title: Severity factors associated with borderline personality disorder among misusers in an outpatient sample in Spain.
abstract: The comorbidity between substance-use disorders and borderline personality disorder (SUD-BPD) with other psychiatric disorders has been little studied. A total of 937 drug-dependent patients were evaluated using semistructured interviews and 13.7% were SUD-BPD patients. After multivariate analysis, gender, Affective Disorder (OR 2.59), Anxiety Disorder (OR 1.90), Eating Disorders (OR 4.29), Cocaine (OR 2.16), benzodiazepine dependence (OR 1.90), early age of onset of drug consumption (OR 0.94), and dependent (OR 4.04), paranoid (OR 3.70) and antisocial personality disorders (OR 3.46) were associated with SUD-BPD. Several psychiatric comorbidities are the norm in SUD-BPD patients; therefore these patients are a challenge for clinicians.
authors.affiliation: a SAPD Vall d'Hebron, Department of Psychiatry , Vall d'Hebron University Hospital-ASPB , Barcelona , Spain.|b Department of Psychiatry , Vall d'Hebron University Hospital , Barcelona , Spain.|c Department of Psychiatry , Universidad Autónoma de Barcelona , Barcelona , Spain.
authors.forename: Carmen
authors.initials: C
authors.lastname: Barral
authors.affiliation: a SAPD Vall d'Hebron, Department of Psychiatry , Vall d'Hebron University Hospital-ASPB , Barcelona , Spain.|c Department of Psychiatry , Universidad Autónoma de Barcelona , Barcelona , Spain.
authors.forename: Constanza
authors.initials: C
authors.lastname: Daigre
authors.affiliation: a SAPD Vall d'Hebron, Department of Psychiatry , Vall d'Hebron University Hospital-ASPB , Barcelona , Spain.|b Department of Psychiatry , Vall d'Hebron University Hospital , Barcelona , Spain.
authors.forename: Diana
authors.initials: D
authors.lastname: Bachiller
authors.affiliation: b Department of Psychiatry , Vall d'Hebron University Hospital , Barcelona , Spain.
authors.forename: Natalia
authors.initials: N
authors.lastname: Calvo
authors.affiliation: a SAPD Vall d'Hebron, Department of Psychiatry , Vall d'Hebron University Hospital-ASPB , Barcelona , Spain.|b Department of Psychiatry , Vall d'Hebron University Hospital , Barcelona , Spain.|c Department of Psychiatry , Universidad Autónoma de Barcelona , Barcelona , Spain.
authors.forename: Elena
authors.initials: E
authors.lastname: Ros-Cucurull
authors.affiliation: b Department of Psychiatry , Vall d'Hebron University Hospital , Barcelona , Spain.
authors.forename: Beatriz
authors.initials: B
authors.lastname: Gancedo
authors.affiliation: a SAPD Vall d'Hebron, Department of Psychiatry , Vall d'Hebron University Hospital-ASPB , Barcelona , Spain.|b Department of Psychiatry , Vall d'Hebron University Hospital , Barcelona , Spain.|c Department of Psychiatry , Universidad Autónoma de Barcelona , Barcelona , Spain.
authors.forename: Lara
authors.initials: L
authors.lastname: Grau-López
authors.affiliation: a SAPD Vall d'Hebron, Department of Psychiatry , Vall d'Hebron University Hospital-ASPB , Barcelona , Spain.|b Department of Psychiatry , Vall d'Hebron University Hospital , Barcelona , Spain.|c Department of Psychiatry , Universidad Autónoma de Barcelona , Barcelona , Spain.
authors.forename: Marc
authors.initials: M
authors.lastname: Ferrer
authors.affiliation: a SAPD Vall d'Hebron, Department of Psychiatry , Vall d'Hebron University Hospital-ASPB , Barcelona , Spain.|b Department of Psychiatry , Vall d'Hebron University Hospital , Barcelona , Spain.|c Department of Psychiatry , Universidad Autónoma de Barcelona , Barcelona , Spain.
authors.forename: Miguel
authors.initials: M
authors.lastname: Casas
authors.affiliation: a SAPD Vall d'Hebron, Department of Psychiatry , Vall d'Hebron University Hospital-ASPB , Barcelona , Spain.|b Department of Psychiatry , Vall d'Hebron University Hospital , Barcelona , Spain.|c Department of Psychiatry , Universidad Autónoma de Barcelona , Barcelona , Spain.
authors.forename: Carlos
authors.initials: C
authors.lastname: Roncero
mesh_terms: D000328:Adult; D001883:Borderline Personality Disorder / Q000453:epidemiology*; D015897:Comorbidity; D017831:Diagnosis, Dual (Psychiatry) / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D010045:Outpatients; D012307:Risk Factors; D013030:Spain / Q000453:epidemiology; D019966:Substance-Related Disorders / Q000453:epidemiology*; D055815:Young Adult
keywords: Borderline personality disorder; dual diagnosis; substance use disorder