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Recent research suggests high rates of substance use disorders in gay, lesbian, bisexual and transgender (GLBT) adults. 8, 9 In addition, certain personality disorders, such as antisocial personality, appear to be a risk factor for multiple substance dependence, 10 high treatment dropout, and poorer treatment outcome. Personality disorders are associated with poorer treatment outcomes for individuals with alcohol or drug use disorders. adults), of those with a substance use disorder, 14.1% had co-occurring borderline, 5 11.8% had narcissistic, 6 and 8.2% had schizotypal 7 personality disorders. 4 In Wave 2 of the same community sample (this time with 34,653 U.S.
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4 The most common personality disorders were antisocial (12.3% and 27.7%), obsessive-compulsive (12.1% and 16.9%), and paranoid (10.2% and 18.6%) personality disorders in individuals with alcohol and drug use disorders, respectively. 1– 3 An epidemiological study of 43,093 individuals found that 28.6% of respondents with a current alcohol use disorder and 47.7% of those with a current drug use disorders had at least one personality disorder. The co-occurrence of personality disorders and substance use disorders appears common.