Concurrent and predictive validity of drug use and psychiatric diagnosis among first-time DWI offenders

Alcohol Clin Exp Res. 2007 Apr;31(4):619-24. doi: 10.1111/j.1530-0277.2007.00346.x.

Abstract

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.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Alcohol Drinking / epidemiology
  • Alcohol Drinking / psychology
  • Alcoholic Intoxication / psychology*
  • Anxiety Disorders / psychology
  • Automobile Driving*
  • Crime
  • Data Interpretation, Statistical
  • Female
  • Follow-Up Studies
  • Humans
  • Interview, Psychological
  • Male
  • Mental Disorders / complications*
  • Mood Disorders / psychology
  • Predictive Value of Tests
  • Prognosis
  • Psychiatric Status Rating Scales
  • Reproducibility of Results
  • Substance-Related Disorders / complications*