title: Risk Factors for Borderline Personality Disorder in Treatment Seeking Patients with a Substance Use Disorder: An International Multicenter Study.
abstract: Borderline personality disorder (BPD) and substance use disorders (SUDs) often co-occur, partly because they share risk factors. In this international multicenter study, risk factors for BPD were examined for SUD patients. In total, 1,205 patients were comprehensively examined by standardized interviews and questionnaires on psychiatric diagnosis and risk factors, and it was found that 1,033 (85.7%) had SUDs without BPD (SUD) and 172 (14.3%) had SUD with BPD (SUD + BPD). SUD + BPD patients were significantly younger, more often females and more often diagnosed with comorbid adult attention deficit/hyperactivity disorder. SUD + BPD patients did not differ from SUD patients on most risk factors typical for SUD such as maternal use of drugs during pregnancy or parents having any SUD. However, SUD + BPD patients did have a higher risk of having experienced emotional and physical abuse, neglect, or family violence in childhood compared to SUD patients, suggesting that child abuse and family violence are BPD-specific risk factors in patients with SUDs.
authors.affiliation: University Hospital of Psychiatry, University of Bern, Bern, Switzerland.
authors.forename: Manuela
authors.initials: M
authors.lastname: Wapp
authors.forename: Geurt
authors.initials: G
authors.lastname: van de Glind
authors.forename: Katelijne
authors.initials: K
authors.lastname: van Emmerik-van Oortmerssen
authors.forename: Geert
authors.initials: G
authors.lastname: Dom
authors.forename: Sofie
authors.initials: S
authors.lastname: Verspreet
authors.forename: Pieter Jan
authors.initials: PJ
authors.lastname: Carpentier
authors.forename: Josep Antoni
authors.initials: JA
authors.lastname: Ramos-Quiroga
authors.forename: Arvid
authors.initials: A
authors.lastname: Skutle
authors.forename: Eli-Torlid
authors.initials: ET
authors.lastname: Bu
authors.forename: Johan
authors.initials: J
authors.lastname: Franck
authors.forename: Maija
authors.initials: M
authors.lastname: Konstenius
authors.forename: Sharlene
authors.initials: S
authors.lastname: Kaye
authors.forename: Zsolt
authors.initials: Z
authors.lastname: Demetrovics
authors.forename: Csaba
authors.initials: C
authors.lastname: Barta
authors.forename: Melina
authors.initials: M
authors.lastname: Fatséas
authors.forename: Marc
authors.initials: M
authors.lastname: Auriacombe
authors.forename: Brian
authors.initials: B
authors.lastname: Johnson
authors.forename: Stephen V
authors.initials: SV
authors.lastname: Faraone
authors.forename: Frances R
authors.initials: FR
authors.lastname: Levin
authors.forename: Steve
authors.initials: S
authors.lastname: Allsop
authors.forename: Susan
authors.initials: S
authors.lastname: Carruthers
authors.forename: Robert A
authors.initials: RA
authors.lastname: Schoevers
authors.forename: Maarten W J
authors.initials: MW
authors.lastname: Koeter
authors.forename: Wim
authors.initials: W
authors.lastname: van den Brink
authors.forename: Franz
authors.initials: F
authors.lastname: Moggi
mesh_terms: D000328:Adult; D001883:Borderline Personality Disorder / Q000150:complications / Q000453:epidemiology* / Q000209:etiology; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D016015:Logistic Models; D008297:Male; D012307:Risk Factors; D019966:Substance-Related Disorders / Q000150:complications / Q000523:psychology* / Q000628:therapy; D011795:Surveys and Questionnaires
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