Evidence map›Paper›PMID 41458026›Full record

ArticleFrontiers in psychiatry2025

Psychopathy dimensions and substance use: evidence from a non-institutionalized adult population.

Yara El Frenn, Roua Abbas, Zuhair Hatahet, Khalil El Asmar, Elias Ghossoub

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Article in Frontiers in psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Yara El Frenn *Department of Psychiatry, Faculty of Medicine, American University of Beirut, Beirut, Lebanon.
Roua Abbas *Department of Psychiatry, Faculty of Medicine, American University of Beirut, Beirut, Lebanon.
Zuhair HatahetFaculty of Medicine, American University of Beirut, Beirut, Lebanon.
Khalil El AsmarDepartment of Epidemiology and Biostatistics, American University of Beirut, Beirut, Lebanon.
Elias GhossoubDepartment of Psychiatry, Faculty of Medicine, American University of Beirut, Beirut, Lebanon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Mental health in Lebanon has been profoundly affected by recent crises, altering the patterns of substance use and psychiatric presentations. In this context, the link between psychopathy and substance use is relevant, but is underexplored in Arab cultural settings. This study aimed to assess the relationship between psychopathy and substance use in the Arab world, focusing on whether individuals in a Lebanese non-institutionalized population who use substances have higher psychopathy traits than those who do not. Methods: This is a cross-sectional study conducted among 534 non-institutionalized Lebanese adults between May and June 2021. Participants completed a self-administered questionnaire including the validated Levenson Self-Report Psychopathy (LSRP) scale, TAPS (the Tobacco, Alcohol, Prescription medication, and Other substance use screener), the short version of the Urgency, Premeditation (lack of), Perseverance (lack of), Sensation Seeking, Positive Urgency, Impulsive Behavior scale (S-UPPS-P), and the Adverse Childhood Experiences (ACE) questionnaire. Bivariate analysis and multivariable regression were used to assess the association between psychopathy traits and substance use, adjusting for relevant factors. Results: The mean age of the participants was 36.58 ± 11.94 years, and approximately 80% were women. Callousness was linked with tobacco, alcohol, and illicit drug use, while antisocial traits were associated with tobacco and prescription drug misuse. The regression analyses revealed that the antisocial factor was robustly associated with overall substance use (OR = 1.07, 95% CI = 1.01-1.14, p = 0.02), including tobacco use (OR = 1.13, 95% CI = 1.05-1.21, p = 0.001) and prescription drug misuse (OR = 1.28, 95% CI = 1.14-1.43, p < 0.001). Moreover, it showed that callousness significantly increased the odds of alcohol (OR = 1.15, 95% CI = 1.05-1.26, p = 0.003) and illicit drug use (OR = 1.13, 95% CI = 1.03-1.24, p = 0.01). Discussion: This is the first study that examined the relationship between substance use and psychopathy traits in a Lebanese population. These results argue for trait-specific interventions to improve the efficacy and cost-effectiveness of substance use prevention and rehabilitation programs.

Indexed as

angsocial factorcallousnessLebanonpsychopathysubstance abuse

Identifiers

PMID41458026
PMCPMC12739378

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