title: Antisocial personality disorder is associated with receipt of physical disability benefits in substance abuse treatment patients.
abstract: BACKGROUND
  Opioid dependence is growing at an alarming rate in the United States, and opioid dependent patients have substantial medical, as well as psychiatric, conditions that impact their ability to work. This study evaluated the association between antisocial personality disorder (ASPD) and receipt of physical disability payments in methadone maintenance patients.
  
  
  METHODS
  Using data from 115 drug and alcohol abusing methadone maintained patients participating in two clinical trials, baseline characteristics of individuals receiving (n=22) and those not receiving (n=93) physical disability benefits were compared, and a logistic regression evaluated unique predictors of disability status.
  
  
  RESULTS
  Both an ASPD diagnosis and severity of medical problems were significant predictors of disability receipt, ps<.05. After controlling for other variables that differed between groups, patients with ASPD were more than five times likelier to receive physical disability benefits than patients without ASPD (odds ratio=5.66; 95% confidence interval=1.58-20.28).
  
  
  CONCLUSIONS
  These results demonstrate a role of ASPD in the receipt of disability benefits in substance abusers and suggest the need for greater understanding of the reasons for high rates of physical disability benefits in this population.
authors: University of Connecticut School of Medicine, USA.
authors: Shannon A
authors: SA
authors: Byrne
authors: Martin G
authors: MG
authors: Cherniack
authors: Nancy M
authors: NM
authors: Petry
mesh_terms: D000328:Adult; D000987:Antisocial Personality Disorder / Q000150:complications* / Q000523:psychology; D019970:Cocaine-Related Disorders / Q000523:psychology / Q000534:rehabilitation; D016001:Confidence Intervals; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D018868:Insurance, Disability / Q000706:statistics & numerical data*; D016015:Logistic Models; D008297:Male; D017533:Marital Status; D008691:Methadone / Q000627:therapeutic use; D008875:Middle Aged; D009294:Narcotics / Q000627:therapeutic use; D016017:Odds Ratio; D009293:Opioid-Related Disorders / Q000150:complications / Q000523:psychology; D011237:Predictive Value of Tests; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000150:complications* / Q000523:psychology
chemical_list: D009294:Narcotics; D008691:Methadone
keywords: ASPD; Antisocial personality disorder; Disability; Methadone maintenance treatment; Opioid dependence; Physical disability; Substance use
references: Behav Sci Law. 2011 Sep-Oct;29(5):667-76
references: 21928399
references: J Subst Abuse Treat. 2011 Apr;40(3):255-64
references: 21266301
references: Drug Alcohol Depend. 2004 Nov 11;76(2):165-71
references: 15488340
references: J Nerv Ment Dis. 2000 May;188(5):287-96
references: 10830566
references: Milbank Q. 1997;75(4):495-532
references: 9415090
references: Gerontologist. 2004 Aug;44(4):543-7
references: 15331811
references: J Behav Health Serv Res. 2001 May;28(2):205-11
references: 11338331
references: Drug Alcohol Depend. 1998 Sep 1;52(1):63-9
references: 9788008
references: J Subst Abuse Treat. 2010 Oct;39(3):282-8
references: 20667679
references: Arch Gen Psychiatry. 1997 Jan;54(1):71-80
references: 9006403
references: J Pers Disord. 2010 Dec;24(6):709-20
references: 21158595
references: J Urban Health. 2008 Nov;85(6):812-25
references: 18758964
references: Behav Sci Law. 2008;26(4):403-12
references: 18683199
references: J Consult Clin Psychol. 2007 Dec;75(6):983-91
references: 18085914
references: JAMA. 2003 May 14;289(18):2370-8
references: 12746360
references: J Stud Alcohol. 1998 Mar;59(2):222-6
references: 9500310
references: Am J Addict. 2006 May-Jun;15(3):227-32
references: 16923669
references: Drug Alcohol Depend. 2006 Jul 27;83(3):269-73
references: 16377101
references: Am J Addict. 2011 Jul-Aug;20(4):312-8
references: 21679262
references: J Consult Clin Psychol. 2003 Apr;71(2):320-9
references: 12699026
references: Ann Clin Psychiatry. 2010 May;22(2):113-20
references: 20445838
references: Am J Addict. 2009 Nov-Dec;18(6):470-80
references: 19874168
references: Addiction. 2011 Feb;106(2):349-54
references: 20955216
references: Psychosis. 2012 Jan 1;4(1):52-62
references: 22389652
references: J Consult Clin Psychol. 2002 Apr;70(2):398-405
references: 11952198
references: J Clin Psychiatry. 2008 Mar;69(3):368-80
references: 18348594
references: Psychiatr Serv. 1998 Mar;49(3):370-5
references: 9525799
references: J Nerv Ment Dis. 1985 Jul;173(7):412-23
references: 4009158
references: Drug Alcohol Depend. 2008 Apr 1;94(1-3):207-13
references: 18222051