CPDD 72nd Annual Meeting • Scottsdale, Arizona - The College on ...

173
ADDING AXIS II PERSONALITY DISORDERS INTO THE
MIX: DO THEY INCREASE TREATMENT-SEEKING
BEHAVIORS IN MALES AND FEMALES WITH SUBSTANCE
USE DISORDERS?
A Engels Dibble, D Svikis, L Keyser-Marcus, R Pickens; VCU, Richmond, VA
Aims: <strong>The</strong> co-morbidity of substance use and Axis II disorders is well-established.
Rates of personality disorders (PD) in individuals with substance use disorders
(SUD) are high. While the exact relationship between SUD and PD is still
debated, the impact of PD on treatment outcomes is well-known. Less is known,
however, about the extent to which Axis II disorders influence treatment seeking
behavior and if these relationships vary by gender and type(s) of Axis II PD.
Methods: Study participants were 12,707 current or past substance users who
were part of the National Epidemiologic Survey of Alcohol and Related
Conditions (NESARC). Of these, 3,201 also met criteria for Antisocial,
Avoidant, Dependant, Obsessive-Compulsive, Paranoid, Schizoid, or Histrionic
personality disorder (PD). Demographically, the participants were primarily
Caucasian (67.6%), male (61.9%), and a mean age of 42.6 years. SUD and PD
were identified using the NIAAA Alcohol Use Disorder and Associated
Disabilities Interview Schedule–DSM-IV Version (AUDADIS-IV).
Results: Preliminary analyses found among individuals with alcohol use disorders
(AUD), (N=11,748), those with co-morbid Axis II PDs (N=2,943) were
nearly twice as likely to seek treatment (22.6%) compared to those with AUDs
alone (13.3%) (p