Borderline personality and substance use in women.
The association between borderline personality disorder (BPD) and substance use disorder (SUD) was examined in a predominantly psychiatric (77.6%) sample of 232 women. BPD proved to be a significant predictor of a lifetime diagnosis of SUD across four different categories: any SUD (including alcohol); alcohol use; drug use; and heroin, cocaine, or poly-substance use. BPD continued to be a predictor of SUD even when the effects of other cluster B and all cluster C PDs were controlled statistically. Antisocial personality disorder generally yielded larger odds ratios than BPD and emerged as a partial mediator of the relation between BPD and SUD. Histrionic PD was the only other PD that showed meaningful relations with SUD.
Feske
Ulrike
U
Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA. Feskeu@upmc.edu
Tarter
Ralph E
RE
Kirisci
Levent
L
Pilkonis
Paul A
PA
D000328:Adult; D000437:Alcoholism / Q000175:diagnosis / Q000453:epidemiology* / Q000534:rehabilitation; D000987:Antisocial Personality Disorder / Q000175:diagnosis / Q000453:epidemiology / Q000534:rehabilitation; D001008:Anxiety Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000534:rehabilitation; D001883:Borderline Personality Disorder / Q000175:diagnosis / Q000453:epidemiology* / Q000534:rehabilitation; D019970:Cocaine-Related Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000534:rehabilitation; D015897:Comorbidity; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology / Q000534:rehabilitation; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D006556:Heroin Dependence / Q000175:diagnosis / Q000453:epidemiology / Q000534:rehabilitation; D006677:Histrionic Personality Disorder / Q000175:diagnosis / Q000453:epidemiology / Q000534:rehabilitation; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D002189:Marijuana Abuse / Q000175:diagnosis / Q000453:epidemiology / Q000534:rehabilitation; D008875:Middle Aged; D010552:Personality Assessment; D011379:Prognosis; D013223:Statistics as Topic; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000534:rehabilitation