Personality Disorders in Addiction Outpatients: Prevalence and Effects on Psychosocial Functioning

Author:

Casadio Paola1,Olivoni Deanna2,Ferrari Barbara3,Pintori Cecilia2,Speranza Elvira2,Bosi Monica2,Belli Valentina2,Baruzzi Lucia2,Pantieri Paola2,Ragazzini Grazia2,Rivola Filippo2,Atti Anna Rita3

Affiliation:

1. Mental Health and Pathological Addictions Department of Ravenna, Mental Health Center of Faenza, Italy.

2. Mental Health and Pathological Addictions Department of Ravenna, Pathological Addictions of Faenza, Italy.

3. Department of Biomedical and Neuromotor Sciences–-Psychiatry, Bologna University, Italy.

Abstract

Aim To evaluate the prevalence of personality disorders (PDs) in the outpatients attending an addiction service, with particular attention to the effects of PDs on social and occupational functioning and on the intensity of treatment required. Design A cross-sectional epidemiological study with the assessment of 320 outpatients, through SCID-II (Structured Clinical Interview for DSM-IV Axis II PDs), SOGS (South Oaks Gambling Screen), and questionnaire extracted from EuropASI. Results The percentage prevalence of PDs was 62.2% (confidence interval at 95% (95% CI): 57–68). PDs were positively associated with placement in an addiction treatment community (odds ratio (OR) = 2.98, CI = 1.77–5.03), having received lifetime treatment at the mental health center (MHC) (OR = 3.67, CI = 1.67–8.07) or having attempted suicide (OR = 2.30, CI = 1.05–5.02). Furthermore, PDs were related to a reduced probability of keeping a job (OR = 0.54, CI = 0.31–0.95) or starting a family (OR = 0.51, CI = 0.30–0.87). Conclusion Axis II comorbidity occurs in 62% of addiction outpatients and has substantial effects on social and occupational functioning as well as on treatment programs.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health

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