title: Substance-use situations and abstinence predictions in substance abusers with and without personality disorders.
abstract: Rates of personality disorders (PDs) in substance abusers are higher than in the general population. Comorbid PDs are believed to complicate the treatment of addicted patients: in addition to having more severe substance-use disorders and life problems, personality-disordered patients may use substances differently than their peers without Axis II diagnoses. In a sample of 339 adults receiving inpatient treatment for alcohol or drug abuse/dependence, 71.7% received Axis II diagnoses, and they presented a more severe clinical picture. They also had more self-reported "impulsive" substance use and use of drugs or alcohol in positive situations. Different groups of personality-disordered patients had different patterns of self-efficacy for abstinence for hypothetical future situations.
authors.affiliation: Department of Psychiatry, Allegheny University of the Health Sciences, Philadelphia, Pennsylvania, USA. DVANHORN@TREATSEARCH.com
authors.forename: D H
authors.initials: DH
authors.lastname: Van Horn
authors.forename: A F
authors.initials: AF
authors.lastname: Frank
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000437:Alcoholism / Q000175:diagnosis / Q000453:epidemiology* / Q000534:rehabilitation; D003131:Combined Modality Therapy; D015897:Comorbidity; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010343:Patient Admission; D010554:Personality Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000534:rehabilitation; D010555:Personality Inventory; D020377:Self Efficacy; D012932:Social Facilitation; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000534:rehabilitation; D016896:Treatment Outcome