Inhalant Use, Inhalant-Use Disorders, and Antisocial Behavior: Findings From the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC)

Abstract

ABSTRACT. Objective:Few studies have explored the topography of antisocial behavior in a nationally representative sample of inhalant users. We examined (a) the lifetime prevalence of 20 childhood and adult antisocial behaviors in inhalant users with inhalant-use disorders (IUD+) and without IUDs (IUD−); (b) the nature and strength of associations between inhalant use, IUDs, and specifi c antisocial behaviors in multivariate analyses; and (c) the relationships between inhalant use, IUDs, and antisocial behaviors in a national sample of adults with antisocial personality disorder. Method: The National Epidemiologic Survey on Alcohol and Related Conditions was a multistage national survey of 43,093 U.S. residents. Respondents completed a structured psychiatric interview. Results: IUD+ and IUD− respondents were signifi cantly younger and more likely to be unemployed, to be male, to have never married, and to report family and personal histories of alcohol and drug problems than inhalant nonusers. Family histories of alcohol problems and personal histories of drug problems were signifi cantly more prevalent among IUD+ respondents, compared with IUD− respondents. In bivariate analyses, IUD+ and IUD− respondents evidenced signifi cantly higher lifetime levels of all childhood and adult antisocial behaviors than inhalant nonusers. IUD+ respondents were signifi cantly more likely than their IUD− counterparts to report bullying behavior, starting physical fi ghts, using dangerous weapons, physical cruelty to people, staying out all night without permission, running away, and frequent truancy in childhood, as well as greater deceitfulness, impulsivity, irritability/aggressiveness, recklessness, and irresponsibility in adulthood. Multivariate analyses indicated that IUD+ respondents had a signifi cantly elevated risk for childhood and adult antisocial behaviors, compared with inhalant nonusers, with the strongest effects for using dangerous weapons, physical cruelty to animals, and physical cruelty to people. Similarly, IUD+ respondents differed signifi cantly from their IUD− counterparts primarily across measures of interpersonal violence. Among persons with antisocial personality disorder, inhalant use and IUDs were associated with greater antisocial behavior, albeit with fewer and weaker effects. Conclusions: Respondents with IUDs had pervasively elevated levels of antisocial conduct, including diverse forms of early-onset and interpersonally violent behavior. (J. Stud. Alcohol Drugs, 71,

Cognitive Behavioral Therapy-Based Brief Intervention for Volatile Substance Misusers During Adolescence: A Follow-Up Study

“…Prevalence of conduct disorder is high among volatile substance misusers and this disorder has been shown to affect treatment outcomes (Howard, Perron, Vaughn, Bender, & Garland, 2010;Sakai et al, 2006). Presence of conduct disorder might have affected abstinence rates in this study.…”

Volatile Substance Misuse in the United States

“…One recent nationally representative study concluded that volatile substance misusers, particularly those engaged in more severe use, evidenced pervasively elevated levels of antisocial behavior, especially interpersonal violence and early-onset conduct problems (Howard, Perron, Vaughn, Bender, & Garland, 2010). Surveys of adolescent volatile substance misusers indicate that they tend to behave more impulsively and fearlessly, and report more substance use than non-volatile substance misusers , and lower levels of self-esteem, family support, and family cohesiveness observed among volatile substance misusers relative to non-volatile substance misusers (Howard & Jenson, 1999).…”

Uçucu madde kötüye kullanımı olan bir olguda risperidon ile indüklenen bradikardi ve senkop

“…Düşünen Adam The Journal of Psychiatry and Neurological Sciences, Volume 27, Number 1, March 2014 disorders and other substance abuse disorders are more frequent in persons who abuse volatile substances (5,6). Psychotic symptoms in these persons must be distinct due to substance intoxications.…”