Walsh Zach, Allen Lindsay C, Kosson David S
Department of Psychology, Rosalind Franklin University of Medicine and Science, 3333 Green Bay Road, North Chicago, IL 60064, USA.
J Pers Disord. 2007 Jun;21(3):273-88. doi: 10.1521/pedi.2007.21.3.273.
High rates of comorbidity between psychopathy and substance use disorders (SUD) have long been recognized. However, the extent to which relationships between SUD and psychopathy extends beyond shared relationship with general antisociality remains undetermined. We examined zero-order and unique relationships between the elements of psychopathy and four categories of SUD; alcohol, cannabis, cocaine, and opioid dependence. The sample consisted of 399 European American and African American male county jail inmates. The relationship between psychopathy and SUD extended beyond general antisociality to core features of the psychopathic personality. Relationships were relatively stable across ethnicity but were more generalized across SUD categories for European American inmates. The relationship between SUD and impulsive and irresponsible behavior was most consistent across categories of SUD; relationships with other elements of psychopathy varied according to category of SUD.
长期以来，人们一直认识到精神病态与物质使用障碍（SUD）之间存在高共病率。然而，SUD与精神病态之间的关系超出与一般反社会行为的共同关系的程度仍未确定。我们研究了精神病态要素与四类SUD（酒精、大麻、可卡因和阿片类药物依赖）之间的零阶关系和独特关系。样本包括399名欧美裔和非裔美国男性县监狱囚犯。精神病态与SUD之间的关系超出了一般反社会行为，延伸至精神病态人格的核心特征。这种关系在不同种族中相对稳定，但在欧美裔囚犯中，跨SUD类别的关系更为普遍。SUD与冲动和不负责任行为之间的关系在各类SUD中最为一致；与精神病态其他要素的关系因SUD类别而异。
