Externalizing and self-medicating: Heterogeneity among repeat DUI offenders.
Alcohol
Comorbidity
Criminality
DUI
Recidivism
Journal
Drug and alcohol dependence
ISSN: 1879-0046
Titre abrégé: Drug Alcohol Depend
Pays: Ireland
ID NLM: 7513587
Informations de publication
Date de publication:
01 01 2019
01 01 2019
Historique:
received:
09
02
2018
revised:
17
09
2018
accepted:
24
09
2018
pubmed:
12
11
2018
medline:
17
4
2019
entrez:
12
11
2018
Statut:
ppublish
Résumé
Despite significant reductions in Driving Under the Influence (DUI) in the United States during recent decades, DUI continues to be a major public health threat. The current study investigated the intersection of two domains known to influence DUI: criminal history and psychiatric comorbidity. DUI recidivists (N = 743) attending a court-mandated two-week inpatient DUI program completed a computerized mental health assessment as part of their intake to that program. Participants' criminal records were obtained 4-5 years after program attendance. This study identified three primary repeat DUI offender subtypes with distinct patterns of criminal behavior and psychiatric comorbidity: (Type I) those whose DUI emerges from a pattern of drinking to cope with mood and anxiety problems, (Type II) those whose DUI emerges as part of a larger pattern of externalizing and criminal behavior, and (Type III) those whose DUI offenses reflect more acute triggers and isolated episodes of excessive drinking. These findings suggest that current treatment models used in DUI programs are inadequate to address the heterogeneity in the population of DUI recidivists and that earlier and more comprehensive screening would allow for better targeting of resources to DUI offender subtypes.
Identifiants
pubmed: 30415173
pii: S0376-8716(18)30757-9
doi: 10.1016/j.drugalcdep.2018.09.017
pmc: PMC6312495
mid: NIHMS1512031
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
88-96Subventions
Organisme : NIAAA NIH HHS
ID : R03 AA017516
Pays : United States
Informations de copyright
Copyright © 2018 Elsevier B.V. All rights reserved.
Références
J Consult Clin Psychol. 1992 Oct;60(5):757-65
pubmed: 1401391
Int J Offender Ther Comp Criminol. 2009 Dec;53(6):717-30
pubmed: 18940930
Drug Alcohol Depend. 2011 Aug 1;117(1):31-7
pubmed: 21277119
J Stud Alcohol. 2002 Nov;63(6):655-64
pubmed: 12529065
Addict Behav. 2006 Feb;31(2):339-50
pubmed: 16005159
Arch Sci Psychol. 2015 Apr 13;3(1):8-17
pubmed: 26539339
Women Health. 2019 Feb;59(2):132-144
pubmed: 29400615
J Stud Alcohol. 1988 Sep;49(5):443-9
pubmed: 3216648
J Stud Alcohol Drugs. 2008 Sep;69(5):777-80
pubmed: 18781254
Behav Sci Law. 2007;25(4):603-14
pubmed: 17620272
Am J Drug Alcohol Abuse. 2015 Jan;41(1):16-29
pubmed: 25321949
J Stud Alcohol. 1985 Nov;46(6):525-30
pubmed: 4087915
J Consult Clin Psychol. 2007 Oct;75(5):795-804
pubmed: 17907861
J Subst Abuse Treat. 2001 Dec;21(4):207-15
pubmed: 11777670
J Stud Alcohol Drugs. 2008 Mar;69(2):209-17
pubmed: 18299761
Alcohol Health Res World. 1996;20(1):56-62
pubmed: 31798160
Alcohol Health Res World. 1996;20(1):18-23
pubmed: 31798167
Alcohol Clin Exp Res. 2007 Apr;31(4):619-24
pubmed: 17374041
Accid Anal Prev. 2000 Jul;32(4):473-82
pubmed: 10868750
Alcohol Clin Exp Res. 2007 Jun;31(6):974-87
pubmed: 17403067
J Stud Alcohol. 1994 Nov;55(6):667-78
pubmed: 7861794
J Stud Alcohol. 1985 Sep;46(5):375-82
pubmed: 4068716
Arch Gen Psychiatry. 2001 Oct;58(10):943-9
pubmed: 11576032
Addict Behav. 1982;7(4):423-6
pubmed: 7183196
Int J Methods Psychiatr Res. 2004;13(2):93-121
pubmed: 15297906
Addict Behav. 2007 Apr;32(4):855-61
pubmed: 16876960
Traffic Inj Prev. 2014;15(5):431-3
pubmed: 24215097
Soc Psychiatry Psychiatr Epidemiol. 2010 Jul;45(7):723-31
pubmed: 19730762
Clin Psychol Rev. 2006 Mar;26(2):179-95
pubmed: 16364523
J Behav Health. 2014;3(4):212-219
pubmed: 26236541
Drug Alcohol Depend. 2006 Mar 15;82(1):33-40
pubmed: 16150554
Accid Anal Prev. 1986 Dec;18(6):443-53
pubmed: 3801119
Alcohol Clin Exp Res. 2010 Feb;34(2):292-301
pubmed: 19930236
J Abnorm Psychol. 1998 May;107(2):216-27
pubmed: 9604551
J Stud Alcohol. 1990 Mar;51(2):136-41
pubmed: 2308351
J Stud Alcohol. 2006 Sep;67(5):707-13
pubmed: 16847539
Inj Prev. 2000 Jun;6(2):158-61
pubmed: 10875678
J Subst Abuse Treat. 2008 Apr;34(3):320-5
pubmed: 17614243