TY  - JOUR
PY  - 2007//
TI  - Concurrent and predictive validity of drug use and psychiatric diagnosis among first-time DWI offenders
JO  - Alcoholism: clinical and experimental research
A1  - Palmer, Rebekka S.
A1  - Ball, Shelley-Anne
A1  - Rounsaville, Bruce James
A1  - O'Malley, Stephanie S.
SP  - 619
EP  - 624
VL  - 31
IS  - 4
N2  - BACKGROUND: Previous studies have found that driving while intoxicated (DWI) offenders report high rates of substance dependence and other psychiatric disorders. METHOD: The current study evaluated the prevalence, clinical correlates at program admission, and prognostic significance over a 1-year follow-up of 2 diagnostic subgroup variables (drug abuse or dependence; mood or anxiety disorder) among 290 first-time DWI offenders receiving group counseling interventions. RESULTS: A lifetime diagnosis of drug abuse or dependence (42% of sample) was associated with higher levels of alcohol consumption, lower coping confidence, greater readiness to change, increased alcohol, drug, and legal problems, and more alcohol-related negative consequences at the initiation of DWI intervention. Significant decreases in drinking were noted at intervention termination for the drug diagnoses subgroup, but were not sustained at 1-year follow-up. The presence of a lifetime diagnosis of anxiety or mood disorder (30% of sample) was associated with lower coping confidence, greater readiness to change, and with greater and more enduring negative consequences of drinking during the DWI intervention and 1-year follow-up period. CONCLUSIONS: Results suggest that a psychiatric diagnosis might guide the intervention and aftercare planning for DWI offenders to reduce recidivism and drinking.<p />  <p>Language: en</p>
LA  - en
SN  - 0145-6008
UR  - http://dx.doi.org/10.1111/j.1530-0277.2007.00346.x
ID  - ref1
ER  -