Antisocial behavioral syndromes among residential drug abuse treatment clients.
Antisocial behavioral syndromes among residential drug abuse treatment clients.
复制标题
住院药物滥用治疗客户中的反社会行为综合症。
DOI：
10.1016/s0376-8716(98)00113-6
复制
发表时间：
1999
影响因子：
4.2
通讯作者：
Mundt,KA
中科院分区：
文献类型：
--
作者：
Goldstein,RB;Powers,SI;McCusker,J;Lewis,BF;Bigelow,C;Mundt,KA
我们比较了满足反社会人格障碍（ASPD+）完整标准的住宅成瘾治疗客户与仅在成年期报告反社会行为综合征水平（AABS+）的人口统计学，反社会行为学，药物史，轴I合并症和指数治疗事件的特征。我们在样本中对这些问题进行了整体研究，并分别在男性和女性受访者中进行了研究。在男性和女性中，ASPD+比AABS+更早开始反社会行为，符合更多的ASPD标准，并支持更多的暴力症状。男性ASPD+也符合终生轴I诊断的标准，并报告了比男性AABS+更多的药物参与年数。在随机分配至计划持续时间为180天的两种性别的AABS+受试者中，观察到ASPD+受试者的治疗保留率较差的趋势，但随机分配至计划持续时间为90天的ASPD+和AABS+受试者之间的保留率没有差异。我们的研究结果重复和扩展了先前发表的结果，对治疗方案和ASPD的疾病分类学具有潜在的影响。
We compared residential addictions treatment clients meeting full criteria for antisocial personality disorder (ASPD+) with those reporting syndromal levels of antisocial behavior only in adulthood (AABS+) on demographics, antisocial symptomatology, drug history, axis I comorbidity and characteristics of index treatment episode. We examined these issues in the sample as a whole, as well as separately in male and female respondents. Among both men and women, ASPD+ initiated their antisocial behavior earlier, met more ASPD criteria and endorsed more violent symptoms, than AABS+. Male ASPD+ also met criteria for more lifetime axis I diagnoses and reported more years of drug involvement than male AABS+. Trends were observed toward poorer retention in treatment among ASPD+ than among AABS+ participants of both genders randomized to a planned duration of 180 days, but retention did not differ between ASPD+ and AABS+ randomized to a planned duration of 90 days. Our findings, which replicate and extend previously published results, carry potential implications for treatment programming and for the nosology of ASPD.