NISPA

Nijmegen Institute for Scientist-Practitioners in Addiction

Personality disorders in alcoholics and drug addicts.

TitelPersonality disorders in alcoholics and drug addicts.
PublicatietypeJournal Article
Jaar van publicatie1993
AuteursDeJong CA, van den Brink W, Harteveld FM, van der Wielen EG
UitgaveCompr Psychiatry
Volume34
Nummer2
Pagina's87-94
Publicatiedatum1993 Mar-Apr
ISSN0010-440X
TrefwoordenAdult, Alcoholism, Comorbidity, Female, Humans, Male, Personality Disorders, Psychiatric Status Rating Scales, Psychometrics, Reproducibility of Results, Substance Abuse Treatment Centers
Samenvatting

This report examines the prevalence of personality disorders among hospitalized alcoholics and polydrug addicts and the extent and nature of the overlap between different axis II disorders. Subjects were 178 alcoholics admitted to a diagnostic unit of an addiction treatment institute and 86 polydrug addicts admitted to the therapeutic community of the same institute. Substance abuse was diagnosed according to DSM-III-R, and patients were assessed with the Structured Interview for DSM-III Personality Disorders (SIDP). In the alcohol group, 78% of the patients had at least one personality disorder and the average number of personality disorders was 1.8 per patient. In the polydrug group, 91% of the patients met criteria for at least one personality disorder and the average number of personality disorders was 4.0 per patient. No single "addictive personality" emerged. These findings raise questions about the validity and usefulness of the distinction between axis I and axis II disorders in patients with substance use disorders, and do not lend support to the validity of the categorical classification of personality pathology.

Alternatieve uitgaveCompr Psychiatry
PubMed ID8387417