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Axis II comorbidity in substance abusers.
E P Nace1, C W Davis, J P Gaspari
1Timberlawn Psychiatric Hospital, Dallas, TX 75223.
The American Journal of Psychiatry
|January 1, 1991
Summary
Substance abusers with personality disorders show greater psychopathology and life dissatisfaction than those without. This highlights the need for tailored treatment approaches for substance abuse.
Area of Science:
- Psychiatry
- Psychology
Background:
- Substance abuse and personality disorders frequently co-occur.
- Understanding this relationship is crucial for effective treatment.
Purpose of the Study:
- To determine the prevalence of personality disorders in middle-class substance abusers.
- To compare substance abusers with and without personality disorders.
Main Methods:
- 100 patients from an inpatient substance abuse program were assessed.
- Diagnoses used DSM-III-R criteria.
- Evaluations included structured interviews and various psychometric instruments.
Main Results:
- 57% of substance abusers had personality disorders.
- Those with personality disorders exhibited higher psychopathology, greater illegal drug involvement, and lower life satisfaction.
- Differences in alcohol use patterns, impulsivity, isolation, and depression were noted.
Conclusions:
- Significant differences exist between substance abusers with and without personality disorders.
- A one-size-fits-all treatment approach for substance abuse may be insufficient.
- Personalized treatment strategies are recommended.
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