SOURCE: Goldstein RB, Chou SP, Saha TD, et al. The epidemiology of antisocial behavioral syndromes in adulthood: Results from the National Epidemiologic Survey on Alcohol and Related Conditions-III. J Clin Psychiatry 2017;78:90-98.

The National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III) has provided data about the prevalence of antisocial behavioral syndromes in the United States. The societal burden incurred from persons with antisocial personality disorder is substantial, since the disorder is associated with impulsive aggressive behaviors for which the sufferer lacks remorse. Consequences include acts of violence as well as unstable personal, marital, and societal relationships.

From a large diverse cross-sectional population sample (n = 36,309), interviewers used a National Institute on Alcohol Abuse and Alcoholism tool known as Alcohol Use Disorder and Associated Disabilities Interview Schedule-5. This tool helps researchers identify not only alcohol misuse, but also drug use disorders, mood disorders, anxiety, and personality disorders.

This survey found that 4.3% of adults fulfilled criteria for antisocial personality disorder. Rates were highest in younger adult white and Native American males.

Treatments for antisocial personality disorder are labor intensive. Antisocial personality disorder tends to remit over time.

Whether treatment for the numerous other comorbidities, such as substance abuse associated with antisocial personality disorder, will hasten time to remission is an area of needed research.