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

Casadio, Paola ; Olivoni, Deanna ; Ferrari, Barbara ; Pintori, Cecilia ; Speranza, Elvira ; Bosi, Monica ; Belli, Valentina ; Baruzzi, Lucia ; Pantieri, Paola ; Ragazzini, Grazia ; Rivola, Filippo ; Atti, Anna Rita

Substance Abuse: Research and Treatment, 2014-01, Vol.2014 (2014), p.17-24 [Periódico revisado por pares]

London, England: Libertas Academica

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  • Título:
    Personality Disorders in Addiction Outpatients: Prevalence and Effects on Psychosocial Functioning
  • Autor: Casadio, Paola ; Olivoni, Deanna ; Ferrari, Barbara ; Pintori, Cecilia ; Speranza, Elvira ; Bosi, Monica ; Belli, Valentina ; Baruzzi, Lucia ; Pantieri, Paola ; Ragazzini, Grazia ; Rivola, Filippo ; Atti, Anna Rita
  • Assuntos: Addictions ; Care and treatment ; Original Research ; Personality disorders ; Prevalence studies (Epidemiology) ; Psychological aspects ; Social aspects ; Substance abuse
  • É parte de: Substance Abuse: Research and Treatment, 2014-01, Vol.2014 (2014), p.17-24
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
  • Descrição: 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.
  • Editor: London, England: Libertas Academica
  • Idioma: Inglês

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