scholarly journals Does comorbid substance use disorder exacerbate borderline personality features? A comparison of borderline personality disorder individuals with vs. without current substance dependence.

2010 ◽  
Vol 1 (4) ◽  
pp. 239-249 ◽  
Author(s):  
Han-Joo Lee ◽  
Courtney L. Bagge ◽  
Julie A. Schumacher ◽  
Scott F. Coffey
2021 ◽  
Vol 12 ◽  
Author(s):  
Frank D. Buono ◽  
Kaitlyn Larkin ◽  
David Rowe ◽  
M. Mercedes Perez-Rodriguez ◽  
Matthew E. Sprong ◽  
...  

Treatment of borderline personality disorder (BPD) with comorbid substance use disorder can be challenging due to symptom overlap and limited assessment methods. Preliminary evidence has shown promising effectiveness of dialectical behavioral therapy (DBT) for BPD with comorbid substance use disorders. The current study compared the benefits of a 28-day transitional DBT treatment program for individuals with BPD with and without substance use disorders through evaluating the changes in coping skills, generalized anxiety, and depression symptom scales at admission and discharge. A total of 76 patients were split into two groups: Group 1 consisted of individuals with BPD without substance use disorders (n = 41), and Group 2 involved individuals with BPD and a substance use disorder (SUD) (n = 35). A univariate general linear model showed significant differences between the two groups in improvement of coping skills and depressive symptoms. After a 28-day transitional DBT treatment program there were significant decreases from severe to moderate depression scores in both groups. Our findings support the effectiveness of DBT treatment in patients with comorbid BPD and SUD.


Author(s):  
Ahmed Rady ◽  
Ahmed Abdelkarim ◽  
Andre Ivanoff ◽  
Tarek Molokhia

Background: The published evidence supports dialectical behavioral therapy (DBT) efficacy to treat patients with borderline personality disorder and particular emphasis on emotion dysregulation as a psychopathological construct. Aim: To assess the efficacy of DBT for improving emotion dysregulation among patients with a dual diagnosis of borderline personality disorder and substance use disorder. Methods: We recruited 40 patients meeting DSM-5 criteria for borderline personality disorder and substance use disorder and assigned them to two groups of 20 participants each. One group underwent DBT therapy, and the other group followed a treatment-as-usual (TAU) protocol over one year. We used the difficulties in emotion regulation scale (DERS) scores at baseline, immediately after therapy, and four months after treatment to assess emotion dysregulation. Results: We found significant improvements (p<0.05) in the DBT group after therapy that was maintained at least for four months afterward based on the DERS scores (including subscale scores). More patients dropped out of the treatment in the TAU group than in the DBT group. Conclusion: DBT is a potentially effective psychological intervention to treat emotion dysregulation in patients with borderline personality disorder and substance use disorder.


2016 ◽  
Vol 163 ◽  
pp. 48-54 ◽  
Author(s):  
Aniko Maraz ◽  
Bálint Andó ◽  
Péter Rigó ◽  
János Harmatta ◽  
Gáspár Takách ◽  
...  

2020 ◽  
Vol 23 (4) ◽  
pp. 214-220
Author(s):  
Julie Aitken Schermer ◽  
Lucía Colodro-Conde ◽  
Katrina L. Grasby ◽  
Ian B. Hickie ◽  
Jane Burns ◽  
...  

AbstractLoneliness is related to mental and somatic health outcomes, including borderline personality disorder. Here, we analyze the sources of variation that are responsible for the relationship between borderline personality features (including four dimensions, affective instability, identity disturbance, negative relationships, self-harm and a total score) and loneliness. Using genetically informative data from two large nonclinical samples of adult twin pairs from Australia and the Netherlands (N = 11,329), we estimate the phenotypic, genetic and environmental correlations between self-reported borderline personality features and loneliness. Individual differences in borderline personality and loneliness were best explained by additive genetic factors with heritability estimates h2 = 41% for the borderline personality total score and h2 = 36% for loneliness, with the remaining variation explained by environmental influences that were not shared by twins from the same pair. Genetic and environmental factors influencing borderline personality (total score and four subscales separately) were also partial causes of loneliness. The correlation between loneliness and the borderline personality total score was rph = .51. The genetic correlation was estimated at rg = .64 and the environmental correlation at re = .40. Our study suggests common etiological factors in loneliness and borderline personality features.


2011 ◽  
Vol 41 (4) ◽  
pp. 363-373 ◽  
Author(s):  
Amy Pennay ◽  
Jacqui Cameron ◽  
Tiffany Reichert ◽  
Heidi Strickland ◽  
Nicole K. Lee ◽  
...  

2019 ◽  
Vol 52 (3) ◽  
pp. 309-313 ◽  
Author(s):  
Thomas J. Weigel ◽  
Shirley B. Wang ◽  
Jennifer J. Thomas ◽  
Kamryn T. Eddy ◽  
Casey Pierce ◽  
...  

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