Erschienen in:
01.01.2008
Screening and Assessment of Personality Disorders in Addiction Treatment Settings
verfasst von:
Shelley McMain, Michael Ellery
Erschienen in:
International Journal of Mental Health and Addiction
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Ausgabe 1/2008
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Abstract
Given the high rates of overlap between personality disorders and substance use disorders and the associated high levels of disability, a thorough diagnostic assessment involving screening for personality pathology should be routinely done with people seeking treatment for addiction problems. Evaluating whether a person meets diagnostic criteria for an Axis II disorder is essential, since specific diagnoses, such as borderline personality disorder, are linked to preferred treatment approaches. Screening is integral to the detection and treatment of problems faced by people with concurrent personality disorders and substance use disorders. However, as screens tend to overestimate the presence of personality disorder traits, diagnostic assessment is necessary to accurately determine the presence or absence of a personality disorder and to specify the contribution of a concurrent personality disorder to the problems being experienced by someone with a substance use disorder. This paper reviews the psychometrics of several instruments for the screening and diagnosis of personality disorders, which may be useful in addiction treatment settings.