Personality Disorders in Alcohol-Dependent Individuals: Relationship with Alcohol Dependence Severity

Preuss, U. W. and Johann, M. and Fehr, C. and Koller, G. and Wodarz, N. and Hesselbrock, V. and Wong, W. M. and Soyka, M. (2009) Personality Disorders in Alcohol-Dependent Individuals: Relationship with Alcohol Dependence Severity. EUROPEAN ADDICTION RESEARCH, 15 (4). pp. 188-195. ISSN 1022-6877, 1421-9891

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Abstract

The rate of axis II disorders in alcohol-dependent individuals is suggested to be high. The aim of this investigation is to assess the rate of DSM-IV axis II diagnoses in alcohol-dependent inpatients and their correlation with clinical characteristics of alcohol dependence (AD). 1,079 inpatients with DSM-IV AD from three inpatient addiction treatment centers ('qualified detoxification', open psychiatric university hospital wards) were included. Characteristics of AD were obtained using standardized structured interviews. Diagnoses of DSM-IV personality disorders (PDs) were generated with SCID-II-PQ and SCID-II interviews. Alcoholism severity was measured using the number of DSM-IV criteria endorsed and age at first drinking. Approximately 60% of the sample had at least one PD. However, rates of Axis II disorders differed significantly across centers. The most frequent PDs were obsessive-compulsive, borderline, narcissistic and paranoid PD. Diagnosis of any PD was related to a more severe clinical profile of AD. Regression analyses revealed that obsessive-compulsive PD was related to the number of DSM-IV criteria endorsed while antisocial PD was related to early age at first drinking. The majority of alcohol-dependent individuals had one or more comorbid axis II disorders. Univariate and multivariate analyses indicate that different PDs are related to age at first dinking and alcoholism severity. Copyright (c) 2009 S. Karger AG, Basel

Item Type: Article
Uncontrolled Keywords: NATIONAL EPIDEMIOLOGIC SURVEY; AXIS II DISORDERS; PSYCHIATRIC COMORBIDITY; BORDERLINE PERSONALITY; DRUG-ADDICTS; CRITERIA; AGE; PREVALENCE; PSYCHOPATHOLOGY; COOCCURRENCE; Alcohol dependence; Personality disorders; Severity of alcohol dependence; Comorbidity
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Psychiatrie und Psychotherapie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 12 Oct 2020 08:14
Last Modified: 12 Oct 2020 08:14
URI: https://pred.uni-regensburg.de/id/eprint/29720

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