Antisocial behavioral syndromes and DSM-IV drug use disorders in the United States: Results from the National Epidemiologic Survey on Alcohol and Related Conditions

Goldstein, Risë B.; Compton, Wilson M.; Pulay, Attila J.; Ruan, W. June; Pickering, Roger P.; Stinson, Frederick S.; Grant, Bridget F.

doi:10.1016/j.drugalcdep.2007.02.023

Cited by 81 publications

(63 citation statements)

References 97 publications

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“…En este sentido, Millon y Davis (1998) atribuyen la relación entre el TAP y el consumo de sustancias a motivos económi-cos y a la dinámica social más que a procesos intrapsíquicos; mientras que Verheul (2001) considera que los diagnósticos de eje II en consumidores de sustancias no se explicarían por un artefacto sino que tendrían entidad propia. Por otro lado, la mayoría de la muestra eran politoxicómanos y el TAP suele relacionarse más con las dependencias más severas (Goldstein et al, 2007). Además, para aumentar el solapamiento, el abuso de sustancias está incluido actualmente en el criterio diagnóstico "despreocupación imprudente por su seguridad" y sigue incluido en la propuesta diagnóstica para el TAP del DSM-V (American Psychiatric Association, 2012).…”

Section: Discussionunclassified

Dependencia de Opiáceos tipo II o antisocial: utilidad del Modelo Psicobiológico de Cloninger en adicciones

Benito¹,

Haro²,

Orengo³

et al. 2012

Adicciones

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Section: Discussionunclassified

Dependencia de Opiáceos tipo II o antisocial: utilidad del Modelo Psicobiológico de Cloninger en adicciones

Benito¹,

Haro²,

Orengo³

et al. 2012

Adicciones

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“…Reliability of ASPD diagnosis was good ( = .67), as were intraclass correlation coeffi cients (.60) for dimensional ASPD criteria items. Convergent validity of these diagnoses was good to excellent (Goldstein et al, 2007a(Goldstein et al, , 2007bGrant et al, 2004).…”

Section: Antisocial Behavioral Syndromesmentioning

confidence: 99%

DSM-IV Antisocial Personality Disorder and Conduct Disorder: Evidence for Taxonic Structures Among Individuals With and Without Substance Use Disorders in the General Population

Kerridge

Saha

Hasin

2014

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: The categorical-dimensional status of DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition)conduct disorder (CD) and antisocial personality disorder (ASPD) is a source of controversy. This study examined whether the underlying structure of DSM-IV CD and ASPD was dimensional or categorical (taxonic) among individuals with and without substance use disorders. Method: Using a national large representative survey of U.S. adults (n = 43,093), taxometric analyses of DSM-IV CD and ASPD diagnostic criteria were conducted on the total sample and among those with and without substance use disorders. Results: Results of three taxometric procedures were consistent in showing that the structures underlying DSM-IV CD and ASPD were clearly taxonic in the total sample and among individuals with and without substance use disorders. Comparison curve fi t indices exceeded 0.57 for each model. Conclusions: Taxonic fi ndings of the present study were in contrast to the dimensional results of prior taxometric research among incarcerated samples with substantial comorbidity of antisocial syndromes and substance use disorders. Results supported the categorical representation and diagnostic thresholds of ASPD and CD as defi ned in DSM-IV and DSM-5. That the structure of ASPD and CD may be taxonic suggests that further research on these disorders use group comparative designs in which samples with and without these disorders are compared in terms of sociodemographic and clinical correlates, comorbidity, and treatment utilization. The taxonic structure of ASPD and CD may contribute to future research on causal processes through which these antisocial syndromes develop. (J. Stud. Alcohol Drugs, 75, 496-509, 2014)

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“…La prevalencia de estos trastornos era mayor, tenían un mayor número de estos diagnósticos y prácticamente cuando se agrupaban por cluster, cualquiera de estos tres cluster era mas frecuente en la población dual. Esta intensa correlación se ha referido en la amplia literatura al respecto Lehman et al, 1993;Weaver et al, 2003).Considerando TP específicos, la asociación mas intensa fue con el trastorno antisocial de la personalidad (TAP) como ha sido ya descrito (Compton, Conway, Stinson, Colliver y Grant, 2005;Goldstein et al, 2007;Lehman et al, 1993; Limbeck et al., 1992;Ross et al, 1988). Otros trastornos específicos asociados al diagnóstico dual fueron el trastorno límite, a pesar de que este trastorno también es altamente prevalente entre los pacientes con TM no duales como observamos nosotros y señala la literatura (Verheul, 2001), el trastorno paranoide y el esquizoide.…”

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Estudio Madrid sobre prevalencia y características de los pacientes con patología dual en tratamiento en las redes de salud mental y de atención al drogodependiente

et al. 2013

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Resumen AbstractThe objective was to quantify the prevalence of dual diagnosis and to evaluate the characteristics of these patients from community mental health and substance misuse services in Madrid. The sample consisted of 837 outpatients from Madrid, 208 from mental health services and 629 from substance misuse services. We used the Mini International Neuropsychiatric Interview (MINI) and Personality Disorder Questionnaire (PDQ4+) to evaluate disorders from axis I and II. It was considered that 517 (61.8%) patients had dual pathology (current diagnoses of axis I or II disorders and an addictive disorder): 36,1% in mental health services and 70,3% in substance misuse services. There were fewer males amongst the dual patients and it was also found that they had a worse employment situation, along with higher figures of alcohol and cannabis dependence than addicts without dual diagnoses (n=194). When comparing them with patients with mental disorder diagnoses only, excluding substance use disorder (n=126), there were differences in all socio-demographic characteristics analyzed, and dual patients were associated with diagnoses of bipolar disorder, agoraphobia, generalized anxiety disorder, post-traumatic stress disorder, and had more suicide risk and different personality disorders. Thus, dual pathology is higher in patients who are in treatment and have differential characteristics (higher suicide risk, worse employment situation) that suggest greater severity that could be of help in the planning of care resource policies for these patients.Key Words: Drug dependence, dual diagnosis, personality disorders, bipolar disorder, anxiety disorders.Se valora la prevalencia y características de los pacientes de patología dual (diagnóstico actual de un trastorno mental y de un trastorno por uso de sustancias (TUS)): en las redes asistenciales de Salud Mental y Drogodependencias de la Comunidad de Madrid. Se consigue una muestra de 837 sujetos (208 de la red de Salud Mental y 629 de la red de Drogodependencias). Se usó la entrevista MINI (Mini International Neuropsychiatric Interview) y el cuestionario PDQ4+ (Personality Disorder Questionnaire) para la valoración de los trastornos del eje I y II. Se hallaron 517 (61,8%) pacientes con patología dual (un 36,1% en la red de salud mental y un 70,3% en la red de drogas). Al compararlos con el grupo de sujetos con TUS sin patología dual (n=194), había entre los duales menos varones y peor situación laboral, siendo las drogas más consumidas el alcohol y cannabis. Al compararlos con el grupo de trastornos mentales sin uso de sustancias (n=126), encontramos diferencias en todas las características sociodemográficas analizadas y los casos de patología dual son diagnosticados más frecuentemente como trastorno bipolar, agorafobia, trastorno por ansiedad generalizada, trastorno por estrés postraumático, mayor riesgo de suicidio y distintos trastornos de personalidad. Por lo tanto, la presencia de patología dual es elevada en sujetos en tratamiento y presentan unas características ...

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Antisocial behavioral syndromes and DSM-IV drug use disorders in the United States: Results from the National Epidemiologic Survey on Alcohol and Related Conditions

Cited by 81 publications

References 97 publications

Dependencia de Opiáceos tipo II o antisocial: utilidad del Modelo Psicobiológico de Cloninger en adicciones

Dependencia de Opiáceos tipo II o antisocial: utilidad del Modelo Psicobiológico de Cloninger en adicciones

DSM-IV Antisocial Personality Disorder and Conduct Disorder: Evidence for Taxonic Structures Among Individuals With and Without Substance Use Disorders in the General Population

Estudio Madrid sobre prevalencia y características de los pacientes con patología dual en tratamiento en las redes de salud mental y de atención al drogodependiente

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