Psychiatr Serv 51:380-382, March 2000
© 2000 American Psychiatric Association
Use of Health Services by Men With and Without Antisocial Personality Disorder Who Are Alcohol Dependent
Megan G. Murray, Ph.D.,
Robert M. Anthenelli, M.D. and
Rose A. Maxwell, Ph.D.
In a sample of 104 medically stable male veterans with alcohol dependence, rates of health service utilization were compared for 48 patients with a primary diagnosis of antisocial personality disorder and 56 patients without this diagnosis. Patients were diagnosed using DSM-IV lifetime criteria; previous utilization of health services was based on self-reports. Although a similar proportion of both groups reported previous service use, patients with antisocial personality disorder reported using more substance abuse treatment services than those with a primary diagnosis of alcohol dependence. Between-group multiple regression analysis showed that an earlier age at onset of alcoholism and a history of a comorbid substance-induced mental disorder best predicted higher rates of use of substance abuse treatment.
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