title: Followup of cocaine-dependent men and women with antisocial personality disorder.
abstract: Long-term outcomes following drug treatment were examined for cocaine-dependent men (N = 453) and women (N = 254) with and without antisocial personality disorder (ASP). In-depth assessments were conducted at treatment intake in 1991-93 and at 1 and 5 years following treatment discharge. Overall, 47.2% of the males and 34.3% of females were diagnosed with ASP using DSM-III-R criteria derived from the Diagnostic Interview Schedule. All groups reduced their cocaine, marijuana, and alcohol use; reduced their levels of psychological distress; and improved in functioning (e.g., employment, arrests, residential status). At Year 5 ASP was associated with an increased likelihood of heavy alcohol use and additional substance abuse treatment among men, whereas women with ASP were more likely to report psychological problems and to receive mental health treatment and other services than either women without ASP or men with ASP. The findings suggest the need to address the specific treatment needs of male and female cocaine abusers with ASP.
authors.affiliation: UCLA Drug Abuse Research Center/Integrated Substance Abuse Programs, 1640 S. Sepulveda Blvd., Suite 200, 90025, Los Angeles, USA. grella@ucla.edu
authors.forename: Christine E
authors.initials: CE
authors.lastname: Grella
authors.forename: Vandana
authors.initials: V
authors.lastname: Joshi
authors.forename: Yih Ing
authors.initials: YI
authors.lastname: Hser
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000437:Alcoholism / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation; D000987:Antisocial Personality Disorder / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D019970:Cocaine-Related Disorders / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D003131:Combined Modality Therapy / Q000706:statistics & numerical data; D015897:Comorbidity; D003415:Crime / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016013:Likelihood Functions; D008297:Male; D002189:Marijuana Abuse / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D012008:Recurrence; D012050:Rehabilitation, Vocational / Q000706:statistics & numerical data; D012307:Risk Factors; D012737:Sex Factors; D014481:United States