Antisocial Symptoms Decrease to Normal Levels in Long-Term Abstinence
Article first published online: 26 JUL 2012
Copyright © 2012 by the Research Society on Alcoholism
Alcoholism: Clinical and Experimental Research
Volume 37, Issue Supplement s1, pages E271–E280, January 2013
How to Cite
Fein, G. and Fein, D. (2013), Antisocial Symptoms Decrease to Normal Levels in Long-Term Abstinence. Alcoholism: Clinical and Experimental Research, 37: E271–E280. doi: 10.1111/j.1530-0277.2012.01904.x
- Issue published online: 15 JAN 2013
- Article first published online: 26 JUL 2012
- Manuscript Accepted: 8 JUN 2012
- Manuscript Received: 14 NOV 2011
- National Institutes for Health. Grant Numbers: #AA016944, #AA013659
- Alcoholism, Antisocial Personality Disorder;
- Symptom Counts
We have previously shown highly elevated antisocial symptoms and measures of social deviance proneness and antisocial disposition in long-term abstinent alcohol dependence versus non-substance-abusing controls (NSAC). Current antisocial symptoms were reduced to subdiagnostic levels in long-term abstinence; however, the number of current symptoms was not measured beyond its being subdiagnostic.
Here we measured social deviance proneness, antisocial disposition, and both lifetime and current antisocial symptoms in short-term and long-term abstinent substance-dependent and NSAC samples.
Lifetime antisocial symptoms (and diagnoses) and social deviance proneness and antisocial disposition were highly elevated in both short- and long-term abstinence, replicating earlier findings. Current antisocial symptoms were dramatically reduced in long-term versus short-term abstinent samples, close to levels in controls. In contrast, social deviance proneness and antisocial disposition remain highly elevated in long-term abstinence.
These findings suggest that antisocial behavior is reduced in extended abstinence, despite continued elevated social deviance proneness an antisocial disposition. This suggests a top-down model in extended abstinence, whereby executive control inhibits deviance-prone tendencies.