PMID- 31869422
OWN - NLM
STAT- MEDLINE
DCOM- 20200511
LR  - 20200511
IS  - 1578-2735 (Electronic)
IS  - 1139-9287 (Linking)
VI  - 47
IP  - 6
DP  - 2019 Nov
TI  - Coexistence between personality disorders and substance use disorder. Madrid 
      study about prevalence of dual pathology.
PG  - 218-28
AB  - INTRODUCTION: Personality disorders (PD) and substance use disorders (SUD) have a 
      high prevalence and an important health and socioeconomic impact so, it is 
      interesting to study the relationship between them. The objectives of the study 
      are: to compare the prevalence of SUD between patients with and without diagnosis 
      of PD, to analyze if any PD is related to the SUD, and if a specific PD is 
      associated with a specific SUD. MATERIAL AND METHODS: Cross-sectional study in 
      837 patients from centers of attention to drug addiction and mental health in 
      Madrid, Spain. The Mini International Neuropsychiatric Interview (MINI) and the 
      Personality Diagnostic Questionnaire-4+ (PDQ4+) are used to detect mental 
      disorder and PD, respectively. RESULTS: SUD is significantly higher in antisocial 
      PD (p<0.01); sedative (p<0.01) and alcohol (p<0.05) use disorder in borderline 
      PD; cocaine (p<0.05) and alcohol (p<0.01) use disorder in paranoid PD; and 
      alcohol use disorder in histrionic PD (p<0.01). The SUD for cocaine is lower in 
      obsessive- compulsive PD (p<0.05) and depressive PD (p<0.01). There is a positive 
      correlation between the number of PD of a subject and the number of SUD that it 
      presents. The risk of an alcohol [OR of 1,08 CI (1,01-1,16)] or sedatives [OR of 
      1,08 CI (1,001-1,17)] use disorders increases if an individual presents more than 
      one type of PD. CONCLUSIONS: There is not differences of SUD prevalence between 
      PD and not PD groups. We found an association between SUD and PD of cluster B 
      (antisocial, borderline and histrionic) and also with paranoid PD. The SUD are 
      more common among man with the exception of sedatives.
FAU - Gonzalez, Ester
AU  - Gonzalez E
AD  - Servicio de Psiquiatria. Hospital 12 de Octubre, Madrid, Espana.
FAU - Arias, Francisco
AU  - Arias F
AD  - Servicio de Psiquiatria. Hospital 12 de Octubre, Madrid, Espana.
FAU - Szerman, Nestor
AU  - Szerman N
AD  - Servicio de Psiquiatria. Hospital Gregorio Maranon, Madrid, Espana.
FAU - Vega, Pablo
AU  - Vega P
AD  - Instituto de Adicciones, Madrid, Espana.
FAU - Mesias, Beatriz
AU  - Mesias B
AD  - Instituto de Adicciones, Madrid, Espana.
FAU - Basurte, Ignacio
AU  - Basurte I
AD  - Servicio de Psiquiatria. Hospital Gregorio Maranon, Madrid, Espana.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20191101
PL  - Spain
TA  - Actas Esp Psiquiatr
JT  - Actas espanolas de psiquiatria
JID - 100886502
SB  - IM
MH  - Adult
MH  - Alcoholism/diagnosis/epidemiology
MH  - Antisocial Personality Disorder/diagnosis/epidemiology
MH  - Cocaine-Related Disorders/diagnosis/epidemiology
MH  - Cross-Sectional Studies
MH  - Depression/diagnosis/epidemiology
MH  - Diagnosis, Dual (Psychiatry)
MH  - Female
MH  - Histrionic Personality Disorder/diagnosis/epidemiology
MH  - Humans
MH  - Male
MH  - Marijuana Abuse/diagnosis/epidemiology
MH  - Obsessive-Compulsive Disorder/diagnosis/epidemiology
MH  - Opioid-Related Disorders/diagnosis/epidemiology
MH  - Paranoid Personality Disorder/diagnosis/epidemiology
MH  - Personality Disorders/diagnosis/*epidemiology
MH  - Prevalence
MH  - Spain/epidemiology
MH  - Substance Abuse Treatment Centers/statistics & numerical data
MH  - Substance-Related Disorders/diagnosis/*epidemiology
EDAT- 2019/12/24 06:00
MHDA- 2020/05/12 06:00
CRDT- 2019/12/24 06:00
PHST- 2019/11/01 00:00 [received]
PHST- 2019/11/01 00:00 [accepted]
PHST- 2019/12/24 06:00 [entrez]
PHST- 2019/12/24 06:00 [pubmed]
PHST- 2020/05/12 06:00 [medline]
PST - ppublish
SO  - Actas Esp Psiquiatr. 2019 Nov;47(6):218-28. Epub 2019 Nov 1.