title: Antisocial behavioral syndromes among residential drug abuse treatment clients.
abstract: 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.
authors.affiliation: Department of Preventive Medicine and Community Health, Virginia Commonwealth University, Richmond 23298, USA.
authors.forename: R B
authors.initials: RB
authors.lastname: Goldstein
authors.forename: S I
authors.initials: SI
authors.lastname: Powers
authors.forename: J
authors.initials: J
authors.lastname: McCusker
authors.forename: B F
authors.initials: BF
authors.lastname: Lewis
authors.forename: C
authors.initials: C
authors.lastname: Bigelow
authors.forename: K A
authors.initials: KA
authors.lastname: Mundt
mesh_terms: D000328:Adult; D017668:Age of Onset; D000987:Antisocial Personality Disorder / Q000145:classification / Q000175:diagnosis / Q000453:epidemiology*; D001526:Behavioral Symptoms / Q000175:diagnosis / Q000453:epidemiology*; D016009:Chi-Square Distribution; D002648:Child; D015331:Cohort Studies; D015897:Comorbidity; D019955:Conduct Disorder / Q000175:diagnosis / Q000453:epidemiology; D016001:Confidence Intervals; D017831:Diagnosis, Dual (Psychiatry) / Q000592:standards; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008404:Massachusetts / Q000453:epidemiology; D015999:Multivariate Analysis; D016017:Odds Ratio; D010342:Patient Acceptance of Health Care; D015995:Prevalence; D016032:Randomized Controlled Trials as Topic; D012114:Residential Treatment / Q000706:statistics & numerical data; D012189:Retrospective Studies; D017678:Sex Distribution; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000628:therapy; D009626:Terminology as Topic; D014754:Violence / Q000706:statistics & numerical data