Antisocial Personality Disorder Among Patients in Treatment for Alcohol Use Disorder (AUD): Characteristics and Predictors of Early Relapse or Drop-Out

@article{Pandey2021AntisocialPD,
  title={Antisocial Personality Disorder Among Patients in Treatment for Alcohol Use Disorder (AUD): Characteristics and Predictors of Early Relapse or Drop-Out},
  author={Susmita Pandey and Ingeborg Bolstad and Lars Lien and J{\o}rgen G. Bramness},
  journal={Substance Abuse and Rehabilitation},
  year={2021},
  volume={12},
  pages={11 - 22}
}
Background Patients with alcohol use disorders (AUD) vary significantly in many clinically important characteristics making them a heterogenous group. AUD patients with comorbid antisocial personality disorder (ASPD) form an important sub-group, and studies indicate that these patients may have poorer treatment outcomes. Therefore, we aimed to investigate the characteristics of AUD inpatients with comorbid ASPD and identify predictors of early relapse or treatment drop-out in these patients… 
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References

SHOWING 1-10 OF 72 REFERENCES

Association of antisocial personality disorder and substance disorder morbidity in a clinical sample.

TLDR
Despite the many similarities in SUD among those with and without ASPD, the morbidity in the ASPD as measured by number and types of substance-related problems and by all treatment variables is considerably greater.

Personality Disorders among Alcoholic Outpatients: Prevalence and Course in Treatment

TLDR
This study supports the high prevalence of concurrent personality disorders, particularly Cluster B PDs, among treatment-seeking alcoholics, and supports the relation between observed high levels of impulsivity and worse course in early alcohol treatment among people with a Cluster BPD.

Antisocial Behavioral Syndromes in Adulthood and Alcohol Use Disorder Treatment Over Three-Year Follow-Up: Results From Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions

TLDR
It is found that baseline antisocial syndrome did not predict AUD treatment, which may reflect strong associations of antisociality with previously identified predictors of help seeking.

Antisocial behavioral syndromes and DSM-IV alcohol use disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions.

TLDR
Antisocial syndromes, particularly ASPD, appear to identify a more pernicious clinical profile of AUDs among adults in the general U.S. population.

The prevalence of comorbid alcohol use disorder in the presence of personality disorder: Systematic review and explanatory modelling.

TLDR
Lifetime AUD prevalence was not significantly higher in clinical compared with population samples, and PD type accounted for most of the heterogeneity in lifetime AUD prevalence.

Comorbid psychiatric diagnosis predicts three-year outcomes in alcoholics: a posttreatment natural history study.

TLDR
Outcomes 3 years after alcoholism treatment are related to the presence of specific lifetime comorbid psychiatric diagnoses, which may positively influence the course of alcoholism, trials of clinical interventions that target these disorders are warranted.

Prediction of alcohol use disorder using personality disorder traits: a twin study

BACKGROUND AND AIMS The DSM-IV personality disorders (PDs) are comorbid with alcohol use disorder (AUD) and with each other. It remains unclear which PD criteria are most likely to drive onset and

Alcohol Use Disorder and Antisocial and Borderline Personality Disorders

TLDR
Increased focus on the efficacy and effectiveness of treatments targeting underlying traits or common factors in these disorders will inform future prevention and treatment efforts, as interventions targeting these co-occurring conditions have relatively little empirical support.

Use of health services by men with and without antisocial personality disorder who are alcohol dependent.

TLDR
Between-group multiple regression analysis showed that an earlier age at onset of alcoholism and a history of a comorbid substance-induced mental disorder best predicted higher rates of use of substance abuse treatment.

Psychiatric, Demographic, and Brain Morphological Predictors of Relapse After Treatment for an Alcohol Use Disorder

TLDR
Results reinforce that relapse in AUD is a function of multiple biological, psychiatric, psychological, and psychosocial factors and effective treatment of depressive disorders and cigarette smoking concurrent with AUD-focused interventions may promote better treatment outcomes.
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