Prevalence, correlates, and comorbidity of DSM-IV antisocial personality syndromes and alcohol and specific drug use disorders in the United States: Results from the national epidemiologic survey on alcohol and related conditions
Prevalence, correlates, and comorbidity of DSM-IV antisocial personality syndromes and alcohol and specific drug use disorders in the United States: Results from the national epidemiologic survey on alcohol and related conditions
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DOI：
10.4088/jcp.v66n0602
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发表时间：
2005-06-01
影响因子：
5.3
通讯作者：
Grant, BF
中科院分区：
文献类型：
--
作者：
Compton, WM;Conway, KP;Grant, BF
目的：本研究的目的是提供关于酒精和 8 种特定药物使用障碍（包括镇静剂、镇静剂、阿片剂、兴奋剂、致幻剂、大麻、可卡因以及吸入/溶剂滥用和依赖）的反社会综合症的患病率、社会人口统计学相关性和合并症的全国代表性数据。方法：本研究基于全国代表性的成年人样本。估计了反社会综合症的终生患病率，并使用逻辑回归分析来检查反社会综合症与社会人口统计学特征和物质使用障碍之间的关联。根据 DSM-IV 的标准，使用国家酒精滥用和酒精中毒研究所酒精使用障碍和相关残疾访谈时间表 -DSM-IV 版本进行诊断。结果：反社会人格障碍 (APD)、品行障碍和成人反社会行为的终生患病率分别为 3.6%、1.1% 和 12.3%。酒精使用障碍和药物使用障碍的患病率分别为 30.3% 和 10.3%。一般来说，年轻、丧偶/分居/离婚、社会经济地位较低、居住在城市地区或西方的男性和个人更有可能患有反社会综合症。美洲原住民患有 APD 和成人反社会行为的可能性更大，而亚洲人和西班牙裔则不太可能。事实上，APD 与成人反社会行为和特定物质使用障碍之间的所有关联都是正相关且具有统计显着性（p
Objective: The purpose of this study was to provide nationally representative data on the prevalence, sociodemographic correlates, and comorbidity of antisocial syndromes across alcohol and 8 specific drug use disorders, including sedative, tranquilizer, opiate, stimulant, hallucinogen, cannabis, cocaine, and inhalant/solvent abuse and dependence.Method: This study is based on a nationally representative sample of adults. Lifetime prevalences of antisocial syndromes were estimated and logistic regression analyses were used to examine associations between antisocial syndromes and sociodemographic characteristics and substance use disorders. Diagnoses were made according to the criteria of the DSM-IV using the National Institute on Alcohol Abuse and Alcoholism Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM-IV Version.Results: The lifetime prevalences of antisocial personality disorder (APD), conduct disorder, and adult antisocial behavior were 3.6%, 1.1 %, and 12.3%, respectively. Prevalences of alcohol use disorders and drug use disorders were 30.3% and 10.3%, respectively. In general, men and individuals who were younger, widowed/separated/divorced, of lower socioeconomic status, and living in urban areas or in the West were more likely to have antisocial syndromes. Native Americans were more likely and Asians and Hispanics were less likely to have APD and adult antisocial behavior. Virtually all of the associations between APD and adult antisocial behavior and specific substance use disorders were positive and statistically significant (p