Db. Marlowe et al., PSYCHIATRIC COMORBIDITY IN COCAINE DEPENDENCE - DIVERGING TRENDS, AXIS-II SPECTRUM, AND GENDER DIFFERENTIALS, The American journal on addictions, 4(1), 1995, pp. 70-81
One hundred consecutive admissions to an intensive outpatient cocaine
treatment clinic in Camden, NJ, were assigned DSM-III-R Axis I and II
psychiatric diagnoses by means of the SCID. Prevalence rates for non-s
ubstance-use Axis I disorders were equivalent to expected population b
ase rates. By far the most common diagnoses were on Axis II (73% of su
bjects), with over one-third of subjects receiving more than one perso
nality disorder diagnosis, frequently crossing DSM-III-R ''clusters.''
In the distribution of psychopathology, certain gender differences we
re noted. The authors discuss implications for the clinical management
and treatment of cocaine-addicted individuals in urban environments.