TITLE

Co-Occurrence of 12-Month Alcohol and Drug Use Disorders and Personality Disorders in the United States

AUTHOR(S)
Grant, Bridget F.; Stinson, Frederick S.; Dawson, Deborah A.; Chou, S. Patricia; Ruan, W. June; Pickering, Roger P.
PUB. DATE
June 2006
SOURCE
Alcohol Research & Health;2006, Vol. 29 Issue 2, p121
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Very little information is available on the co-occurrence of different personality disorders (PDs) and alcohol and drug use disorders in the U.S. population. Objective: To present national data on sex differences in the co-occurrence of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) alcohol and drug use disorders and 7 of the 10 DSM-IV PDs. Design: Face-to-face interviews conducted in the 2001–2002 National Epidemiologic Survey on Alcohol and Related Conditions (N = 43,093). Setting: The United States and the District of Columbia, including Alaska and Hawaii. Participants: Household and group-quarters residents, age 18 and older. Results: Among individuals with a current alcohol use disorder, 28.6 percent (95 percent confidence interval [CI], 26.7–30.6) had at least one PD, whereas 47.7 percent (95 percent CI, 43.9–51.6) of those with a current drug use disorder had at least one PD. Further, 16.4 percent (95 percent CI, 15.1-17.6) of individuals with at least one PD had a current alcohol use disorder, and 6.5 percent (95 percent CI, 5.7–7.3) had a current drug use disorder. Associations between PDs and alcohol and drug use disorders were overwhelmingly positive and significant (P < .05). Overall, alcohol use disorders were most strongly related to antisocial (odds ratio [OR], 4.8; 95 percent CI, 4.1–5.6), histrionic (OR, 4.7; 95 percent CI 3.8–5.8), and dependent (OR, 3.0; 95 percent CI, 1.9–4.8) PDs. Drug use disorders also were more highly associated with antisocial (OR, 11.8; 95 percent CI, 9.7–14.3), histrionic (OR, 8.0; 95 percent CI, 6.0–10.7), and dependent (OR, 11.6; 95 percent CI, 7.1–19.1) PDs. Associations between obsessive-compulsive, histrionic, schizoid, and antisocial PDs and specific alcohol and drug use disorders were significantly stronger (P < .04) among women than men, whereas the association between dependent PD and drug dependence was significantly greater (P < .04) among men than women. Conclusions: The co-occurrence of PDs with alcohol and drug use disorders is pervasive in the U.S. population. Results highlight the need for further research on the underlying structure of these disorders and the treatment implications of these disorders when comorbid.
ACCESSION #
21515328

 

Related Articles

  • Discounting of delayed rewards in substance abusers: relationship to antisocial personality disorder. Petry, Nancy M. // Psychopharmacology;2002, Vol. 162 Issue 4, p425 

    Presents a study to determine whether discounting is increased in substance abusers with antisocial personality disorder (ASP) relative to those without. Methods; Results; Conclusion that the results provide further evidence of more rapid discounting of delayed rewards in substance abusers,...

  • The intimate connection between antisocial personality and substance abuse. Robins, L. N. // Social Psychiatry & Psychiatric Epidemiology;1998, Vol. 33 Issue 8, p393 

    Abstract There is a powerful association between antisocial behavior and substance abuse. What is still uncertain is whether the association between the two is causal, so that one disorder leads to the other, or is explained by shared symptoms or shared risk factors, or suggests that the two...

  • Psychiatric and Substance Abuse Disorders among Male Urban Jail Detainees. Teplin, Linda A. // American Journal of Public Health;Feb1994, Vol. 84 Issue 2, p290 

    This paper presents prevalence rates by race/ethnicity and age for nine psychiatric and substance use disorders found in a random sample of 728 male jail detainees. Two thirds of the sample detainees had a disorder other than antisocial personality during their lifetimes; half of these had an...

  • Psychiatric comorbidity in pathological gambling: a critical review. Crockford, David Neil; El-Guebaly, Nady; Crockford, D N; el-Guebaly, N // Canadian Journal of Psychiatry;Feb1998, Vol. 43 Issue 1, p43 

    Objective: To critically review the current literature on pathological gambling as regards the significant psychiatric comorbidities associated with it.Method: The authors synthesized information found via electronic searches (MEDLINE) and bibliographic-directed...

  • Sex & Sensibility. Young, Cathy // Reason;Mar99, Vol. 30 Issue 10, p27 

    Deals with the study on girls with Turner's Syndrome and their anti-social behavior. Characteristic of a girl with Turner's Syndrome; Role of genetics; Equity versus equality.

  • An end to this madness.  // New Scientist;11/17/2001, Vol. 172 Issue 2317, p3 

    Editorial. Comments on the increase in the number of mental and neurological conditions. Claim of a neuroscientist regarding the antisocial personality disorder of Biblical strongman, Samson; Revelation that Old Testament prophet Ezekiel suffered from temporal lobe epilepsy; Description of...

  • Co-occurring mental illness, substance use disorders, and antisocial personality disorder among clients of forensic mental health services. Ogloff, James R. P.; Talevski, Diana; Lemphers, Anthea; Wood, Melisa; Simmons, Melanie // Psychiatric Rehabilitation Journal;Mar2015, Vol. 38 Issue 1, p16 

    Objective: Despite the number of studies investigating co-occurring disorders, and more recently, co-occurring disorders and criminal offending, few studies have considered samples from forensic mental health services. The present study was conducted to investigate the relationship between...

  • NEWS IN BRIEF.  // Community Care;10/23/2003, Issue 1495, p7 

    Presents news briefs on social services in Great Britain as of October 23, 2003. Information on a survey conducted about the Antisocial Behaviour Bill; Priorities of the Social Care Institute for Excellence's three-year plan; Number of drug abusers each year.

  • psychopath.  // Taber's Cyclopedic Medical Dictionary;2005, p1810 

    A definition of the term "psychopath" is presented. It refers to a person who consistently and repeatedly treads on, abuses, or violates the rights of others. A psychopath often causes considerable harm.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics