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Antisocial Personality Disorder as a Confounder in PTSD and Substance Use Disorders

To the Editor: We noted that although Katherine L. Mills, Ph.D, and colleagues (1) screened for individual personality disorders, these personality disorders were analyzed as a homogeneous group. Furthermore, antisocial personality disorder was absent.

We feel that antisocial personality disorder could be a confounding factor in this study. It is associated with substance use disorders (2, 3) and is also a risk factor for exposure to traumatic events (4).

The authors concluded that individuals with substance use disorders plus posttraumatic stress disorder (PTSD) were young, unmarried, not in a relationship, and receiving government allowances. These findings could be explained by the presence of antisocial personality disorder.

References

1. Mills KL, Teeson M, Ross J, Peters L: Trauma, PTSD, and substance use disorders: findings from the Australian National Survey of Mental Health and Well-Being. Am J Psychiatry 2006; 163:651–658
2. Hessleback MN: Childhood behaviour problems and adult antisocial personality in alcoholism, in Psychopathology and Addictive Disorders, Meyer RE (ed.). New York, Guilford Press, 1986, pp 78-94
3. Kessler RC, Nelson CB, McGonagle KA, Edlund MJ, Frank RG, Leaf PJ: The epidemiology of co-occuring addictive and mental disorders: implications for prevention and service utilisation. Am J Orthopsychiatry 1996; 66:17–31[Medline]
4. Jang KL, Stein MB, Taylor S, Asmundson GJ, Livesley WJ: Exposure to traumatic events and experiences: aetiological relationships with personality function. Psychiatry Res 2003; 120:61–69[CrossRef][Medline]

Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Email this article to a Colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Articles & Searches Download to citation manager Citing Articles via Google Scholar Articles by SULE, A. Articles by KELLY, K. I. Search for Related Content PubMed Citation Articles by SULE, A. Articles by KELLY, K. I. Antisocial Personality Disorders Posttraumatic Stress Disorder

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