Journal article
Distinguishing General and Specific Personality Disorder Features and Implications for Substance Dependence Comorbidity
Journal of abnormal psychology (1965), Vol.120(3), pp.656-669
08/2011
Handle:
https://hdl.handle.net/2376/109735
PMCID: PMC4241053
PMID: 21604829
Abstract
Clinical and population-based samples show high comorbidity between Substance Use Disorders (SUDs) and Axis II Personality Disorders (PDs). However, Axis II disorders are frequently comorbid with each other, and existing research has generally failed to distinguish the extent to which SUD/PD comorbidity is general or specific with respect to both specific types of PDs and specific types of SUDs. We sought to determine whether ostensibly specific comorbid substance dependence-Axis II diagnoses (e.g., alcohol use dependence and borderline personality disorder) are reflective of more pervasive or general personality pathology or whether the comorbidity is specific to individual PDs. Face-to-face interview data from Wave 1 and Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions were analyzed. Participants included 34,653 adults living in households in the United States. We used hierarchical factor models to statistically partition general and specific personality disorder dimensions while simultaneously testing for specific PD-substance dependence relations. Results indicated that substance dependence-Axis II comorbidity is characterized by general (pervasive) pathology and by Cluster B PD pathology over and above the relationship to the general PD factor. Further, these relations between PD factors and substance dependence diagnoses appeared to largely account for the comorbidity among substance dependence diagnoses in the younger but not older participants. Our findings suggest that a failure to consider the general PD factor, which we interpret as reflecting interpersonal dysfunction, can lead to potential mischaracterizations of the nature of certain PD and SUD comorbidities.
Metrics
11 Record Views
Details
- Title
- Distinguishing General and Specific Personality Disorder Features and Implications for Substance Dependence Comorbidity
- Creators
- Seungmin Jahng - Department of Psychological Sciences, University of Missouri-Columbia and the Midwest Alcoholism Research CenterTimothy J Trull - Department of Psychological Sciences, University of Missouri-Columbia and the Midwest Alcoholism Research CenterPhillip K Wood - Department of Psychological Sciences, University of Missouri-Columbia and the Midwest Alcoholism Research CenterSarah L Tragesser - Department of Psychology, Washington State UniversityRachel Tomko - Department of Psychological Sciences, University of Missouri-Columbia and the Midwest Alcoholism Research CenterJulia D Grant - Department of Psychiatry, Washington University and the Midwest Alcoholism Research CenterKathleen K Bucholz - Department of Psychiatry, Washington University and the Midwest Alcoholism Research CenterKenneth J Sher - Department of Psychological Sciences, University of Missouri-Columbia and the Midwest Alcoholism Research Center
- Contributors
- David Watson (Editor)
- Publication Details
- Journal of abnormal psychology (1965), Vol.120(3), pp.656-669
- Academic Unit
- Psychology, Department of
- Publisher
- American Psychological Association
- Identifiers
- 99900547471001842
- Language
- English
- Resource Type
- Journal article