Reaching out to patients with antisocial personality disorder in substance use disorder treatment: interactions between counsellors and clients in a psycho-educational intervention

2016 ◽  
Vol 9 (2/3) ◽  
Author(s):  
Morten Hesse ◽  
Birgitte Thylstrup
Keyword(s):  
Substance Use ◽  
Personality Disorder ◽  
Substance Use Disorder ◽  
Antisocial Personality Disorder ◽  
Design Methodology ◽  
Lifestyle Changes ◽  
Antisocial Personality ◽  
Lifestyle Counselling ◽  
Evidence Based Treatments ◽  
Overall Functioning

Purpose This article presents the Impulsive Lifestyle Counselling program, a time-limited psychoeducational approach to increasing patient awareness of antisocial personality disorder and its consequences. Design/methodology/approach This article describes the ILC program, a program developed as an add-on to treatment for substance use disorders, gives examples of issues and patient-counsellor interactions in the ILC sessions. Findings During the ILC sessions the patients engaged with the counsellors in diverse ways, reflecting the varying levels of psychopathology and overall functioning and barriers and incentive for lifestyle changes. Originality/value Patients with substance use disorder and comorbid antisocial personality disorder can receive better care with brief counselling that focuses on antisocial behavior and thinking. More diverse evidence-based treatments are needed for this disorder.

scholarly journals Aggression, Impulsivity, and Psychopathic Traits in Combined Antisocial Personality Disorder and Substance Use Disorder

2013 ◽  
Vol 25 (3) ◽  
pp. 229-232 ◽  
Author(s):  
Joseph L. Alcorn ◽  
Joshua L. Gowin ◽  
Charles E. Green ◽  
Alan C. Swann ◽  
F. Gerard Moeller ◽  
...  
Keyword(s):  
Substance Use ◽  
Personality Disorder ◽  
Substance Use Disorder ◽  
Antisocial Personality Disorder ◽  
Psychopathic Traits ◽  
Antisocial Personality

scholarly journals Impulsive Lifestyle Counselling Versus Treatment as Usual to Reduce Offending in People with Co-Occurring Antisocial Personality Disorder and Substance Use Disorder: A Post Hoc Analysis - BMC

2021 ◽  
Author(s):  
Morten Hesse ◽  
Birgitte Thylstrup
Keyword(s):  
Substance Use ◽  
Personality Disorder ◽  
Antisocial Personality Disorder ◽  
Driving Under The Influence ◽  
Antisocial Personality ◽  
Random Assignment ◽  
Criminal Records ◽  
Treatment As Usual ◽  
Lifestyle Counselling ◽  
The Impact

Abstract Objectives: To assess the impact of a psychoeducation for antisocial personality disorder on offending after randomization to treatment.Design: Multicentre, superiority, non-blinded randomized controlled trial. Random assignment was conducted in blocks of varying sizes at a central randomization centre.Setting: Nine outpatient uptake areas in Denmark.Participants: One hundred and seventy six patients with antisocial personality disorder in treatment for substance use disorders were randomized to treatment as usual or ILC (n=80; n=96). A total of 165 patients could be linked to criminal records collected between randomization and November 2019 (n=91; n=74).Intervention: The Impulsive Lifestyle Counselling program (ILC), is a brief psycho-educational program targeting antisocial behavior. The trial was conducted between January of 2012 and June 2014, and participants were tracked until December 2018, migration, or death, whichever occurred first. Outcomes: Number of offences in the 12 months following trial randomization from official national registers.Results: The mean number of offences was 2.76 in the TAU group (95% Poisson confidence interval [CI]=2.39, 3.16) and 1.87 in the ILC group (CI=0.97, 1.43). Negative binomial regression was used to assess number of convictions within the first year; violent, property, driving under the influence, and drug-related convictions. In both adjusted and unadjusted analyses, random assignment to ILC was associated with a lower number of total (incremental risk ration [IRR]=0.43, p=.013; adjusted IRR=0.33, p<.001), violent (IRR=0.19, p=.001; adjusted IRR=0.16, p=.018). Results were not significant for driving under the influence (unadjusted IRR=0.60, p=.371; adjusted IRR=0.87, p=.521), or drug offences (unadjusted IRR =1.06, p=.905; adjusted IRR=0.50, p=.180).Conclusions: The ILC program shows promise in reducing offending behavior in people with comorbid substance use and antisocial personality disorder.Trial registration: ISRCTN registry, ISRCTN67266318, 17/7/2012, https://doi.org/10.1186/ISRCTN67266318.

scholarly journals The Salience of Antisocial Personality Disorder for Predicting Substance Use and Violent Behavior: The Moderating Role of Deviant Peers

2019 ◽  
Vol 50 (1) ◽  
pp. 35-50
Author(s):  
Thomas W. Wojciechowski
Keyword(s):  
Substance Use ◽  
Personality Disorder ◽  
Antisocial Personality Disorder ◽  
Negative Binomial ◽  
Marijuana Use ◽  
Deviant Peers ◽  
Antisocial Personality ◽  
Violent Offending ◽  
Peer Association ◽  
The Impact

Deviant peer association and antisocial personality disorder are risk factors for drug use and violent offending. However, there has yet to be research that focuses on how deviant peer association may moderate the impact of antisocial personality disorder on these outcomes. Data from Wave 10 of the Pathways to Desistance dataset were used in analyses. Negative binomial regression was used to estimate the effects of covariates on violent offending. Ordered logistic regression was used to estimate the effects of covariates on substance use outcomes. Results indicated that deviant peer association moderated the impact of antisocial personality disorder on violent offending frequency and marijuana use frequency. The direction of this interaction effect was positive for marijuana use. The direction of this moderation was negative for violent offending, indicating that antisocial personality disorder–diagnosed individuals commit fewer violent offenses at similar levels of deviant peer association as nonafflicted participants.

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