Darke S, Kaye S, Finlay-Jones R
National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia.
Drug Alcohol Depend. 1998 Sep 1;52(1):63-9. doi: 10.1016/s0376-8716(98)00058-1.
Two hundred community-based methadone patients (CM); 200 prison inmates enrolled in prison methadone programs (PM); and 150 prison inmates with no history of heroin use (PNH) were interviewed to obtain diagnoses of antisocial personality disorder (ASPD) and Psychopathy Checklist-defined psychopathy. Large proportions of subjects in all three groups met the criteria for a diagnosis of ASPD (CM 44%, PM 65%, PNH 31%), with the two methadone groups having significantly higher proportions of ASPD diagnoses than non-heroin users. There were no differences between groups in the proportions diagnosed as psychopathic (CM 4%, PM 9%, PNH 4%). For each group, the proportions diagnosed as ASPD were significantly higher than the proportions diagnosed as psychopathic. Implications for the diagnosis of ASPD are discussed.
对200名社区美沙酮治疗患者（CM）、200名参加监狱美沙酮项目的囚犯（PM）以及150名无海洛因使用史的囚犯（PNH）进行了访谈，以得出反社会人格障碍（ASPD）的诊断结果以及《精神病态量表》定义的精神病态诊断结果。所有三组中的很大一部分受试者符合ASPD的诊断标准（CM组44%，PM组65%，PNH组31%），两个美沙酮治疗组的ASPD诊断比例显著高于非海洛因使用者。在被诊断为精神病态的比例方面，各组之间没有差异（CM组4%，PM组9%，PNH组4%）。对于每组而言，被诊断为ASPD的比例显著高于被诊断为精神病态的比例。文中讨论了ASPD诊断的意义。
