Laboratory of Epidemiology and Biometry, Division of Intramural Clinical and Biological Research, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, MD, USA.
J Am Psychiatr Nurses Assoc. 2010 Jul;16(4):212-26. doi: 10.1177/1078390310375846.
Antisocial personality disorder (ASPD) is associated with poorer treatment outcomes, but more help seeking, for alcohol use disorders (AUDs); however, associations of ASPD with AUD treatment in the general population have not been studied prospectively.
To examine prediction of treatment over 3-year follow-up among adults with AUDs by baseline ASPD and syndromal adult antisocial behavior without conduct disorder before age 15 (AABS).
Face-to-face interviews with 34,653 respondents to the National Epidemiologic Survey on Alcohol and Related Conditions, of whom 3875 had prevalent AUDs between Waves 1 and 2 and ASPD, AABS, or no antisocial syndrome at Wave 1.
In unadjusted analyses, baseline ASPD predicted AUD treatment but AABS did not. After adjustment for additional need, predisposing, and enabling factors, antisocial syndromes did not predict treatment. Baseline predictors of treatment included more past-year AUD symptoms, and past-year nicotine dependence and AUD treatment.
That baseline antisocial syndrome did not predict AUD treatment may reflect strong associations of antisociality with previously identified predictors of help seeking.
反社会型人格障碍（ASPD）与酒精使用障碍（AUD）的治疗效果较差有关，但寻求帮助的意愿更强；然而，ASPD 与普通人群中 AUD 治疗的关联尚未进行前瞻性研究。
通过基线 ASPD 和 15 岁前无品行障碍的综合征性成人反社会行为（AABS），来预测成年人 AUD 治疗在 3 年随访中的结果。
对参加国家酒精流行病学调查和相关条件调查的 34653 名受访者进行面对面访谈，其中 3875 人在第 1 波和第 2 波之间存在现患 AUD 以及 ASPD、AABS 或在第 1 波时无反社会综合征。
在未调整的分析中，基线 ASPD 预测 AUD 治疗，但 AABS 未预测。在调整了其他需求、倾向和使能因素后，反社会综合征并未预测治疗。治疗的基线预测因素包括过去一年 AUD 症状更多，过去一年尼古丁依赖和 AUD 治疗。
基线反社会综合征不能预测 AUD 治疗，这可能反映了反社会性与之前确定的寻求帮助的预测因素之间存在强烈关联。
