title: Pathological personality traits among patients with absent, current, and remitted substance use disorders.
abstract: Personality traits may provide underlying risk factors for and/or sequelae to substance use disorders (SUDs). In this study Schedule for Nonadaptive and Adaptive Personality (SNAP) traits were compared in a clinical sample (N=704, age 18-45) with current, past, or no historical alcohol or non-alcohol substance use disorders (AUD and NASUD) as assessed by DSM-IV semi-structured interview. Results corroborated previous research in showing associations of negative temperament and disinhibition to SUD, highlighting the importance of these traits for indicating substance use proclivity or the chronic effects of substance use. Certain traits (manipulativeness, self-harm, disinhibition, and impulsivity for AUD, and disinhibition and exhibitionism for NASUD) were higher among individuals with current relative to past diagnoses, perhaps indicating concurrent effects of substance abuse on personality. The positive temperament characteristics detachment and entitlement distinguished AUDs and NASUDs, respectively, perhaps clarifying why this higher order trait tends to show limited relations to SUD generally. These findings suggest the importance of systematically integrating pathological and normative traits in reference to substance-related diagnosis.
authors.affiliation: Michigan State University, United States. hopwood2@msu.edu
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Hopwood
authors.forename: Leslie C
authors.initials: LC
authors.lastname: Morey
authors.forename: Andrew E
authors.initials: AE
authors.lastname: Skodol
authors.forename: Charles A
authors.initials: CA
authors.lastname: Sanislow
authors.forename: Carlos M
authors.initials: CM
authors.lastname: Grilo
authors.forename: Emily B
authors.initials: EB
authors.lastname: Ansell
authors.forename: Thomas H
authors.initials: TH
authors.lastname: McGlashan
authors.forename: John C
authors.initials: JC
authors.lastname: Markowitz
authors.forename: Anthony
authors.initials: A
authors.lastname: Pinto
authors.forename: Shirley
authors.initials: S
authors.lastname: Yen
authors.forename: M Tracie
authors.initials: MT
authors.lastname: Shea
authors.forename: John G
authors.initials: JG
authors.lastname: Gunderson
authors.forename: Mary C
authors.initials: MC
authors.lastname: Zanarini
authors.forename: Robert L
authors.initials: RL
authors.lastname: Stout
mesh_terms: D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010551:Personality; D010552:Personality Assessment; D010554:Personality Disorders / Q000150:complications / Q000523:psychology*; D019966:Substance-Related Disorders / Q000150:complications / Q000523:psychology*; D055815:Young Adult