Substance abuse · 2005
Association of antisocial personality disorder with psychiatric morbidity among patients with substance use disorder.
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Westermeyer Joseph, Thuras Paul, Carlson Gregory
Аннотация
OBJECTIVES: The aims were to determine among patients with Substance Use Disorder (SUD) whether patients with Antisocial Personality Disorder (ASPD) manifest less, the same, or more of the following: (1) psychiatric symptoms, (2) family history of psychiatric disorder, (3) psychiatric disorders and morbidity, and (4) psychiatric treatment, as compared to patients without ASPD.
DESIGN & DEFINITION: Scheduled interview using DSM-III-R criteria for ASPD, with blinded interviewers making the ASPD classification vs. other assessments.
SETTINGS: Alcohol-drug treatment programs located in two university medical centers.
SUBJECTS: Six hundred and six voluntary patients aged 18 and older meeting diagnostic criteria for SUD.
RESULTS: SUD patients with ASPD reported more family history of non-SUD psychiatric diagnoses and endorsed more hostility symptoms. Demographic characteristics, psychiatric disorder, and past psychiatric treatment did not differ in association with ASPD.
DESIGN & DEFINITION: Scheduled interview using DSM-III-R criteria for ASPD, with blinded interviewers making the ASPD classification vs. other assessments.
SETTINGS: Alcohol-drug treatment programs located in two university medical centers.
SUBJECTS: Six hundred and six voluntary patients aged 18 and older meeting diagnostic criteria for SUD.
RESULTS: SUD patients with ASPD reported more family history of non-SUD psychiatric diagnoses and endorsed more hostility symptoms. Demographic characteristics, psychiatric disorder, and past psychiatric treatment did not differ in association with ASPD.