Antisocial personality disorder: Co-morbid Axis I mental disorders and health service use among a national household population

作者：Ullrich Simone^*; Coid Jeremy

来源：Personality and Mental Health, 2009, 3(3): 151-164.

DOI：10.1002/pmh.70

Antisocial personality disorder is highly co-morbid with other mental disorders, particularly substance use disorders, but little is known about the use of mental health services among this group. The study investigated the use of mental health services and associations with psychiatric co-morbidity among persons with a diagnosis of antisocial personality disorder within a representative UK household population. Weighted data from 8 395 respondents included 245 (2.9%) with a diagnosis of antisocial personality disorder. This diagnosis resulted in independent risks of substance abuse disorders, suicide attempts and generalized anxiety disorders when compared with the general population. Help-seeking behaviour was more prevalent among the antisocial group than the general population but was primarily mediated through co-morbid Axis I mental disorders and was not because of antisocial symptoms or other co-morbid personality disorders. Among those with antisocial personality disorder, approximately one-quarter had consulted a mental health professional in the year before interview. Of those, nearly 70% suffered from a co-morbid anxiety disorder. High use of mental health services among persons with antisocial personality disorder appears to be a characteristic of a specific subgroup with high levels of anxiety.

• 出版日期2009-8