Abstract
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.
Publication types
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Research Support, N.I.H., Extramural
MeSH terms
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Adult
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Alcoholism / diagnosis
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Alcoholism / epidemiology*
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Alcoholism / rehabilitation
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Antisocial Personality Disorder / diagnosis
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Antisocial Personality Disorder / epidemiology
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Antisocial Personality Disorder / rehabilitation
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Anxiety Disorders / diagnosis
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Anxiety Disorders / epidemiology
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Anxiety Disorders / rehabilitation
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Borderline Personality Disorder / diagnosis
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Borderline Personality Disorder / epidemiology*
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Borderline Personality Disorder / rehabilitation
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Cocaine-Related Disorders / diagnosis
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Cocaine-Related Disorders / epidemiology
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Cocaine-Related Disorders / rehabilitation
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Comorbidity
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Depressive Disorder / diagnosis
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Depressive Disorder / epidemiology
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Depressive Disorder / rehabilitation
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Diagnosis, Dual (Psychiatry)
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Female
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Heroin Dependence / diagnosis
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Heroin Dependence / epidemiology
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Heroin Dependence / rehabilitation
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Histrionic Personality Disorder / diagnosis
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Histrionic Personality Disorder / epidemiology
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Histrionic Personality Disorder / rehabilitation
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Humans
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Longitudinal Studies
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Male
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Marijuana Abuse / diagnosis
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Marijuana Abuse / epidemiology
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Marijuana Abuse / rehabilitation
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Middle Aged
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Personality Assessment
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Prognosis
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Statistics as Topic
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Substance-Related Disorders / diagnosis
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Substance-Related Disorders / epidemiology*
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Substance-Related Disorders / rehabilitation