Prevalence and correlates of personality disorder diagnoses among cocaine dependent outpatients

Jacques P. Barber, Arlene Frank, Roger D. Weiss, Jack Blaine, Lynne Siqueland, Karla Moras, Naomi Calvo, Jesse Chittams, Delinda Mercer, Ihsan M Salloum

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

This paper reports on the prevalence and the pretreatment psychiatric, drug use, and demographic correlates of DSM-III-R personality disorders (PD) in a sample of 289 cocaine dependent outpatients accepted into the pilot phase of a randomized, multisite, clinical trial comparing different psychotherapy and drug counseling treatment modalities. Diagnoses were established using the SCID, administered to patients after a brief drug free period by highly experienced evaluators. Results showed that 48% of the patients had at least one PD and 18% had two or more. Of those with a PD, 65% had a Cluster B disorder with antisocial (APD) and borderline (BPD) PD being the most common. Men were significantly more likely to be diagnosed with APD than women, but no other gender differences were found. Patients with PDs were significantly more likely to receive another Axis 1 diagnosis and to have more severe psychiatric symptoms than patients without PDs. However, the groups did not differ on other measures of drug use severity or demographic variables, Additional subgroup analyses showed that patients with comorbid BPD had the highest level of depression, and patients who had both APD and BPD were more functionally impaired than patients with no PD. While the prognostic significance of these findings remains unclear, the results suggest that personality disorders are apt to play an important role in the treatment of cocaine dependence, and should be incorporated into the development of future treatments and research studies.

Original languageEnglish
Pages (from-to)297-311
Number of pages15
JournalJournal of Personality Disorders
Volume10
Issue number4
StatePublished - Dec 1 1996
Externally publishedYes

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Personality Disorders
pamidronate
Cocaine
Outpatients
Pharmaceutical Preparations
Psychiatry
Demography
Cocaine-Related Disorders
Borderline Personality Disorder
Psychotherapy
Diagnostic and Statistical Manual of Mental Disorders
Counseling
Therapeutics
Randomized Controlled Trials
Depression
Research

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Barber, J. P., Frank, A., Weiss, R. D., Blaine, J., Siqueland, L., Moras, K., ... Salloum, I. M. (1996). Prevalence and correlates of personality disorder diagnoses among cocaine dependent outpatients. Journal of Personality Disorders, 10(4), 297-311.

Prevalence and correlates of personality disorder diagnoses among cocaine dependent outpatients. / Barber, Jacques P.; Frank, Arlene; Weiss, Roger D.; Blaine, Jack; Siqueland, Lynne; Moras, Karla; Calvo, Naomi; Chittams, Jesse; Mercer, Delinda; Salloum, Ihsan M.

In: Journal of Personality Disorders, Vol. 10, No. 4, 01.12.1996, p. 297-311.

Research output: Contribution to journalArticle

Barber, JP, Frank, A, Weiss, RD, Blaine, J, Siqueland, L, Moras, K, Calvo, N, Chittams, J, Mercer, D & Salloum, IM 1996, 'Prevalence and correlates of personality disorder diagnoses among cocaine dependent outpatients', Journal of Personality Disorders, vol. 10, no. 4, pp. 297-311.
Barber JP, Frank A, Weiss RD, Blaine J, Siqueland L, Moras K et al. Prevalence and correlates of personality disorder diagnoses among cocaine dependent outpatients. Journal of Personality Disorders. 1996 Dec 1;10(4):297-311.
Barber, Jacques P. ; Frank, Arlene ; Weiss, Roger D. ; Blaine, Jack ; Siqueland, Lynne ; Moras, Karla ; Calvo, Naomi ; Chittams, Jesse ; Mercer, Delinda ; Salloum, Ihsan M. / Prevalence and correlates of personality disorder diagnoses among cocaine dependent outpatients. In: Journal of Personality Disorders. 1996 ; Vol. 10, No. 4. pp. 297-311.
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