Clinical Importance of Age at Onset in Type 1 and Type 2 Primary Alcoholics
- 1 April 1990
- journal article
- research article
- Published by American Medical Association (AMA) in Archives of General Psychiatry
- Vol. 47 (4), 320-324
- https://doi.org/10.1001/archpsyc.1990.01810160020003
Abstract
• Alcoholics have been proposed to be comprised of subtypes who differ in their age at onset and in type 1 vs type 2 characteristics. This study examined whether the clinical course of primary alcoholics was associated with age at onset as well as the type 1-vs-type 2 classification scheme. Interviews with 171 consecutive primary alcoholic men entering an alcohol treatment program revealed that age at onset of alcoholism was correlated with alcohol, drug, and childhood criminality problem histories. Neither classification of these alcoholics into discrete type 1 and type 2 categories nor placing them along a continuum of type 2 characteristics was consistently associated with severity of clinical histories. These findings underscore the clinical importance of age at onset and suggest the possibility that the type 2 prototype might represent a separate diagnosis, antisocial personality disorder, and not alcoholism itself.This publication has 19 references indexed in Scilit:
- Alcohol‐related Symptoms in Heterogeneous Families of Hospitalized AlcoholicsAlcohol, Clinical and Experimental Research, 1988
- Childhood Personality Predicts Alcohol Abuse in Young AdultsAlcohol, Clinical and Experimental Research, 1988
- Personality traits in subtypes of alcoholics.Journal of Studies on Alcohol, 1987
- Neurogenetic Adaptive Mechanisms in AlcoholismScience, 1987
- Relationship between treatment outcome and subtype of alcoholism in men.Journal of Studies on Alcohol, 1985
- Psychiatric diagnosis across cultural boundariesAmerican Journal of Psychiatry, 1985
- Platelet MAO activity as a biological marker in subgroups of alcoholismActa Psychiatrica Scandinavica, 1985
- ALCOHOLISM, ANTISOCIAL PERSONALITY AND DRUG USE IN A CRIMINAL POPULATIONAlcohol and Alcoholism, 1983
- Alcoholism and antisocial personalityActa Psychiatrica Scandinavica, 1979
- Psychopathology in Adopted-Away Offspring of Biologic Parents With Antisocial BehaviorArchives of General Psychiatry, 1978