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Alcohol and Alcoholism Advance Access originally published online on August 31, 2007
Alcohol and Alcoholism 2007 42(6):618-622; doi:10.1093/alcalc/agm050
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Copyright © The Author 2007. Published by Oxford University Press on behalf of the Medical Council on Alcohol.

Comorbidity of alcohol dependence and personality disorders: A comparative study

Enrique Echeburúa1,*, Ricardo Bravo De Medina2 and Javier Aizpiri2

1 Facultad de Psicología, Universidad del País Vasco, Avda. de Tolosa, 70, 20018 San Sebastián, España
2 Medicina Psico-Orgánica, S.L., Bilbao, España

* Author to whom correspondence should be addressed at: Facultad de Psicología, Universidad del País Vasco, Avda. de Tolosa, 70, 20018 San Sebastián, España; E-mail: enrique.echeburua{at}ehu.es

Received 5 March 2007; first review notified 22 May 2007; ; accepted 24 May 2007


  Abstract

Aims: To describe the frequency and profile of personality disorders related to alcohol dependence, and to compare them with non-addictive disorders and with normal population. Methods: In this cross-sectional clinical-epidemiological study, using the International Personality Disorder Examination and the Millon Clinical Multiaxial Inventory-II for personality disorders, 158 consecutively recruited alcohol-dependent patients attending a psychiatric outpatient clinic were compared with 120 consecutively recruited psychiatric patients with non-addictive disorders, and 103 subjects from the general population chosen to match the patient samples for age, gender and socioeconomic level. Results: Of the alcohol-dependent patients, 44.3%, and of the general clinical sample, 21.7% (vs 6.8% of the normative sample) showed at least one personality disorder. Obsessive-compulsive personality disorders were most prevalent (12%), followed by antisocial, paranoid and dependent personality disorders (7% each). Most of them showed only one personality disorder.


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