Influence of Personality Disorder Features on Social Functioning in Substance-Abusing Women Five Years after Compulsive Residential Treatment

Abstract

Background: Personality disorders (PD) are related to negative outcome in substance abuse treatment, and in the general population, personality disorders are related to negative outcome in overall functioning. Little is known about the impact of PD on adjustment following substance abuse treatment. Methods: A cohort of 132 women was followed for 5 years after their index treatment episode in compulsory treatment. During treatment, patients were assessed with the SCID-II. At follow-up, patients were administered a timeline follow-back interview covering their functioning, including employment status over the years, and linked with hospital and criminal justice registers. Results: The impact of PD on functioning varied substantially between disorders and outcome domains. Conduct disorder alone was associated with criminal justice involvement, and conduct disorder and avoidant PD features were associated with unemployment. Dependent PD and obsessive-compulsive personality disorder features were positively associated with employment. Borderline PD features were associated with hospital admissions. Discussion: We discuss how strategies associated with various PDs may foster or hinder social adjustment in general and employment patterns in particular.

The effectiveness of compulsory drug treatment: A systematic review

“…36–38 Two studies found equivocal results but did not compare against a control condition (e.g., voluntary drug treatment). 39,40 Two studies observed negative impacts of compulsory treatment on criminal recidivism. 41,42 Two studies found positive outcomes: one study observed a small significant impact of compulsory inpatient treatment on criminal recidivism, 43 and a retrospective study found improved drug use outcomes within the first week of release after treatment.…”

Personality Disorders and the 3-Year Course of Alcohol, Drug, and Nicotine Use Disorders

“…Therefore, borderline personality disorder was of particular interest as we undertook this study. Recent clinical studies also suggests poor substance outcomes among patients with comorbid borderline personality disorder 32-34 . Our finding that borderline personality disorder is a robust predictor of the persistence of alcohol, cannabis and nicotine use disorders even after controlling for many other potential confounders suggests the need for greater research and clinical focus on the conjunction of these disorders, such as work on dialectical behavior therapy for patients with comorbid substance abuse and borderline personality disorder 84-86 .…”

“…However, the relationship of personality disorders other than antisocial to the persistence of SUDs has been far less studied, despite a suggestion made several years ago to expand the scope of substance abuse research to include a broader range of personality disorders 31 . Recent prospective studies suggested worse course of SUDs among patients with borderline personality disorder 32-34 , supporting the need for expanded investigation of this area.…”

Women with Substance Abuse Problems Exposed to Men’s Violence - A Public Mental Health Challenge

“…Common comorbidity with substance dependence is antisocial personality disorder [38], conduct disorder Table 2: Number (%) of women being exposed to male violence, WwH (n=29) and HW (n=43). Results of Chi-square, Fisher's exact test, between WwH and HW, significant level and borderline [39]. Both WwH and HW reported problems regarding stress susceptibility and feeling not being able to influence their situation (embitterment), signalling the need for enhanced coping methods in everyday life.…”