Personality disorder and dimension differences between type A and type B substance abusers

J Pers Disord. 1998 Spring;12(1):1-12. doi: 10.1521/pedi.1998.12.1.1.

Abstract

Substance abuse subtype differences in DSM-IV personality disorders and normal personality dimensions were evaluated in 370 inpatient and outpatient alcohol, cocaine, and opiate abusers. The Type A/Type B distinction was replicated, with Type B substance abusers exhibiting more premorbid risk factors, more severe substance abuse, and greater psychosocial impairment. As predicted, compared to Type A, Type B were more commonly diagnosed with, and had more severe symptoms of, all personality disorders except Schizoid. With regard to normal personality dimensions, Type B scored higher on neuroticism, novelty seeking, and harm avoidance; Type A scored higher on agreeableness, conscientiousness, cooperativeness, and self-directedness. These subtype differences remained after controlling for the effects of antisocial personality and psychiatric symptoms.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Antisocial Personality Disorder / complications
  • Chi-Square Distribution
  • Cluster Analysis
  • Female
  • Humans
  • Male
  • Models, Psychological
  • Personality Disorders / classification*
  • Personality Disorders / complications
  • Prognosis
  • Risk Factors
  • Severity of Illness Index
  • Substance-Related Disorders / classification*
  • Substance-Related Disorders / complications
  • Substance-Related Disorders / diagnosis