnant women.
- To determine if personality dimensions are independent risk factors for prenatal substance exposure.
Main Methods:
- A population-based, multicenter study involving 1804 pregnant women.
- Postpartum interviews collected data on substance use, demographics, psychiatric history, social support, and Eysenck Personality Questionnaire-Revised Short (EPQ-RS) scores.
- Logistic regression models were used for analysis.
Main Results:
- Fifty percent of women reported substance use; caffeine (40%), tobacco (21%), and alcohol (3.5%) were most common.
- Higher scores in extroversion (p=.029) and psychoticism (p=.009) were significant risk factors for substance use.
- Low education, pregnancy leave, and prior psychiatric history were also associated risk factors, while primiparity was protective.
Conclusions:
- Personality dimensions, specifically extroversion and psychoticism, are significant risk factors for substance use during pregnancy.
- Screening for prenatal substance use should incorporate personality assessments in addition to psychosocial variables and psychiatric history.
- Identifying these associated risk factors can aid in preventing adverse outcomes and improving perinatal health.
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