Influence of personality disorder features on social functioning in substance-abusing women five years after compulsive residential treatment.

Abstract:

BACKGROUND:Personality disorders (PD) are related to negative outcome in substance abuse treatment, and in the general population, personality disorders are related to negative outcome in overall functioning. Little is known about the impact of PD on adjustment following substance abuse treatment. METHODS:A cohort of 132 women was followed for 5 years after their index treatment episode in compulsory treatment. During treatment, patients were assessed with the SCID-II. At follow-up, patients were administered a timeline follow-back interview covering their functioning, including employment status over the years, and linked with hospital and criminal justice registers. RESULTS:The impact of PD on functioning varied substantially between disorders and outcome domains. Conduct disorder alone was associated with criminal justice involvement, and conduct disorder and avoidant PD features were associated with unemployment. Dependent PD and obsessive-compulsive personality disorder features were positively associated with employment. Borderline PD features were associated with hospital admissions. DISCUSSION:We discuss how strategies associated with various PDs may foster or hinder social adjustment in general and employment patterns in particular.

journal_name

Eur Addict Res

authors

Jansson I,Hesse M,Fridell M

doi

10.1159/000173006

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

25-31

issue

1

eissn

1022-6877

issn

1421-9891

pii

000173006

journal_volume

15

pub_type

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