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Antisocial addicts: the importance of additional axis I disorders for the 28-month outcome

Published online by Cambridge University Press:  16 April 2020

K Tómasson  and
P Vaglum
K Tómasson*
Affiliation:
The Administration for Occupational Safety and Health, Bíldshöfða 16, 110 Reykjavík, Iceland
P Vaglum
Affiliation:
Department of Behavioural Sciences in Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway
*
*Correspondence and reprints. Email-address: kristinn@postur.ver.is (K. Tómasson).
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Extract

The association between additional co-morbid axis I disorders and the following 28-month course of drinking and mental distress was explored in a nation-wide representative sample (N = 100) of treatment-seeking alcoholics with antisocial personality disorder (ASPD). Diagnoses at admission were assessed with the Diagnostic Interview Schedule and follow-up status was assessed with a questionnaire and from informants. Only 24% had no additional diagnoses, 39% had an affective disorder, 43% panic/agoraphobia, 61% other anxiety disorders, and 47% were polysubstance abusers. Polysubstance abusers had more prior admissions, and were more often involved in fights, while additional anxiety disorder was associated with lower prevalence of drunken driving arrests. Relapse (87%) was best predicted by the number of prior admissions (odds ratio [OR] = 1.3), while affective disorders reduced the risk of relapse (OR = 0.2). Readmissions (55%) were least common among those with affective disorders (44%). Identifying axis I diagnoses, and in particular affective disorders among treatment-seeking ASPD alcoholics, is of substantial importance both in research and clinical practice.

Keywords

alcoholismantisocial personality disorderaxis I disordersco-morbidity
Type
Original article
Information
European Psychiatry , Volume 15 , Issue 8 , December 2000 , pp. 443 - 449
Copyright
Copyright © 2001 Éditions scientifiques et médicales Elsevier SAS. All rights reserved

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