Diagnostic profiles of offenders in substance abuse treatment programs.

Diagnostic profiles of offenders in substance abuse treatment programs.
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药物滥用治疗计划中罪犯的诊断概况。

DOI:
10.1002/bsl.825
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发表时间:
2008
影响因子:
1.4
通讯作者:
Melnick,Gerald
Melnick,Gerald
中科院分区:
法学3区
文献类型:
--
作者:
Grella,ChristineE;Greenwell,Lisa;Prendergast,Michael;Sacks,Stanley;Melnick,Gerald

文献摘要

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This study examined the association of Axis I and Axis II disorders among offenders who were in prison‐based substance abuse treatment in a national multi‐site study. Participants (N= 280) received a psychosocial assessment and a structured diagnostic interview in two separate sessions. Logistic regression models examined the association between lifetime mood and anxiety disorders with two personality disorders, and the relationship of Axis I and Axis II disorders (alone and in combination) to pre‐treatment psychosocial functioning. Over two‐thirds of the sample met criteria for at least one mental disorder. Borderline personality disorder was strongly associated with having a lifetime mood disorder (odds ratio = 7.5) or lifetime anxiety disorder (odds ratio = 8.7). Individuals with only an Axis II disorder, or who had both Axis I and Axis II disorders, had more severe problems in psychosocial functioning than those without any disorder. Clinical treatment approaches need to address this heterogeneity in diagnostic profiles, symptom severity, and psychosocial functioning. Copyright © 2008 John Wiley & Sons, Ltd.