Historique
Périodique
Antisocial personality disorder, HIV risk behavior and retention in methadone maintenance therapy
(Troubles de la personnalité antisociale, comportement à risque face au VIH et continuité du traitement de maintenance)
Auteur(s) :
GILL, K. ;
NOLIMAL, D. ;
CROWLEY, T. J.
Année
1992
Page(s) :
247-252
Langue(s) :
Français
ISBN :
0376-8716
Refs biblio. :
24
Domaine :
Drogues illicites / Illicit drugs
Discipline :
PSY (Psychopathologie / Psychopathology)
Thésaurus mots-clés
VIH
;
CONTAMINATION
;
TRAITEMENT DE MAINTENANCE
;
COMPORTEMENT
;
FACTEUR DE RISQUE
;
PERSONNALITE
;
PATHOLOGIE
;
POPULATION A RISQUE
;
PSYCHIATRIE
;
METHADONE
;
SOCIALISATION
;
CONDUITE A RISQUE
;
TROUBLES DE LA PERSONNALITE
Note générale :
Drug and Alcohol Dependence, 1992, 30, 247-252
Note de contenu :
graph. ; tabl.
Résumé :
FRANÇAIS :
Dans un groupe de 55 personnes sous traitement méthadone, 42% des patients présentent des troubles de la personnalité (classés ASPD selon la classification du National Institut Mental Health Diagnostic : NIMH-DIS). On observe pas de différence quant au résultat du traitement dans les deux groupes, mais il est probable que le groupe ASDP soit une population à plus haut risque de transmission du VIH. Le diagnostic d'ASPD a peu d'utilité dans la prédiction des résultats du traitement.
ENGLISH :
In a sample of 55 consecutive methadone maintenance admissions to our clinic, 42% were diagnosed with antisocial personality disorder (ASPD) using the National Institute of Mental Health Diagnostic Interview Schedule NIMH DIS. Data at 1 year follow-up were obtained on this group of patients. There were no significant differences between the groups on any demographic or treatment outcomes variables. Survival analysis indicated that there were no groupe 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. (Extract from author's abstract)
Dans un groupe de 55 personnes sous traitement méthadone, 42% des patients présentent des troubles de la personnalité (classés ASPD selon la classification du National Institut Mental Health Diagnostic : NIMH-DIS). On observe pas de différence quant au résultat du traitement dans les deux groupes, mais il est probable que le groupe ASDP soit une population à plus haut risque de transmission du VIH. Le diagnostic d'ASPD a peu d'utilité dans la prédiction des résultats du traitement.
ENGLISH :
In a sample of 55 consecutive methadone maintenance admissions to our clinic, 42% were diagnosed with antisocial personality disorder (ASPD) using the National Institute of Mental Health Diagnostic Interview Schedule NIMH DIS. Data at 1 year follow-up were obtained on this group of patients. There were no significant differences between the groups on any demographic or treatment outcomes variables. Survival analysis indicated that there were no groupe 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. (Extract from author's abstract)
Affiliation :
Addict. Res. Treat. Serv., Dept Psychiatr., Univ. Colorado Hlth Ctr, Denver, CO
Etats-Unis. United States.
Etats-Unis. United States.
Cote :
A00553