Personality Functioning and Antisociality of Youth Accessing Residential Substance Use Withdrawal in Australia

IF 2.9 3区医学 Q2 SUBSTANCE ABUSE

Drug and alcohol review Pub Date : 2026-06-17 DOI:10.1111/dar.70200

Nathan Akoka, Ajibola Akintola, Alexandre A. Guerin, Ashley L. Dunne, Michael Daffern, Holly Bowman, Andrew Bruun, Enrico Cementon, Andrew Chanen, David Coghill, Amelia Lopatecki, Edward Mullen, Gillinder Bedi

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引用次数: 0

Abstract

Introduction

This study examined the prevalence and associations of personality dysfunction and antisociality among youth accessing residential substance use disorder (SUD) withdrawal.

Methods

Participants were 100 youth (57% female) aged 18–25 scheduled or admitted to residential SUD withdrawal in Victoria, Australia. Personality dysfunction was assessed using the Level of Personality Functioning Scale—Self Report and Antisocial Personality Disorder (ASPD) Impairment Interview. SUDs were assessed using the Structured Clinical Interview for DSM-5, early maladaptive schemas using the Young Schema Questionnaire-Rach, and antisocial attitudes using the Measures of Criminal Attitudes and Associates.

Results

All participants met criteria for at least one SUD (M = 2.2, SD = 2.1); 66% endorsed two or more SUDs. Nearly half the sample met the threshold for likely general personality disorder (PD; 48%), while 43% met criteria for likely ASPD. Chi-square analyses indicated that likely general personality disorder (χ² = 12.4, p < 0.001) and likely ASPD (χ² = 13.5, p < 0.001) were associated with polysubstance use. Likely ASPD was associated with cannabis (χ² = 9.3, p < 0.01), methamphetamine (χ² = 4.9, p < 0.05), alcohol (χ² = 4.3, p < 0.05) and sedative (χ² = 4.9, p < 0.05) use disorders. Elevated early maladaptive schemas were common; 59% reported a prior arrest, and 23% reported 10 or more.

Discussion and Conclusions

Personality dysfunction and antisociality appear common among youth accessing residential withdrawal, supporting the assessment of personality functioning in this population. Future research should examine whether integrating personality-informed or schema-focused approaches within withdrawal services improves outcomes.

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查看原文本刊更多论文

澳大利亚青少年戒毒的人格功能与反社会行为。

前言：本研究调查了青少年在获得住宅物质使用障碍（SUD）戒断过程中人格功能障碍和反社会行为的患病率及其相关性。方法：参与者为100名18-25岁的青年（57%为女性），计划或接受澳大利亚维多利亚州的住宅SUD戒断。采用人格功能水平量表-自我报告和反社会人格障碍（ASPD）损害访谈对人格功能障碍进行评估。使用DSM-5的结构化临床访谈，早期适应不良图式使用青年图式问卷- rach，反社会态度使用犯罪态度和同伴量表进行评估。结果：所有受试者均符合至少一项SUD的标准（M = 2.2, SD = 2.1）；66%的人支持两个或更多的sud。近一半的样本符合可能的一般人格障碍的阈值（PD; 48%），而43%的样本符合可能的反社会人格障碍的标准。卡方分析显示可能存在一般人格障碍（χ2 = 12.4, p 2 = 13.5, p 2 = 9.3, p 2 = 4.9, p 2 = 4.3, p 2 = 4.9, p）。讨论和结论：人格功能障碍和反社会行为在获得居住戒断的青少年中很常见，支持对该人群人格功能的评估。未来的研究应该检查是否整合人格通知或图式为重点的方法在退出服务改善结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Drug and alcohol review SUBSTANCE ABUSE-

CiteScore

4.80

自引率

10.50%

发文量

151

期刊介绍： Drug and Alcohol Review is an international meeting ground for the views, expertise and experience of all those involved in studying alcohol, tobacco and drug problems. Contributors to the Journal examine and report on alcohol and drug use from a wide range of clinical, biomedical, epidemiological, psychological and sociological perspectives. Drug and Alcohol Review particularly encourages the submission of papers which have a harm reduction perspective. However, all philosophies will find a place in the Journal: the principal criterion for publication of papers is their quality.