@article{ref1,
title="Concurrent and predictive validity of drug use and psychiatric diagnosis among first-time DWI offenders",
journal="Alcoholism: clinical and experimental research",
year="2007",
author="Palmer, Rebekka S. and Ball, Shelley-Anne and Rounsaville, Bruce James and O'Malley, Stephanie S.",
volume="31",
number="4",
pages="619-624",
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.<p /> <p>Language: en</p>",
language="en",
issn="0145-6008",
doi="10.1111/j.1530-0277.2007.00346.x",
url="http://dx.doi.org/10.1111/j.1530-0277.2007.00346.x"
}