Author/Editor		Gill, K; Nolimal, D; Crowley, TJ
Title		Antisocial personality disorder, HIV risk behavior and retention in methadone maintenance therapy
Type		članek
Source		Drug Alcohol Depend
Vol. and No.		Letnik 30, št. 3
Publication year		1992
Volume		str. 247-52
Language		eng
Abstract		In a sample of 55 consecutive methadone maintenance admissions to our clinic, 42 percent were diagnosed with antisocial personality disorder (ASPD) using the National Institute of Mental Health Diagnostic Interview Schedule NIMH DIS. Individuals with ASPD exhibited greater risk for HIV infection as defined by more sexual contacts, needle use and equipment sharing. Data at 1 year follow-up were obtained on this group of patients. The objective was to compare the ASPD and non-ASPD groups with regards to demographics, drug abuse history, outcome and retention in treatment. There were no significant differences between the groups on any demographic or treatment outcome variables. Survival analysis indicated that there were no group differences in treatment retention. In conclusion, although there were no differences in treatment outcome between ASPD and non-ASPD groups it is possible that ASPD patients who drop out of treatment will be at higher risk for contracting and spreading HIV within the IV drug using population. These data also suggest that in this population the diagnosis of ASPD using primarily behavioral traits as measured in the NIMH-DIS-III, has little utility in predicting treatment outcome.
Descriptors		ANTISOCIAL PERSONALITY DISORDER HIV INFECTIONS METHADONE SUBSTANCE ABUSE, INTRAVENOUS ADULT ANTISOCIAL PERSONALITY DISORDER FOLLOW-UP STUDIES PATIENT DROPOUTS RISK FACTORS SUBSTANCE ABUSE, INTRAVENOUS TREATMENT OUTCOME