Personality Disorders in Substance Abusers: A Comparison of Patients Treated in A Prison Unit and Patients Treated in Inpatient Treatment

  • Ragnar Stefánsson
  • Morten Hesse


A large body of literature has shown a high prevalence of personality disorders in substance abusers. We compared a sample of substance abusers treated in a prison setting with substance abusers treated in a non-prison inpatient setting rated with the Millon Clinical Multiaxial Inventory-III. Baserate scores indicated a prevalence of 95% of personality disorders. A logistic regression analysis correctly identified 95% of the sample, and showed that antisocial personality disorder traits were characteristic of the prison sample, and masochistic personality disorder traits were characteristic of the inpatient sample. The findings indicate that treatment models used in prison settings should be adjusted to meet the needs of antisocial patients.


Personality disorders Substance abuse MCMI-III Prison Inpatient Alcohol Drugs 


  1. Ball, S. A., & Cobb-Richardson, P., et al. (2005). Substance abuse and personality disorders in homeless drop-in center clients: Symptom severity and psychotherapy retention in a randomized clinical trial. Comprehensive Psychiatry, 46(5), 371–379.PubMedCrossRefGoogle Scholar
  2. Conrod, P. J., & Stewart, S. H., et al. (2000). Efficacy of brief coping skills interventions that match different personality profiles of female substance abusers. Psychology of Addictive Behaviors, 14(3), 231–242.PubMedCrossRefGoogle Scholar
  3. Craig, R. J. (2000). Prevalence of personality disorders among cocaine and heroin addicts. Substance Abuse, 21(2), 87–94.PubMedCrossRefGoogle Scholar
  4. Craig, R. J., & Olson, R. (1998). Stability of the MCMI-III in a substance-abusing inpatient sample. Psychological Report, 83(3 Pt 2), 1273–1274.CrossRefGoogle Scholar
  5. Galen, L. W., & Brower, K. J. et al. (2000). Sociopathy, gender, and treatment outcome among outpatient substance abusers. Drug and Alcohol Dependence, 61(1), 23–33.PubMedCrossRefGoogle Scholar
  6. Grant, B. F., & Stinson, F. S., et al. (2004). Co-occurrence of 12-month alcohol and drug use disorders and personality disorders in the United States. Archives of General Psychiatry, 61, 361–368.PubMedCrossRefGoogle Scholar
  7. Grella, C. E., & Joshi, V., et al. (2003). Follow-up of cocaine-dependent men and women with antisocial personality disorder. Journal of Substance Abuse Treatment, 25(3), 155–164.PubMedCrossRefGoogle Scholar
  8. Kokkevi, A., & Stefanis, N., et al. (1998). Personality disorders in drug abusers: Prevalence and their association with AXIS I disorders as predictors of treatment retention. Addictive Behaviors, 23(6), 841–853.PubMedCrossRefGoogle Scholar
  9. Kranzler, H. R., & Tennen, H., et al. (1997). Validity of the longitudinal, expert, all data procedure for psychiatric diagnosis in patients with psychoactive substance use disorders. Drug and Alcohol Dependence, 45(1–2), 93–104.PubMedCrossRefGoogle Scholar
  10. Millon, T. (1997). MCMI-III manual. Minneapolis, MN: National Computer Systems.Google Scholar
  11. Nielsen, P., Røjskjær, S., & Hesse, M. (2007). Personality-guided treatment for alcohol dependence: a quasi-randomized experiment. American Journal on the Addictions, 16(5), 357–364.CrossRefGoogle Scholar
  12. Pelissier, B., & Camp, S. D., et al. (2003). Staying in treatment: How much difference is there from prison to prison? Psychology of Addictive Behaviors, 17(2), 134–141.PubMedCrossRefGoogle Scholar
  13. Verheul, R. (2001). Co-morbidity of personality disorders in individuals with substance use disorders. European Psychiatry, 16, 274–282.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  1. 1.Centre for Alcohol and Drug ResearchAarhus UniversityCopenhagenDenmark

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