Co-occurrence of Axis I and Axis II disorders in substance abusers.

Abstract:

OBJECTIVE:This study examined the co-occurrence of anxiety/mood and personality disorders (PDs) in substance abusers, the impact of anxiety/ mood disorders on the symptom profiles of PDs, and the impact of anxiety/mood disorders and PDs on pre-treatment status. METHOD:Current anxiety/mood disorders and PDs and pre-treatment status were assessed using semi-structured interviews in 370 treated substance abusers. RESULTS:Anxiety/mood disorders and PDs frequently co-occurred, with the overall pattern of associations being non-specific. The strongest associations were of social phobia with avoidant and schizotypal PD, and of major depression with borderline PD. However, symptom profiles of PDs were not associated with anxiety/mood disorders. Finally, anxiety/mood disorders and PDs were both independently and differentially associated with poor pre-treatment characteristics. CONCLUSION:The findings suggest the clinical importance of obtaining both Axis I and Axis II diagnoses in treated substance abusers, and highlight the distinctiveness of the Axis I and Axis II disorders.

journal_name

Acta Psychiatr Scand

authors

Verheul R,Kranzler HR,Poling J,Tennen H,Ball S,Rounsaville BJ

doi

10.1034/j.1600-0447.2000.90050.x

subject

Has Abstract

pub_date

2000-02-01 00:00:00

pages

110-8

issue

2

eissn

0001-690X

issn

1600-0447

journal_volume

101

pub_type

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