Addicted patients with personality disorders: traits, schemas, and presenting problems.
We evaluated the association of Structure Clinical Interview for the DSM-IV Axis II (SCID-II) severity and personality traits, early maladaptive schemas, and presenting symptoms in 41 methadone-maintained patients meeting criteria for either antisocial, borderline, avoidant, or depressive personality disorder. Correlational analyses indicated that the severity of each personality disorder was associated with a unique profile of presenting problems and underlying traits and schemas. The evaluation of multiple psychological indicators appears to be a useful method for case conceptualization and planning interventions within a promising individual therapy model that focuses both on substance abuse and psychiatric symptoms and maladaptive schemas and coping styles.
Department of Psychiatry, Yale University School of Medicine, USA. alemball@snet.net
S A
SA
Ball
J J
JJ
Cecero
D000223:Adaptation, Psychological; D000275:Adjustment Disorders / Q000523:psychology; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008691:Methadone / Q000627:therapeutic use*; D009294:Narcotics / Q000627:therapeutic use*; D009293:Opioid-Related Disorders / Q000150:complications* / Q000534:rehabilitation*; D010554:Personality Disorders / Q000150:complications* / Q000175:diagnosis / Q000523:psychology*; D011569:Psychiatric Status Rating Scales; D012720:Severity of Illness Index
D009294:Narcotics; D008691:Methadone