Prevalence of personality disorder in alcohol and drug services and associated comorbidity

Addiction
Owen Bowden-JonesCOSMIC study team

Abstract

To compare the prevalence of personality disorder in alcohol and drug populations with special attention to its impact on psychopathology and service characteristics. Cross-sectional survey. Three alcohol and four drug services in four urban UK centres. Two hundred and sixteen drug and 64 alcohol service patients randomly sampled from current treatment populations. A treatment population census recorded demographic and diagnostic data. Patient interviews assessed the presence, cluster type and severity of personality disorder using the Quick Personality Assessment Schedule (PAS-Q). Other psychopathology was measured using the Comprehensive Psychopathological Rating Scale (CPRS). A case-note audit recorded psychotic psychopathology using the OPCRIT schedule and data regarding social morbidity. The overall prevalence of personality disorder was 37% in the drug service sample and 53% in the alcohol service sample. The distribution of severity and clusters differed markedly between the two samples. There was a significant association between the severity of personality disorder and psychopathology in both samples. Levels of morbidity associated with clusters B and C were similar. Clinical diagnosis of personality disorder showed hi...Continue Reading

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