Prevalence and correlates of antisocial personality disorder in older adults.

Autor:	Holzer KJ; Division of Clinical and Translational Research, Department of Anesthesiology, Washington University School of Medicine, St. Louis, MO, USA.; School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO, USA., Vaughn MG; School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO, USA.; Graduate School of Social Welfare, Yonsei University, Seoul, Republic of Korea., Loux TM; Department of Epidemiology and Biostatistics, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO, USA., Mancini MA; School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO, USA., Fearn NE; School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO, USA., Wallace CL; School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO, USA.
Jazyk:	angličtina
Zdroj:	Aging & mental health [Aging Ment Health] 2022 Jan; Vol. 26 (1), pp. 169-178. Date of Electronic Publication: 2020 Oct 27.
DOI:	10.1080/13607863.2020.1839867
Abstrakt:	Objectives: There is a paucity of research on antisocial personality disorder (ASPD) in the geriatric population and the majority of knowledge on the disorder is drawn from young adult samples. Researchers posit that the prevalence of ASPD as well as other personality disorders (PDs) is underestimated among older adults. Using a nationally representative sample, the present study examines the prevalence and correlates of ASPD in adults ages 50 and older. Methods: We analyzed data from the National Epidemiologic Survey on Alcohol and Related Conditions Waves I and III. Multivariate logistic regression analyses were employed to investigate associations between ASPD and sociodemographic characteristics. A series of logistic regression analyses were also conducted to study associations between ASPD and medical conditions (liver and cardiovascular disease, arthritis, and stomach ulcer), major psychiatric disorders (lifetime major depressive disorder, mania, and generalized anxiety disorder), and substance use disorders (lifetime alcohol, marijuana, cocaine, heroin, and nicotine use disorders). Results: Findings indicated that the prevalence of ASPD increases through early adulthood, with a peak at 3.91% in younger adults and decline to 0.78% in adults ages ≥65. Older adults with ASPD are more likely to be diagnosed with a substance use disorder, major depression, mania, and generalized anxiety disorder as well as each medical condition. Conclusion: Older adults with ASPD experience increased rates of medical and psychiatric comorbidities. These conditions exacerbate the existing challenges associated with diagnosing and treating this population and may have serious consequences for the patient, their caregivers and society.
Databáze:	MEDLINE
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